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FINANCING STATEMENT <br />N INSTRUCTIONS <br />IE & PHONE OF CONTACT AT FILER (optional) <br />,C 1-800-858-5294 <br />AIL CONTACT AT FILER (optional) <br />'RFiling@cscglobal.com <br />ID ACKNOWLEDGMENT TO: (Name and Address) <br />56 88574 :.,'1 <br />CSC C tt ,C 9 �o <br />sef►-Brive� <br />Springfield, IL 62708— 2_1144 <br />Filed In: Nebraska <br />--17 <br />Cr) <br />—i <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />rn <br />—1 <br />rn <br />rrn <br />N C;) <br />I-4 <br />O -- I <br />� rn <br />ca —4 <br />1. DEBTOR'S NAME: Provide only gp@ 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 1b, leave all of item 1 blank, check here 0 and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />OR <br />la. ORGANIZATIONS NAME <br />1b. INDIVIDUAL'S SURNAME <br />PUNCOCHAR <br />FIRST PERSONAL NAME <br />MICHAEL <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />1c. MAILING ADDRESS 2231 W 11TH ST <br />CITY <br />GRAND ISLAND, <br />STATE <br />NE <br />POSTAL CODE <br />68803-3621 <br />COUNTRY <br />USA <br />2. DEBTOR'S 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 (Forrn 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 Service Experts Heating & Air Conditioning LLC <br />uK3b. <br />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 />`F a OI�OW nghi financi g st tepmentp vrlys the followin moll teal: <br />�escribe� ro e, •7 as setort�i In that certain HVAC RENTAL AGREEMENT dated 12/17/2020, byand <br />between Service Experts Heating & Air Conditioning LLC and the Debtor: A ARMSTRONG heating component, Model <br />#A96US2V110C2OS (Serial # 314305) and a ARMSTRONG air conditioner, Model # 4SCU16LS148P-3 (Serial # <br />1619L49203), whether now owned or hereafter acquired, together with all replacements thereof, all attachments, <br />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 />5. Check gp(y if applicable and check only one box: Collateral is El held in a Trust (see UCC1Ad, item 17 and Instructions) E) being administered by a Decedent's Personal Representative <br />6a. Check on) if applicable and check only one box: 6b. Check mix if applicable end check mix one box: <br />❑ Public -Finance Transaction El Manufactured -Home Transaction ❑ A Debtor is a Transmitting Utility ❑ Agricultural Lien 0 Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): 0 Lessee/Lessor 0 Consignee/Consignor 0 Seller/Buyer El Bailee/Bailor 0 Licensee/Licensor <br />8. OPTIONAL FILER REFERENCE DATA: <br />2056 88574 <br />FILING OFFICE COPY— UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />