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1/15/2020 12:18:09 PM
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DEEDS
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202000292
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Z6Z000Z0Z <br />VANCING STATEMENT <br />ISTRUCTIONS <br />PHONE OF CONTACT AT FILER (optional) <br />'Iters Kluwer Lien Solutions Phone: 800-331-3282 Fax: 818-662-4141 <br />:ONTACT AT FILER (optional) <br />Igreturn@wolterskluwer.com <br />:;KNOWLEDGMENT TO: (Name and Address) <br />44427 - Atlantic Union <br />Solutions 73349878 -I <br />Box 29071 <br />Glendale, CA 91209-9071 <br />NENE <br />FIXTURE <br />File with: Hall County Register of Deeds, NE <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTORS NAME: Provide only one Debtor name (la 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 />' OR <br />10. ORGANIZATION'S NAME <br />1b. INDIVIDUAL'S SURNAME <br />MARING <br />FIRST PERSONAL NAME <br />GAYLEN <br />ADDITIONAL NAME(S)/INITIAL(S) <br />lc. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />SUFFIX <br />COUNTRY <br />2950 SAINT PAUL RD GRAND ISLAND NE 68801 USA <br />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 <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 />OR <br />2a. ORGANIZATION'S NAME <br />2b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />2c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b) <br />3a. ORGANIZATION'S NAME <br />ATLANTIC UNION BANK <br />OR <br />3b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(SWINITIAL(S) <br />3c. MAILING ADDRESS <br />1011 Boulder Spring Drive #410 <br />— 4. COLLATERAL: This financing statement covers the following collateral: <br />WINDOWS/DOORS <br />CITY <br />North Chesterfield <br />STATE <br />VA <br />POSTAL CODE <br />23225 <br />SUFFIX <br />COUNTRY <br />USA <br />5. Check only if applicable and check only one box: Collateral is ❑held in a Trust (see UCC1Ad, item 17 and Instructions) ❑being administered by a Decedent's Personal Representative <br />6a. Check only if applicable and check only one box: 6b. Check only if applicable and check only one box: <br />❑ Public -Finance Transaction ❑ Manufactured -Home Transaction ❑ A Debtor is a Transmitting Utility ❑ Agricultural Lien ❑ Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): ❑ Lessee/Lessor ❑ Consignee/Consignor ❑ Seller/Buyer ❑ Bailee/Bailor ❑ Licensee/Licensor <br />8. OPTIONAL FILER REFERENCE DATA: <br />73349878 1345957 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />Prepared by Lien Solutions, P.O. Box 29071, <br />Glendale, CA 91209-9071 Tel (B00) 331-3282 <br />MRS <br />NOM <br />
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