202107984 - Laserfiche WebLink

Browse

FINANCING STATEMENT CS) ✓INSTRUCTIONS 0— E & PHONE OF CONTACT AT FILER (optional) -'"11111 0 1-800-858-5294 rn � c mD Lino nv)•• X Z IL CONTACT AT FILER (optional) RFiling@cscglobal.com D ACKNOWLEDGMENT TO: (Name and Address) 0 lQ iq 2 28219 • CSC etara[evenson Unve Springfield, IL 62708- 2et-6' L Filed In: Nebraska (Hall) rV CD co THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1. DEBTOR'S NAME: Provide only Qpg Debtor name (la or lb) (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 name will not fit in line 1b, leave all of item 1 blank, check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Forrn UCC1Ad) la. ORGANIZATION'S NAME un 1b. INDIVIDUAL'S SURNAME MILLS FIRST PERSONAL NAME MARY ADDITIONAL NAME(S)/INITIAL(S) V SUFFIX lc. MAILING ADDRESS 4145 SPRINGVIEW DR CITY GRAND ISLAND STATE NE POSTAL CODE 68803-6507 COUNTRY USA 2. DEBTORS NAME: Provide only gllg 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 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) 2a. ORGANIZATIONS NAME VFt 2b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 2c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY) Provide only Qng Secured Party name (3a or 3b) 3a. ORGANIZATIONS NAMEServtee Experts Heating & Air Conditioning LLC Vat3b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 3c. MAILING ADDRESS 807 Claude Road CITY Grand Island STATE NE POSTAL CODE 68803 COUNTRY USA 4l�he following described financing st teproperts the following collateral: c�escri�e� roe as set �ort�i In that certain HVAC RENTAL AGREEMENT dated 07/22/2019, byand between Service Experts Heating & Air Conditioning LLC and the Debtor: A ARMSTRONG package unit, Model #PRPGE1436090P-2 (Serial #1618K07709), whether now owned or hereafter acquired, together with all replacements thereof, all attachments, accessories, parts and tools belonging thereto or for use in connection therewith; and any and all products and proceeds of any of the foregoing (including, but not limited to, any claims to any items referred to in this definition, and any claims of Debtor against third parties for loss of, damage to or destruction of any or all of the collateral or for proceeds payable under, or unearned premiums with respect to, policies of insurance) in whatever form, including, but not limited to, all cash, interest, principal, royalties, license fees, rents, dividends, negotiable instruments and other instruments for the payment of money, chattel paper, security agreements and other documents or other property from time to time received, receivable or otherwise distributed in respect of, or in exchange for, the collateral. Said collateral is located at address: 5. Check mix if applicable and check g.n.Lx one box: Collateral is ❑ held in a Trust (see UCC1Ad, item 17 and Instructions) being administered by a Decedent's Personal Representative 6a. Check Qplx if applicable and check only one box: 6b. Check Qplx if applicable and check mix one box: ❑ Public -Finance Transaction 0 Manufactured -Home Transaction ❑ A Debtor is a Transmitting Utility 0 Agricultural Lien ❑ Non -UCC Filing 7. ALTERNATIVE DESIGNATION (if applicable): Lessee/Lessor Consignee/Consignor ❑ Seller/Buyer ❑ Bailee/Bailor 0 Licensee/Licensor 8. OPTIONAL FILER REFERENCE DATA: 2182 28219 FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) PPP