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202105725
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7/6/2021 12:08:05 PM
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7/6/2021 12:08:05 PM
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202105725
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FINANCING STATEMENT <br />V INSTRUCTIONS <br />E & PHONE OF CONTACT AT FILER (optional) <br />C 1-800-858-5294 <br />IL CONTACT AT FILER (optional) <br />RFiling@cscglobal.com <br />) ACKNOWLEDGMENT TO: (Name and Address) <br />5 07374 <br />t C 'P,0•BoX2G(94 <br />Springfield, IL 6,263 14,a1 og -2C1 Le q <br />L <br />Filed In: Nebraska <br />(Hall) I <br />r- <br />- <br />) <br />-.3 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTORS NAME: Provide only sing Debtor name (la or 1 b) (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 lb, leave all of item 1 blank, check here and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Forrn UCC1Ad) <br />la. ORGANIZATION'S NAME <br />U <br />1b. INDIVIDUAL'S SURNAME <br />BLASE <br />FIRST PERSONAL NAME <br />ERIC <br />ADDITIONAL NAME(S)/INITIAL(S) <br />A <br />SUFFIX <br />lc. MAILING ADDRESS 2819 IDAHO AVE <br />CITY <br />GRAND ISLAND <br />STATE <br />NE <br />POSTAL CODE <br />68803-1154 <br />COUNTRY <br />USA <br />2. DEBTOR'S NAME: Provide only gng 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 (Foran 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 gpa Secured Party name (3a or 3b) <br />OR <br />3a. ORGANIZATION'S 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 Iche following described <br />scrfinancing statementprope the following collateral: <br />c�escrecro e, `y as set �ort�i In that certain HVAC RENTAL AGREEMENT dated 06/13/2021, byand <br />between Service Experts Heating & Air Conditioning LLC and the Debtor: A ARMSTRONG heating component, Model <br />#A97USMV090C16S (Serial # 5918L01365) and a ARMSTRONG air conditioner, Model # 4SCU2OLX148P-1 (Serial # <br />1619E09779), whether now owned or hereafter acquired, together with all replacements thereof, all attachments, <br />accessories, parts and tools belonging thereto or for use in connection therewith; and any and all products and proceeds <br />of any of the foregoing (including, but not limited to, any claims to any items referred to in this definition, and any claims <br />of Debtor against third parties for Toss of, damage to or destruction of any or all of the collateral or for proceeds payable <br />under, or unearned premiums with respect to, policies of insurance) in whatever form, including, but not limited to, all <br />cash, interest, principal, royalties, license fees, rents, dividends, negotiable instruments and other instruments for the <br />payment of money, chattel paper, security agreements and other documents or other property from time to time <br />received, receivable or otherwise distributed in respect of, or in exchange for, the collateral. Said collateral is located at <br />address: <br />5. Check gnly if applicable and check gay one box: Collateral is ❑ held in a Trust (see UCC1Ad, item 17 and Instructions) Q being administered by a Decedent's Personal Representative <br />6a. Check gait' if applicable and check gnly one box: 6b. Check gnly if applicable and check only one box: <br />❑ Public -Finance Transaction ❑ Manufactured -Home Transaction 111 A Debtor is a Transmitting Utility 0 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 />2135 07374 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />
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