Laserfiche WebLink
Z09£06Z0Z <br />70 <br />m <br />-n <br />z <br />'INANCING STATEMENT AMENDMENT =tn N <br />INSTRUCTIONS <br />& PHONE OF CONTACT AT FILER (optional) <br />Dickinpaugh <br />_ CONTACT AT FILER (optional) <br />ACKNOWLEDCZMENT TO: (Name and Address) <br />rstone Bank e "li 1 1 <br />]Rth St lo <br />On iiUIOn ,N <br />1 <br />cn <br />• <br />CD <br />rn <br />ct, <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />la. INITIAL FINANCING STATEMENT FILE NUMBER <br />201702780 - Hall County, Nebraska <br />2. LJ TERMINATION: Effectiveness of the Financing Statement identified above is terminated <br />with respect to the security interest(s) of Secured Party authorizing this Termination <br />lb. E This FINANCING STATEMENT AMENDMENT is to be filed [for record] <br />(or recorded) in the REAL ESTATE RECORDS <br />Filer ettfiM Amendment Addendum (Form UCC3Ad) an provide Debtors name in Rem 13 <br />r\) z <br />o <br />C <br />rn rn <br />c <br />r <br />16Yr5 <br />3. ❑ ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, apst address of Assignee in item 7c Hlld name of Assignor in item 9 <br />For partial assignment, complete items 7 and 9 6pQ 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 ane of these two boxes: AND Check one of these three boxes to: <br />CHANGE name and/or address: Complete ADD name: Complete item DELETE name: Give record name <br />This Change affects ❑ Debtor Qr ❑ Secured Party of record ❑ item 6a or 6b; gad item 7a or 7b gDd item 7c Li 7a or 7b, g09 item 7c ❑ to be deleted in item 6a or 6b <br />6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only Qlr g name (6a or 6b) <br />OR <br />6a. ORGANIZATION'S NAME <br />6b. INDIVIDUALS SURNAME <br />Panowicz <br />FIRST PERSONAL NAME <br />Matthew <br />ADDITIONAL NAME(S)/INITIAL(S) <br />M <br />SUFFIX <br />7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only Qng name (7a or 7b) (use exact, full name: do not omit, modify, or abbreviate any part of the Debtor's name) <br />7a. ORGANIZATION'S NAME <br />Un <br />7b. INDIVIDUALS SURNAME <br />INDIVIDUALS FIRST PERSONAL NAME <br />INDIVIDUALS 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 />9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one 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. ORGANIZATION'S NAME <br />Cornerstone Bank <br />9b. INDIVIDUALS SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />10. OPTIONAL FILER REFERENCE DATA: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04/20/11) <br />International Association of Commercial Administrators (IACA) <br />