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202003894
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6/12/2020 11:28:03 AM
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6/12/2020 11:28:03 AM
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202003894
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'INANCING STATEMENT <br />INSTRUCTIONS <br />& PHONE OF CONTACT AT FILER (optional) <br />1-800-858-5294 <br />. CONTACT AT FILER (optional) <br />Filing@cscglobal.com <br />ACKNOWLEDGMENT TO: <br />(Name and Address) <br />C� <br />18891 <br />CSC c) FAX oZ Q (0 9 <br />86,-4(44.' <br />Springfield, IL 627.— c14 Ci <br />L <br />Filed In: Nebraska <br />(Hall) I <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTORS NAME: Provide only g e 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 Debtors <br />name will not ft in line lb, leave all of item 1 blank, check here El and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />OR <br />la. ORGANIZATIONS NAME <br />1D. INDIVIDUALS SURNAME <br />POWERS <br />FIRST PERSONAL NAME <br />ROSEMARY <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />lc. MAILING ADDRESS 11 KUESTER LAKE <br />CITY <br />GRAND ISLAND <br />STATE <br />NE <br />POSTAL CODE <br />68801 <br />COUNTRY <br />USA <br />2. DEBTOR'S NAME: Provide only gne 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 ft 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. ORGANIZATIONS NAME <br />2b. INDIVIDUALS 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 g_r g Secured Party name (3a or 3b) <br />OR <br />3a. ORGANIZATIONS NAME Service Experts Heating & Air Conditioning LLC <br />3b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />3c. MAILING ADDRESS 807 Claude Road <br />CITY <br />Grand Island <br />STATE <br />NE <br />POSTAL CODE <br />68803 <br />COUNTRY <br />USA <br />4. $h following <br />financing statementppcovers the followingcollateral: <br />describedproperty as setorth in that certain HVAC RENTAL AGREEMENT dated 11/01/2018, byand <br />between Service Experts Heating & Air Conditioning LLC and the Debtor: A Mitsubishi mini -split component, Model <br />#MXZ3C3ONA(Serial # 86U21999C), whether now owned or hereafter acquired, together with all replacements thereof, <br />all attachments, accessories, parts <br />and tools belonging thereto or for use in connection therewith; and any and all products and proceeds of any of the <br />foregoing (including, but not limited to, any claims to any items referred to in this definition, and any claims of Debtor <br />against third parties for loss of, damage to or destruction of any or all of the collateral or for proceeds payable under, or <br />unearned premiums with respect to, policies of insurance) in whatever form, including, but not limited to, all cash, <br />interest, principal, royalties, license fees, rents, dividends, negotiable instruments and other instruments for the payment <br />of money, chattel paper, security agreements and other documents or other property from time to time received, <br />receivable or otherwise distributed in respect of, or in exchange for, the collateral. Said collateral is located at address: <br />11 KUESTER LAKE <br />5. Check only if applicable and check only one box: Collateral is ❑ held in a Trust (see UCC1Ad, item 17 and Instructions) El 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 />1849 18891 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />
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