Laserfiche WebLink
�7 <br />OR <br />MOSS DONNA L <br />2c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />1410 N. SHERIDAN PLACE GRAND ISLAND NE 68803 USA <br />2d. TAX ID #: SSN OR EIN I ADD'L INFO RE 2e. TYPE OF ORGANIZATION 12f. JURISDICTION OF ORGANIZATION 12g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />507 -44 -6896 DEBTOR ❑ NONE <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S /P) - insert only one secured party name (3a or 3b) <br />13a. ORGANIZATION'S NAME <br />OR PLATTE VALLEY STATE BANK &TRUST COMPANY r r <br />— 1451 NORTH WEBB ROAD I GRAND ISLAND <br />4. This FINANCING STATEMENT covers the following collateral: Two (2) Val ley Pivot S 7 -Tower <br />I` <br />USA <br />5. ALTERNATIVE DESIGNATION [if applicable]: ❑ LESSEE /LESSOR ❑ CONSIGNEE /CONSIGNOR ❑ BAILEE /BAILOR ❑ SELLER /BUYER ❑ AG. LIEN ❑ NON -UCC FILING <br />6. This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL . Check to REQUEST SEARCH REPORTIS) on Debtor(sl❑ All Debtors ❑ Debtor 1 ❑ Debtor 2 <br />® ESTATE RECORDS. Attach Addendum in applicable] [ADDITIONAL FEE] [[optional] <br />. OPTIONAL FILER REFERENCE DATA <br />Bankers Systems, Inc., St. Cloud, MN Form UCC -I -LAZ 5/30/2001 <br />FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98) <br />MOSS <br />DONALD <br />F <br />1c. MAILING ADDRESS <br />CITY - <br />STATE <br />POSTAL CODE <br />M <br />= D <br />NE <br />I 68803 <br />1COUNTR; <br />USA <br />td. TAX ID #: SSN OR EIN <br />lie. TYPE OF ORGANIZATION <br />1f. JURISDICTION OF ORGANIZATION <br />T <br />C= <br />M <br />= <br />1ADD'LINFORE <br />ORGANIZATION <br />❑ <br />505 -56 -7777 <br />z <br />.� <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names <br />rn <br />M D <br />N <br />o Cr-1-+ <br />n Cn <br />�' <br />�S� <br />Z D <br />r,,-)CD <br />1 <br />rn <br />—{ M <br />fl. <br />UCC FINANCING STATEMENT <br />L <br />° <br />clr <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />A. NAME & PHONE OF CONTACT AT FILER [optional] <br />Kelly Enck308- 389 -2618 <br />r 1�! <br />,i <br />"C7 <br />;'j <br />ON <br />B. SEND ACKNO D�O: (Name and Address) <br />1Tt <br />p !1 <br />Cn <br />I,. <br />--r-q <br />�� <br />Platte Valley State Bank & Trust <br />Platte Valley State Bank & Trust <br />Company, <br />Company <br />CID <br />co <br />�,.� <br />~ <br />2223 Second Ave <br />Cn <br />Z <br />0 <br />Kearney, Nebraska 68848 -0430 <br />J <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (1a or 1b) - do not abbreviate or combine names <br />ta. ORGANIZATION'S NAME <br />— <br />OR <br />OR <br />MOSS DONNA L <br />2c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />1410 N. SHERIDAN PLACE GRAND ISLAND NE 68803 USA <br />2d. TAX ID #: SSN OR EIN I ADD'L INFO RE 2e. TYPE OF ORGANIZATION 12f. JURISDICTION OF ORGANIZATION 12g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />507 -44 -6896 DEBTOR ❑ NONE <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S /P) - insert only one secured party name (3a or 3b) <br />13a. ORGANIZATION'S NAME <br />OR PLATTE VALLEY STATE BANK &TRUST COMPANY r r <br />— 1451 NORTH WEBB ROAD I GRAND ISLAND <br />4. This FINANCING STATEMENT covers the following collateral: Two (2) Val ley Pivot S 7 -Tower <br />I` <br />USA <br />5. ALTERNATIVE DESIGNATION [if applicable]: ❑ LESSEE /LESSOR ❑ CONSIGNEE /CONSIGNOR ❑ BAILEE /BAILOR ❑ SELLER /BUYER ❑ AG. LIEN ❑ NON -UCC FILING <br />6. This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL . Check to REQUEST SEARCH REPORTIS) on Debtor(sl❑ All Debtors ❑ Debtor 1 ❑ Debtor 2 <br />® ESTATE RECORDS. Attach Addendum in applicable] [ADDITIONAL FEE] [[optional] <br />. OPTIONAL FILER REFERENCE DATA <br />Bankers Systems, Inc., St. Cloud, MN Form UCC -I -LAZ 5/30/2001 <br />FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98) <br />MOSS <br />DONALD <br />F <br />1c. MAILING ADDRESS <br />CITY - <br />STATE <br />POSTAL CODE <br />1410 N. SHERIDAN PLACE <br />GRAND ISLAND <br />NE <br />I 68803 <br />1COUNTR; <br />USA <br />td. TAX ID #: SSN OR EIN <br />lie. TYPE OF ORGANIZATION <br />1f. JURISDICTION OF ORGANIZATION <br />1g. ORGANIZATIONAL ID #, if any <br />1ADD'LINFORE <br />ORGANIZATION <br />❑ <br />505 -56 -7777 <br />DEBTOR <br />NI <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names <br />OR <br />MOSS DONNA L <br />2c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />1410 N. SHERIDAN PLACE GRAND ISLAND NE 68803 USA <br />2d. TAX ID #: SSN OR EIN I ADD'L INFO RE 2e. TYPE OF ORGANIZATION 12f. JURISDICTION OF ORGANIZATION 12g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />507 -44 -6896 DEBTOR ❑ NONE <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S /P) - insert only one secured party name (3a or 3b) <br />13a. ORGANIZATION'S NAME <br />OR PLATTE VALLEY STATE BANK &TRUST COMPANY r r <br />— 1451 NORTH WEBB ROAD I GRAND ISLAND <br />4. This FINANCING STATEMENT covers the following collateral: Two (2) Val ley Pivot S 7 -Tower <br />I` <br />USA <br />5. ALTERNATIVE DESIGNATION [if applicable]: ❑ LESSEE /LESSOR ❑ CONSIGNEE /CONSIGNOR ❑ BAILEE /BAILOR ❑ SELLER /BUYER ❑ AG. LIEN ❑ NON -UCC FILING <br />6. This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL . Check to REQUEST SEARCH REPORTIS) on Debtor(sl❑ All Debtors ❑ Debtor 1 ❑ Debtor 2 <br />® ESTATE RECORDS. Attach Addendum in applicable] [ADDITIONAL FEE] [[optional] <br />. OPTIONAL FILER REFERENCE DATA <br />Bankers Systems, Inc., St. Cloud, MN Form UCC -I -LAZ 5/30/2001 <br />FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98) <br />