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202200546
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1/21/2022 11:30:21 AM
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1/21/2022 11:30:21 AM
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202200546
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N�� <br />0 FINANCING STATEMENT <br />cri V INSTRUCTIONS <br />O)� E & PHONE OF CONTACT AT FILER (optional) <br />C 1-800-858-5294 <br />SIL CONTACT AT FILER (optional) <br />RFiling@cscglobal.com <br />D ACKNOWLEDGMENT TO: (Name and Address) <br />10 61486 <br />CSC <br />801 Adlai Stevenson Drive <br />Springfield, IL 62703 <br />L <br />Filed In: Nebraska <br />(Hall) I <br />t—' <br />r'1 <br />f—' <br />rn <br />--I <br />rn <br />rn <br />Lel <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S NAME: Provide only gm Debtor name (la or 1b) (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 />OR <br />la. ORGANIZATION'S NAME <br />1b. INDIVIDUAL'S SURNAME <br />FIALA <br />FIRST PERSONAL NAME <br />FAITH <br />ADDITIONAL NAME(S)/INITIAL(S) <br />R. <br />SUFFIX <br />lc. MAILING ADDRESS 214 CAMPBELL AVE <br />CITY <br />DONIPHAN <br />STATE <br />NE <br />POSTAL CODE <br />68832 <br />COUNTRY <br />USA <br />2. DEBTOR'S NAME: Provide only gm 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 one Secured Party name (3a or 3b) <br />OR <br />3a. ORGANIZATION'S NAMEService 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,f OL following Th financing st t pmentpcovers the foiiowin coil teal: <br />he`� described property as set forth in that certain HVAC RENTAL AGREEMENT dated 06/21/2021, byand <br />between Service Experts Heating & Air Conditioning LLC and the Debtor: A MAYTAG heating component, Model <br />#MG2R072F1ABM1 (Serial # MGG2012056529) and a ARMSTRONG air conditioner, Model # 4SCU13LB136P6 (Serial <br /># 1621 D14334), 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 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 only if applicable and check gray 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 only if applicable and check gray one box: 6b. Check only if applicable and check gp(y one box: <br />❑ Public -Finance Transaction Manufactured -Home Transaction ❑ A Debtor is a Transmitting Utility ❑ Agricultural Lien D Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): ❑ Lessee/Lessor D Consignee/Consignor ❑ Seller/Buyer ❑ Bailee/Bailor ❑ Licensee/Licensor <br />8. OPTIONAL FILER REFERENCE DATA: <br />2250 61486 <br />FILING OFFICE COPY— UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />
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