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202201502
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Last modified
3/1/2022 12:27:35 PM
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3/1/2022 12:27:34 PM
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202201502
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n.)� 1NANCING STATEMENT <br />C71— INSTRUCTIONS <br />0 & PHONE OF CONTACT AT FILER (optional) <br />N� ` 1-800-858-5294 <br />rn <br />-nc <br />= CI <br />rn <br />rn <br />IL CONTACT AT FILER (optional) <br />tFiling@cscglobal.com <br />I ACKNOWLEDGMEt;�T TO: (Name and Address) <br />95516 <br />..iii4;dlat-StOVERgortri rive <br />Springfield, IL 62708 -3 6c1 <br />L <br />Filed In: Nebraska <br />(Hall)1 <br />I — <br />rN <br />cD <br />rV <br />rN <br />LD <br />C:1 <br />0 <br />r) <br />THE ABOVE SPACE 1S FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S NAME: Provide only gag 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 />15. ORGANIZATION'S NAME <br />1b. INDIVIDUAL'S SURNAME <br />MOLINA <br />FIRST PERSONAL NAME <br />ZOILA <br />ADDITIONAL NAME(S)/INITIAL(S) <br />L. <br />SUFFIX <br />lc. MAILING ADDRESS 1903 W 2ND <br />CITY <br />GRAND ISLAND <br />STATE <br />NE <br />POSTAL CODE <br />68803 <br />COUNTRY <br />USA <br />• 2. DEBTOR'S NAME: Provide only ona 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 gas Secured Party name (3a or 3b) <br />OR <br />3a. ORGANIZATION'SNAMEService 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 CITY STATE POSTAL CODE COUNTRY <br />Grand Island NE 68803 USA <br />4 OL RAS: Thi financi g st emeM cove the follow) coi tefal: <br />e o owing fescri�e�` properly as set"oei In that certain HVAC RENTAL AGREEMENT dated 02/09/2022, by and <br />between Service Experts Heating & Air Conditioning LLC and the Debtor: A ARMSTRONG heating component, Model <br />#A8OUS2V070Al2 (Serial # 5921J03812) and a ARMSTRONG air conditioner, Model # 4SCU16LE130P (Serial # <br />1621 K14195), 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 uneamed 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 gall if applicable and check gply one box: Collateral is ❑ held in a Trust (see UCC1Ad, item 17 and Instructions) Q being administered by a Decedent's Personal Representative <br />6a. Check gOlx if applicable and check gtlly one box: 6b. Check gp(y If applicable and check 2Nx one box: <br />0 Public -Finance Transaction ❑ Manufactured -Home Transaction ❑ A Debtor Is a Transmitting Utility ❑ Agricultural Lien El Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): ❑ Lessee/Lessor ❑ Consignee/Consignor ❑ Seller/Buyer 0 Bailee/Ballor 0 Licensee/Licensor <br />8. OPTIONAL FILER REFERENCE DATA: <br />2270 95516 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />
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