Laserfiche WebLink
N� <br />N) <br />001111111111111111•1111M <br />N <br />:INANCING STATEMENT <br />INSTRUCTIONS <br />& PHONE OF CONTACT AT FILER (optional) <br />1-800-858-5294 <br />IL CONTACT AT FILER (optional) <br />RFiling@cscglobal.com <br />ACKNOWLEDGMENT TO: (Name and Address) <br />1 98529 <br />}moo e)by_�q'cpc1 <br />e <br />Springfield, IL 62703— 2_r1(p C, <br />L <br />Filed In: Nebraska <br />(Hall) I <br />nn <br />mu) <br />�I= <br />ry <br />l <br />C: <br />N <br />O <br />ry <br />rV <br />O <br />CD <br />CD <br />CO <br />rV <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />ON IN3Wf .LSNI Sb aH3IN.3 <br />1. DEBTOR'S NAME: Provide only gna 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 1 <br />tp <br />1t <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 (Form UCC1Ad) <br />1a. ORGANIZATION'S NAME <br />Un <br />lb. INDIVIDUAL'S SURNAME <br />ACKER <br />FIRST PERSONAL NAME <br />CHARLES <br />ADDITIONAL NAME(S)/INITIAL(S) <br />D. <br />SUFFIX <br />1c. MAILING ADDRESS 4318 E BISMARK RD. <br />CITY <br />GRAND ISLAND <br />STATE <br />NH <br />POSTAL CODE <br />68803 <br />COUNTRY <br />USA <br />2. DEBTOR'S NAME: Provide only gim 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. 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 Dm 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 OL T RAG: Thi financing statement coversthe followin collateral: <br />heTollowing described propery as set forth in that certain HVAC RENTAL AGREEMENT dated 12/07/2021, by and <br />between Service Experts Heating & Air Conditioning LLC and the Debtor: A BOSCH heating component, Model <br />#BVA6OWN1M15 (Serial # 399A1400003298733955041) and a BOSCH air conditioner, Model # BOVB36HDN1M18M <br />(Serial # 399A1390012538733955036), whether now owned or hereafter acquired, together with all replacements <br />thereof, all attachments, accessories, parts and tools belonging thereto or for use in connection therewith; and any and <br />all products and proceeds of any of the foregoing (including, but not limited to, any claims to any items referred to in this <br />definition, and any claims of Debtor against third parties for loss of, damage to or destruction of any or all of the <br />collateral <br />or for proceeds payable under, or unearned premiums with respect to, policies of insurance) in whatever form, including, <br />but not limited to, all cash, interest, principal, royalties, license fees, rents, dividends, negotiable instruments and other <br />instruments for the payment of money, chattel paper, security agreements and other documents or other property from <br />time to time received, receivable or otherwise distributed in respect of, or in exchange for, the collateral. Said collateral is <br />located at address: <br />5. Check only if applicable and check only one box: Collateral is O held in a Trust (see UCC1Ad, item 17 and Instructions) 4 being administered by a Decedent's Personal Representative <br />6a. Check only if applicable and check gnly one box: 6b. Check only if applicable and check gply one box: <br />Public -Finance Transaction tEl Manufactured -Home Transaction ❑ A Debtor is a Transmitting Utility ❑ Agricultural Lien ❑ Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): D Lessee/Lessor ❑ Consignee/Consignor ❑ Seller/Buyer ❑ Bailee/Bailor ❑ Licensee/Licensor <br />8. OPTIONAL FILER REFERENCE DATA: <br />2241 98529 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />