201801909 - Laserfiche WebLink

Browse

OK 1b. INDIVIDUAL'S SURNAME Reiners FIRST PERSONAL NAME Gayle ADDITIONAL NAME(S) /INITIAL(S) L SUFFIX 1c. MAILING ADDRESS 6535 W Rosedale Rd CITY Doniphan STATE NE POSTAL CODE 68832 COUNTRY UK 2b. INDIVIDUALS SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S) /INITIAL(S) SUFFIX 2c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY UK 3b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S) /INITIAL(S) SUFFIX 3c. MAILING ADDRESS 225 Cedar Street, PO Box 156 CITY Yankton STATE SD POSTAL CODE 57078 COUNTRY USA VANCING STATEMENT STRUCTIONS PHONE OF CONTACT AT FILER (optional) CONTACT AT FILER (optional) CKNOWLEDGMENT TO: (Name and Address) t Dakota National Bank Loan O ations 225 Ced Street Yankton S 57078 1a. ORGANIZATION'S NAME 2a. ORGANIZATIONS NAME c %31 w. L Lu 6* s tt51- r \CrA N FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) cn Cr) r "r'f 3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b) 3a. ORGANIZATION'S NAME First Dakota National Bank h0 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1. DEBTOR'S NAME: Provide only one Debtor name (la or lb) (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 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) 2. DEBTORS 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 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) 4. COLLATERAL: This financing statement covers the following collateral: All Fixtures and All Irrigation Equipment including but not limited to Western Land Roller pump - Serial Number 751249, Wellguard electric panel, US Electric Motor BF48A Cat# H04052BLG, Registration #A -007918, Well ID 2657; whether any of the foregoing is owned now or acquired later; all accessions, additions, replacements, and substitutions relating to any of the foregoing; all records of any kind relating to any of the foregoing; all proceeds relating to any of the foregoing (including insurance, general intangibles and accounts proceeds). 5. Check only if applicable and check only one box: Collateral is ❑ held in a Trust (see UCC1Ad, item 17 and Instructions) 4being administered by a Decedent's Personal Representative 6a. Check only if applicable and check only one box: 6b. Check only if applicable and check only one box: ❑ Public- Finance Transaction ❑ Manufactured -Home Transaction ❑ A Debtor is a Transmitting Utility ❑ Agricultural Lien ❑ Non -UCC Filing 7. ALTERNATIVE DESIGNATION (if applicable): ❑ Lessee /Lessor ❑ Consignee /Consignor ❑ Seller /Buyer ❑ Bailee /Bailor ❑ Licensee /Licensor 8. OPTIONAL FILER REFERENCE DATA: D +H 1320 SW Broadway, Suite 100, Portland, OR 3 4 . co CO Lri CD HC Gc, g O co 10».