201705796 - Laserfiche WebLink

Browse

OR OR OR ..omerstone Bank P.O, Box 471 Albion, NE 68620 -0471 L FINANCING STATEMENT AMENDMENT NW INSTRUCTIONS IME & PHONE OF CONTACT AT FILER (optional) MAIL CONTACT AT FILER (optional) :ND ACKNOWLEDGMENT T0: (Name and Address) 1a. INITIAL FINANCING STATEMENT FILE NUMBER 201500521 • Hall County 2. TERMINATION: Efteotivenese of the Financing Statement Identified above Is terminated with 'respect to the security interest(s) of Secured Party authorizing this Termination 7a. ORGANIZATION'S NAME 7b, INDIVIDUAL'S SURNAME INDIVIDUAL'S FIRST PERSONAL NAME INDIVIDUAL'S ADDITIONAL NAME(S)ANITIAL(S) 7c. MAILING ADDRESS 10. OPTIONAL FILER REFERENCE DATA: CITY _J 3. ❑ ASSIGNMENT pull or partial): Provide name of Assignee In Item 7a or 7b, 9011 address of Assignee In Item 7c and name of Assignor In Item 9 For partial assignment, complete Items 7 and 9 ark also Indioste affected collateral In Item e THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY b.❑ Thfs FINANCING STATEMENT AMENDMENT is tc be flied (for record) (or recorded) In the REAL ESTATE RECORDS Filen a tlSCZiAmendment Addendum,(FOnn UCC3Ad) 901 provide Debtor's name In item 13 4, ❑ CONTINUATION: Effectiveneaa of the Financing Statement Identified above with respect to the security Interest(s) of Secured Party authoriztn9 thls Continuation Statement Is oonttnued tor the additional period provided by applicable law 5. C] PARTY INFORMATION CHANGE: AN Check gag of these two boxes: D Check gm of these three boxes to: This Change affects ❑Debtor gr y CHANGE name andfor address: Complete ADD name: Complete H ❑ em DELETE name: Give reootd name ❑ Secured Part of record Li Item 65 or 6b; and Item 7a or 7b and Item 7o ❑ 7a or 7b, t30d item 7c to be delato-d In Item 65 or Bb 6, CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only mg name (se or Bb) 6a. ORGANIZATION'S NAME 6b. INDIVIDUAL'S SURNAME Panowicz FIRST PERSONAL NAME Michael ADDITIONAL NAME(S)IINITIAL(S) A SUFFIX 7, CHANGED OR ADDED INFORMATION: compote for Assignment or Party Information Change. provide only on name (7a or 7b) (use exact, full name; do not omit modify, or abbreviato any polo( to Dobt 9. NAME OF SECURED PARTY of RECORD AUTHORIZING THIS AMENDMENT: Provide only gal name (9a or 9b) (name of Assignor, if this Is an Assignment) I this is an Amendment authorized by a DEBTOR, check here ❑ and provide name of authorizing Debtor FILING OFFICE COPY -- UGC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04120/11) STATE POSTAL CODE SUFFIX SUFFIX (I name) COUNTRY ❑ COLLATERAL CHANGE: A(gp check gatt of these four boxes: ❑ ADD collateral ❑ DELETE collateral ❑ RESTATE favored collateral E3 ASSIGN oollateral Indicate collateral: 9a. ORGANIZATION'S NAME Cornerstone Bank 9b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) International Aaaodatlon of Commerdal Administrators (IACA) IN) ri ni cp 1Z3 c-.., (3 Cr) :, C LJ r i \01