202400899 - Laserfiche WebLink

Browse

FINANCING STATEMENT OW INSTRUCTIONS AME & PHONE OF CONTACT AT SUBMITTER (optional) do Cruz 308.38241069 MAIL CONTACT AT SUBMITTER (optional) uz tcomerstoneconnect.com Na i END ACKNOWLEDGMENT TO: (Name and Address) CORNERSTONE BANK n t) REFUNDS:ASH,__._..---- CHECKr-- RECORDED HALL COUNTY NE 00899 202414AR—U AII: 02 KRISTI WELD REGISTER OF DEEDS 840 Avenue Gran 88803 my le, ,IUE 6i(1&7- L SEE BELOW FOR SECURED PARTY CONTACT INFORMATION THE ABOVE SPACE IS FORMED O ONLY 1. DEBTORS NAME: Provide any oMM Debtor name (1s or Ib) (us axed, NI name; do not omit. modify, or abbreviate any pert of the Debtor's name) I any part of the IndMdusl Debtors name vra not lit In line lb, Nave all of Mem 1 blank, dank here 0 and protide the IndMdual Debtor kdomnetion In Nam 10 of the Finanstng Statement Addendum form UCC1Ad) IIA. DRO1tN$ZAIItNtS WOE 2. DEBTORS; NAME: Provide onlyam Debtor name (2a or 214 (use aced NI name; do not omit, modify, or abbreviate any part of the Debtor's name); I any pert dills YMMdud Debtor's name ail not It la Mo 2b, leave all of Mem 2 blank, check hen 0 and provide the Rubies! Debtor Information N Item 10 piths Fiandng Statement Addendum (Form 0001Ad) ORGAN ATtON'S NAME OR2b.I lb.IJDIVIDWLL SURNAME Shafer FIRST PERSONAL NAME Joshua ADDmONAL NAME(8yINfTIAL(0) ' 0 OIfFFOt 1a 3850 MAILING ADDRESS W 94th St Hastings mai NE POSTAL coon 68901.1720 OWJIi11lY USA 2. DEBTORS; NAME: Provide onlyam Debtor name (2a or 214 (use aced NI name; do not omit, modify, or abbreviate any part of the Debtor's name); I any pert dills YMMdud Debtor's name ail not It la Mo 2b, leave all of Mem 2 blank, check hen 0 and provide the Rubies! Debtor Information N Item 10 piths Fiandng Statement Addendum (Form 0001Ad) ORGAN ATtON'S NAME OR2b.I INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(Sy1Nn1AL(A) 2a ADDR�e CITY STATE POSTAL CODE siouitrom 3. SECURED PARTY'S NAME (or NAME of Assume ofA8S IiOR WOWEDMEM: `Peav lemiro gere.oundRuMeopms lacr30 se. DRSANEATMNS NAME I CORNERSTONE BANK 4. COLLATERAL: Thd Inswing statement cover. the foiowbig collative ZlmmiUc 7 tower PNM Irrigation System Serial 91.90073 6. Check g0Pr I apploable end check Or one box; Colateral Is to a Treat (see UCC1Ad, Nan 17 and b buoMone) beb8 edmbletered by a Decedent's. PMaCAM RepreeedaNir. Ss. Cheek alit I spp*oeble and ohm*anif oar bac: . Check Oak; I applicable and aback cabs one box: 0 Publio-Pitmans Transoolon 0 Manufactured -Home Transaction 0 A Debtor N . Traineridlirn Ugh, 0 Agricultural Lien 0 Non11CC Finn 7. ALTERNATNS DESIGNATION (N+ptpbable)r n Lessee/Lessor fl Can lgn.s(Canalpnor 01 SelsSliuysr 0 BsleeIBelor L Lloenseeflicensor 8. OPTIONAL FILER REFERENCE DATA: Portfolio# 647738 FILING OFFICE COPY— UCC FINANCING STATEMENT (Form UCC1) (Rev. 07/01/23) FTnastra 585 SW Morrison, Suite 900, Portland, OR Ib. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)nNMAL(e) So: 840 IIAUSOADDRESS North Dien Avenue CITY Grand Island STATE NE P38TAL CODE 68803 USA 4. COLLATERAL: Thd Inswing statement cover. the foiowbig collative ZlmmiUc 7 tower PNM Irrigation System Serial 91.90073 6. Check g0Pr I apploable end check Or one box; Colateral Is to a Treat (see UCC1Ad, Nan 17 and b buoMone) beb8 edmbletered by a Decedent's. PMaCAM RepreeedaNir. Ss. Cheek alit I spp*oeble and ohm*anif oar bac: . Check Oak; I applicable and aback cabs one box: 0 Publio-Pitmans Transoolon 0 Manufactured -Home Transaction 0 A Debtor N . Traineridlirn Ugh, 0 Agricultural Lien 0 Non11CC Finn 7. ALTERNATNS DESIGNATION (N+ptpbable)r n Lessee/Lessor fl Can lgn.s(Canalpnor 01 SelsSliuysr 0 BsleeIBelor L Lloenseeflicensor 8. OPTIONAL FILER REFERENCE DATA: Portfolio# 647738 FILING OFFICE COPY— UCC FINANCING STATEMENT (Form UCC1) (Rev. 07/01/23) FTnastra 585 SW Morrison, Suite 900, Portland, OR