Laserfiche WebLink
_ %. n <br />=i <br />FINANCING STATEMENT AMENDMENTcs) <br />— <br />V�� <br />E & PHONE OF CONTACT AT FILER (optional) <br />Pickinpaugh <br />J INSTRUCTIONS <br />‘IL CONTACT AT FILER (optional) <br />.inpaugh©cornerstoneconnect.com <br />3 ACKNOWLEDGMENT TO: (Name and Address) <br />erstone Bank <br />1031 16th St <br />Central City, NE 68826-1815 <br />L <br />1a. INITIAL FINANCING STATEMENT FILE NUMBER <br />201403173 - Hall County NE <br />2. ❑✓ TERMINATION: Effectiveness of the Financing Statement identified above is terminated <br />with respect to the security interest(s) of Secured Party authorizing this Termination <br />ctst..,*nt <br />r-. <br />lb. <br />r-� <br />CD <br />co N <br />1 N Z <br />=ID . _ CD <br />CD <br />) —� — <br />cn rn <br />C .) <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 4 �� r <br />This FINANCING STATEMENT AMENDMENT Is to be filed [for record( N ./(1/ <br />(or recorded) In the REAL. ESTATE RECORDS <br />Fier. afl&i Amendment Addendum (Form UCC3M) and provide Debtoes name In hem 13 <br />3. ❑ ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 70, and address of Assignee in item 7c add name of Assignor in item 9 <br />For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8 <br />4. ❑ CONTINUATION: Effectiveness of the Financing Statement Identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is <br />continued for the additional period provided by applicable law <br />5. ❑ PARTY INFORMATION CHANGE: <br />Check me of theca two boxes: ACI(2 Check we of these three boxes to: <br />CHANGE name and/or address: Complete(---1name: Complete item DELETE name: Give record name <br />This Change affects ❑ Debtor to 0 Secured Party of record 0 item 6a a 60; mut item 7a a 7b and item 7c ❑ 7a or 7b, and item 7c ❑ 10 be deleted in item 6a or 6b <br />6. CURRENT RECORD INFORMATION: Complete for Party Information Change • provide only me name (6a or 6b) <br />6a. ORGANIZATION'S NAME <br />OR <br />6b. INDIVIDUAL'S SURNAME <br />Panowicz <br />FIRST PERSONAL NAME <br />Michael <br />ADDITIONAL NAME(SyINITIAL(S) <br />A <br />SUFFIX <br />7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Infamauon Change - provide only doe name (7a or 7b) (use end full name: do not ane, modhy, or abbreviate any pen of the Debtor's name <br />OR <br />7a. ORGANIZATION'S NAME <br />7b. INDIVIDUAL'S SURNAME <br />INDIVIDUALS FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />7c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />8. U COLLATERAL CHANGE: Al.o check gap of these four boxes: 1 1 ADO collateral <br />Indicate collateral: <br />DELETE collateral <br />0 RESTATE covered collateral <br />ASSIGN collateral <br />9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only gpg name (9a or 9b) (name o1 Assignor, i/ this Is an Assignment) <br />I1 this is an Amendment authorized by a DEBTOR, check here 0 and provide name o1 authorizing Debtor <br />OR <br />9a. ORGANIZATION'S NAME <br />Cornerstone Bank <br />9b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(SYINITIAL(S) <br />SUFFIX <br />10. OPTIONAL FILER REFERENCE DATA: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04/20/11) <br />International Association of Commercial Administrators (IACA) <br />