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ri <br />n <br />rn 1' ts1 <br />NANCING STATEMENT I <br />VSTRUCTIONS <br />Si PHONE OF CONTACT AT FILER (optional) <br />1-800-858-5294 <br />CONTACT AT FILER (optional) <br />riling@cscglobal.com <br />>CKNOWLEDGMENT TO: (Name and Address) <br />76561 t n i) <br />Po „.2atoy <br />e <br />Springfield, IL 627Q$-24 41 <br />L <br />Filed In: Nebraska <br />(Hall) I <br />C .)7.1 <br />CO <br />r., <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S NAME: Provide only g0@ 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 <br />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 (Form UCC1Ad) <br />la. ORGANIZATION'S NAME <br />OR <br />1b. INDIVIDUALS SURNAME <br />WEST <br />FIRST PERSONAL NAME <br />TERESA <br />ADDITIONAL NAME(S)/INITIAL(S) <br />L. <br />SUFFIX <br />lc. MAILING ADDRESS 2204 W OKLAHOMA AVE <br />CITY <br />GRAND ISLAND <br />STATE <br />NE <br />POSTAL CODE <br />68803 <br />COUNTRY <br />USA <br />2. DEBTORS NAME: Provide only gpg 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 (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 Dat Secured Party name (3a or 3b) <br />3a. ORGANIZATIONS NAMESeP/ICe Experts Heating & Air Conditioning LLC <br />OR3b. <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 />property <br />4.The rhi financi g st tementcovers the followin toll fetal: <br />— ollowI gescribecas set following In that certain HVAC RENTAL AGREEMENT dated 09/23/2021, by and <br />between Service Experts Heating & Air Conditioning LLC and the Debtor: A ARMSTRONG heating component, Model <br />#A96US2V090C12S (Serial # 5921A08193) and a ARMSTRONG air conditioner, Model # 4SCU16LE136P (Serial # <br />1621E24468), whether now owned or hereafter acquired, together with all replacements thereof, alt 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 loss 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 gpllt if applicable and check mix one box: Collateral is ❑ held in a Trust (see UCC1Ad, item 17 and Instructions) ❑ being administered by a Decedent's Personal Representative <br />6a. Check gnlY if applicable and check My one box: 6b. Check only if applicable and check gnI1t one box: <br />❑ Public -Finance Transaction Manufactured -Home Transaction ❑ A Debtor is a Transmitting Utility ❑ Agricultural Lien p Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): ❑ Lessee/Lessor ❑ Consignee/Consignor LI Seller/Buyer El Bailee/Bailor Licensee/Licensor <br />8. OPTIONAL FILER REFERENCE DATA: <br />2193 76561 <br />FILING OFFICE COPY— UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />