201700174 - Laserfiche WebLink

Browse

OK 7b. INDIVIDUAL'S SURNAME INDIVIDUAL'S FIRST PERSONAL NAME INDIVIDUAL'S ADDITIONAL NAME(S) / INITIAL(S) SUFFIX 7c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY L =INANCING STATEMENT AMENDMENT INSTRUCTIONS & PHONE OF CONTACT AT FILER (optional) le Westwood L CONTACT AT FILER (optional) ACKNOWLEDGMENT TO: (Name and Address Heritage Bank PO Box 5138 Grand Island NE 68802 la. INITIAL FINANCING STATEMENT FILE NUMBER 201507963 5, Q PARTY INFORMATION CHANGE: OR 8. ❑ COLLATERAL CHANGE: Also check gng of these four boxes: ❑ ADD collateral indicate collateral. Home Located at 3840 S Locust ST., Grand Island, NE 68801 OR 10. OPTIONAL FILER REFERENCE DATA: 1 b. If this is an Amendment authorized by a DEBTOR, check here ❑ and provide name of authorizing Debtor ❑ DELETE collateral THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or recorded) in the REAL ESTATE RECORDS Filer attach Amendment Addendum (Form UCC3Ad) r�di provide Debtor's name in item 13 2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement 3. ❑ ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9 For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8 4. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the additional period provided by applicable law Check 4na of these two boxes: AND Check gn@ of these three boxes to: CHANGE name and /or address: Complete ADD name: Complete item DELETE name: Give record name This Change affects ❑ Debtor Qs ® Secured Party of record 0 item 6a or 6b; gag item 7a or 7b and item 7c Li 7a or 7b, aad item 7c Lj to be deleted in item 6a or 6b 6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only me name (6a or 6b) 6a. ORGANIZATIONS NAME 6b. INDIVIDUAL'S SURNAME Hooker FIRST PERSONAL NAME Scott ADDITIONAL NAME(S) /INITIAL(S) A. SUFFIX 7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Parry Information Change - provide only gilg name (7a or 7b) (use exact, lull name: do not omit, modify, or abbreviate any part of the Debtor's name) 7a. ORGANIZATION'S NAME ❑ RESTATE covered collateral 9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only gn@ name (9a or 9b) (name of Assignor, if this is an Assignment) ASSIGN collateral 9a. ORGANIZATIONS NAME Heritage Bank 9b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX International Association of Commercial Administrators (IACA) FILING OFFICE COPY — UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04/20/11)