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OR <br />1c. <br />12 <br />OR <br />2c. <br />OR <br />3c. <br />MANCING STATEMENT <br />JSTRUCTIONS <br />PHONE OF CONTACT AT FILER (optional) <br />(800) 331-3282 Fax: (818) 662 -4141 <br />CONTACT AT FILER (optional) <br />:TLS_Glendale_ Customer _Service @wolterskluwer.com <br />;;KNOWLEDGMENT TO: (Name and Address) <br />ien Solutions <br />Box 29071 <br />dale, CA 91209 -9071 <br />37724 - OVATION SALES <br />55840388 7 <br />NENE <br />FIXTURE <br />File with: Hall County Register of Deeds, NE <br />805 LAS COMAS PKWY <br />4. COLLATERAL: This financing statement covers the following collateral: <br />HVAC <br />7. ALTERNATIVE DESIGNATION (if applicable): ❑ Lessee/Lessor <br />8. OPTIONAL FILER REFERENCE DATA: <br />55840388 1289349 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b) <br />❑ Consignee /Consignor ❑ Seller /Buyer ❑ Bailee/Bailor <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S NAME: Provide only one Debtor name (1a or 1b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtor's <br />name will not fit in line 1 b, leave all of item 1 blank, check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />1a. ORGANIZATION'S NAME <br />lb. INDIVIDUAL'S SURNAME <br />SICKLER <br />MAILING ADDRESS <br />12 WALNUT ST <br />FIRST PERSONAL NAME <br />DUSTON <br />CITY <br />WOOD RIVER <br />ADDITIONAL NAME(S)/INITIAL(S) <br />C <br />STATE <br />NE <br />POSTAL CODE <br />68883 <br />SUFFIX <br />COUNTRY <br />USA <br />2. DEBTOR'S NAME: Provide only one Debtor name (2a or 2b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtor's <br />name will not fit in line 2b, leave all of item 2 blank, check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />2a. ORGANIZATION'S NAME <br />2b. INDIVIDUAL'S SURNAME <br />MAILING ADDRESS <br />FIRST PERSONAL NAME <br />CITY <br />ADDITIONAL NAME(S)/INITIAL(S) <br />STATE <br />POSTAL CODE <br />SUFFIX <br />COUNTRY <br />3a. ORGANIZATION'S NAME <br />OVATION SALES FINANCE, LLC <br />3b. INDIVIDUAL'S SURNAME <br />MAILING ADDRESS <br />FIRST PERSONAL NAME <br />CITY <br />AUSTIN <br />ADDITIONAL NAME(SyINITIAL(S) <br />STATE <br />TX <br />POSTAL CODE <br />78746 <br />SUFFIX <br />COUNTRY <br />USA <br />5. Check Ek if applicable and checkoff one box: Collateral is Obeid in a Trust (see UCC1Ad, item 17 and Instructions) ❑being administered by a Decedents Personal Representative <br />6a. Check only if applicable and check og one box: 6b. Check or_A if applicable and check or...A one box: <br />❑ Public- Finance Transaction ❑ Manufactured -Home Transaction ❑ A Debtor is a Transmitting Utility ❑ Agricultural Lien ❑ Non -UCC Filing <br />❑ Licensee/Licensor <br />Prepared by CT Lien Solutions, P.O. Box 29071, <br />Glendale, CA 91209 -9071 Tel (800) 331 -3282 <br />