Laserfiche WebLink
n <br />= D z <br />M 2 En <br />;K II <br />M = <br />d � � <br />N' <br />UCC FINANCING STATEMENT G <br />FOLLOW INSTRUCTIONS front and back CAREFULLY <br />A. NAME & PHONE OF CONTACT AT FILER [optional] <br />B. SENDDArACKNOWL D��GM NT TO: (Name and Address) <br />DIVERSIFIED F NIF NI ANCIAL SERVICES, INC. <br />14010 FIRST NATIONAL BANK PARKWAY <br />SUITE 205 <br />OMAHA, NE 68154 <br />CD <br />t� <br />l.1 <br />M ' r-r1 <br />rn c7 <br />o d� O <br />M <br />0 <br />co <br />Ca <br />co <br />THE ABOVE SPACE IS FOR FILING <br />1. DEBTOR'S EXACT FULL LEGAL NAME - insert oniv one debtor name (1a or lb) - do not abbreviate or combine names <br />C") Cn <br />C) --i <br />C D <br />z M <br />O <br />o -n <br />T1 <br />= M <br />a w <br />r � <br />r D <br />U) <br />D <br />to <br />ONLY <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME -insert only one debtor name (2a or 21b) - do not abbreviate or combine names <br />Ia. ORGANIZATION'S NAME <br />DIVERSIFIED FINANCIAL SERVICES, INC. <br />OR <br />lb. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />SUFFIX <br />HAPPOLD <br />ROGER <br />SHIRLEY <br />1c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />103 W 6 RD. <br />DONIPHAN <br />NE <br />68832 <br />USA <br />1d. TAX ID #: SSN OR EIN <br />A 1e. TYPE OF ORGANIZATION <br />If. JURISDICTION OF ORGANIZATION <br />1g. ORGANIZATIONAL ID #, if any <br />508 -52 -2249 <br />DEBTOR ORGANIZATION <br />NONE <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME -insert only one debtor name (2a or 21b) - do not abbreviate or combine names <br />3. SECURED PARTY'S NAME to, NAMF of Tr1TAl ASSIGNFF of ASSILiNOR S /Pl - insert nnly nne sen.red oarry eamu 13a —Ohl <br />2a. ORGANIZATION'S NAME <br />DIVERSIFIED FINANCIAL SERVICES, INC. <br />OR <br />OR <br />21b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />COLI Y <br />iJT�A <br />HAPPOLD <br />SHIRLEY <br />2c. MAILING Al �2F,�SSW 6 RD . <br />CITY DONIPHAN <br />STATE„ <br />POSTAj. MS 2 <br />CQIdPiWY <br />U JE1 <br />2d. TAX ID #: SSN OR EIN <br />ADD'L INFO RE 2e. TYPE OF ORGANIZATION <br />2f. JURISDICTION OF ORGANIZATION <br />2g. ORGANIZATIONAL ID.S #, if any <br />ORGANIZATION <br />DEBTOR <br />NONE <br />3. SECURED PARTY'S NAME to, NAMF of Tr1TAl ASSIGNFF of ASSILiNOR S /Pl - insert nnly nne sen.red oarry eamu 13a —Ohl <br />O mod; <br />N <br />CD <br />O CD <br />M -" y <br />N <br />cm <br />CIl � <br />N CD <br />0 <br />4. This FINANCING STATEMENT covers the following collateral: <br />1 -MODEL 8000 VALLEY IRRIGATION CENTER PIVOT 1296' W /VALLEY SUPPLIED ACC., FREIGHT <br />& INSTALLATION (NON- TOWABLE) <br />5. ALT RNATIVE DESIGNATION [if applicable]: LESSEE /LESSOR CONSIGNEE /CONSIGNOR BAILEE /BAILOR SELLER /BUYER AG. LIEN NON - UCCFILING <br />6. s s to e e or recur or recur e m t e 7, ec to on a for (s) <br />TATE RECORDS. A n if A DDI F [optional] All Debtors Debtor 1 HDebtor 2 <br />. OPTIONAL FVFg f q:AjdGE DATA <br />(1) FILING OFFICER COPY — NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98) <br />REORDER FROM <br />Carb /Less <br />1- 800 - 383 -3162 <br />A <br />3a. ORGANIZATION'S NAME <br />DIVERSIFIED FINANCIAL SERVICES, INC. <br />OR <br />=ST NAME FIRST NAME MIDDLE NAME SUFFIX <br />3c. MAILING ADDRESS <br />14010 FIRST NATIONAL BANK PARKWAY, 20 <br />CITY <br />OMAHA <br />S <br />RE <br />POST <br />6�i��+ <br />COLI Y <br />iJT�A <br />O mod; <br />N <br />CD <br />O CD <br />M -" y <br />N <br />cm <br />CIl � <br />N CD <br />0 <br />4. This FINANCING STATEMENT covers the following collateral: <br />1 -MODEL 8000 VALLEY IRRIGATION CENTER PIVOT 1296' W /VALLEY SUPPLIED ACC., FREIGHT <br />& INSTALLATION (NON- TOWABLE) <br />5. ALT RNATIVE DESIGNATION [if applicable]: LESSEE /LESSOR CONSIGNEE /CONSIGNOR BAILEE /BAILOR SELLER /BUYER AG. LIEN NON - UCCFILING <br />6. s s to e e or recur or recur e m t e 7, ec to on a for (s) <br />TATE RECORDS. A n if A DDI F [optional] All Debtors Debtor 1 HDebtor 2 <br />. OPTIONAL FVFg f q:AjdGE DATA <br />(1) FILING OFFICER COPY — NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98) <br />REORDER FROM <br />Carb /Less <br />1- 800 - 383 -3162 <br />A <br />