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201902393
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Last modified
4/29/2019 11:20:59 AM
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4/29/2019 11:20:59 AM
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201902393
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0 <br />Noomem <br />W <br />IL <br />=INANCING STATEMENT AMENDMENT <br />INSTRUCTIONS <br />rn <br />11 <br />� C <br />z <br />& PHONE OF CONTACT AT FILER (optional) <br />y Kliewer <br />IL CONTACT AT FILER (optional) <br />ver@bankonheritage.com <br />) ACKNOWLEDGMENT TO: (Name and Address) <br />tage Bank <br />Box X36- <br />nl-tstantr NE -6881/2- <br />ftLt Y 0 rtr( <br />, ti)E 6zea <br />2 N <br />n <br />D <br />CI) <br />cry <br />h) <br />CD <br />O <br />1'" <br />f'; <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />rei <br />fV ,urn <br />n <br />Lo <br />CO <br />O <br />ry <br />CD rn <br />co <br />0011 <br />la. INITIAL FINANCING STATEMENT FILE NUMBER <br />Filed May 28, 2009 as Instrument #0200904142 <br />1 b.O This FINANCING STATEMENT AMENDMENT is to be filed [for record] <br />(or recorded) In the REAL ESTATE RECORDS <br />Filer e(ted) Amendment Addendum (Form UCC3Ad) and provide Debtors name in item 13 <br />2. ❑ TERMINATION: Effectiveness of the Financing Statement identified above is terminated <br />..,.,, <br />ccs,ezt ....r:a qtr 's) of S:cur3d Party uthc.,_ a thIc. Tc ...... tfor. <br />3. ❑ ASSIGNMENT (full or partial): Provide name of Assignee in Item 7a or 7b, end address of Assignee in item 7c an name of Assignor In item 9 <br />For partial assignment, complete items 7 and 9 end also indicate affected collateral in item 8 <br />4. ❑ CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is <br />continued for the additional period provided by applicable law <br />5. ❑ PARTY INFORMATION CHANGE: <br />Check one of these two boxes: AND Check gm; of these three boxes to: <br />CHANGE name and/or address: CompleteADD name: Complete item DELETE name: Give record name <br />This Change affects ❑ Debtor or ❑ Secured Party of record Li item 6a or 6b; end item 7a or 7b and item 7c ❑ 7a or 7b, and item 7c ❑ to be deleted in item 6a or 6b <br />6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only mitt name (6a or 6b) <br />OR <br />It. I:i GAIg T s NQ <br />e air, In <br />Eb. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only mpg name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtors name) <br />7a. ORGANIZATIONS NAME <br />OH <br />7b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />7c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />8. COLLATERAL CHANGE: Also check one of these four boxes: ❑ ADD collateral <br />Indicate collateral: <br />❑ DELETE collateral <br />RESTATE covered collateral ❑ ASSIGN collateral <br />All Inventory, Chattel Paper, Accounts, Equipment, General Intangibles & Fixtures; Whether any of the foregoing is owned now or <br />acquired later; All Accessions, Additions, Replacements, & Substitutions Relating to any of the Foregoing: All Records of any kind <br />relating to any of the Foregoing; All Proceeds Relating to any of the Foregoing(including insurance, Gen Intangibles & other <br />Accounts Proceed <br />9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only gig name (9a or 9b) (name of Assignor, if this is an Assignment) <br />If this is an Amendment authorized by a DEBTOR, check here ❑ and provide name of authorizing Debtor <br />OR <br />9a. ORGANIZATIONS NAME <br />HERITAGE BANK <br />9b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />10. OPTIONAL FILER REFERENCE DATA: <br />International Association of Commercial Administrators (IACA) <br />FILING OFFICE COPY — UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04/20/11) <br />
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