200313784 - Laserfiche WebLink

Browse

L 1. DEBTOR'S EXACT FULL LEGAL NAME - insert 1a. ORGANIZATION'S NAME s THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY debtor name (1 a or 1b) -do not abbreviate or combine names OR 1b. INDIVIDUAL'S LAST NAME WOJTALEWICZ 1c. MAILING ADDRESS RR 2, Box 8 1d. TAX ID #: SSN OR EIN ADD'L INFO RE Ile. TYPE OF ORGANIZATION 507 -74 -5593 ORGANIZATION I Individual [DEBTOR 2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME -insert only o 2a. ORGANIZATION'S NAME OR 2b. INDIVIDUAL'S LAST NAME 2c. MAILING ADDRESS FIRST NAME THOMAS CITY Ashton 1f. JURISDICTION OF ORGANIZATION MIDDLE NAME C STATE I POSTAL CODE NE 168817 1g. ORGANIZATIONAL ID #, if any debtor name (2a or 2b) - do not abbreviate or combine names 2d. TAX ID #: SSN OR EIN I ADD'L INFO RE 12e. TYPE OF ORGANIZATION ORGANIZATION DEBTOR 3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR 3a. ORGANIZATION'S NAME Sherman County Bank OR 3b. INDIVIDUAL'S LAST NAME FIRST NAME CITY 2f. JURISDICTION OF ORGANIZATION insert only one secured party name (3a or FIRST NAME MIDDLE NAME STATE IPOSTALCODE 2g. ORGANIZATIONAL ID #, if any MIDDLE NAME SUFFIX COUNTRY USA NONE SUFFIX COUNTRY SUFFIX 3c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY — PO Box 543, 734 'O' Street I Loup City I NE 68853 -0543 4. This FINANCING STATEMENT covers the following collateral: All Equipment and Fixtures; whether any of the foregoing is owned now or acquired later; all accessions, additions, replacements, and substitutions relating to any of the foregoing; all records of any kind relating to any of the foregoing; all proceeds relating to any of the foregoing (including insurance, general intangibles and accounts proceeds) and a 1977 Electrogater 7 Tower pivot (SIN 377C4232) with 75 HP Electric Motor (SN F330390) and a Western Land Roller Pump and approximately 1800 ft. 8" aluminum pipe and approximately 1200 ft. 10" plastic pipe. 5. ALTERNATIVE DESIGNATION if applicable]: LESSEE /LESSOR CONSIGNEE/CONSIGNOR I I BAILEE/BAILOR SELLER/BUYER UAG. LIEN NON -UCC FILING 8 pQThis FINANCING STATEMENT is to be filed (for record] (or recorded) in the REAL 7 Check to REQUEST SEARCH REPORT(S) on Debtor(s) TAT R CORDS. Attach Addendum if a licable ADDITI NAL FEE o tional All Debtors Debtor 1 Debtor 2 8, OPTIONAL FILER REFERENCE DATA Harland Financial Solutions FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98) 400 S.W. 6th Avenue, Portland, Oregon 97204 7v M n n 7 s o� �( M A e:� '� � m o UCC FINANCING STATEMENT' rc� o z w C- FOLLOW INSTRUCTIONS front and back CAREFULLY A. NAME & PHONE OF CONTACT AT FILER [optional] p U; j-T 3> CIO M rn r— :0 C,J B. SEND ACKNOWLEDGEMENT TO: (Name and Addr ss) F- -� co -J 2 F CO 3 Sherman County Bank PO Box 543 co N CD 734 'O' Street Loup City, NE 68853 -0543 OZ L 1. DEBTOR'S EXACT FULL LEGAL NAME - insert 1a. ORGANIZATION'S NAME s THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY debtor name (1 a or 1b) -do not abbreviate or combine names OR 1b. INDIVIDUAL'S LAST NAME WOJTALEWICZ 1c. MAILING ADDRESS RR 2, Box 8 1d. TAX ID #: SSN OR EIN ADD'L INFO RE Ile. TYPE OF ORGANIZATION 507 -74 -5593 ORGANIZATION I Individual [DEBTOR 2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME -insert only o 2a. ORGANIZATION'S NAME OR 2b. INDIVIDUAL'S LAST NAME 2c. MAILING ADDRESS FIRST NAME THOMAS CITY Ashton 1f. JURISDICTION OF ORGANIZATION MIDDLE NAME C STATE I POSTAL CODE NE 168817 1g. ORGANIZATIONAL ID #, if any debtor name (2a or 2b) - do not abbreviate or combine names 2d. TAX ID #: SSN OR EIN I ADD'L INFO RE 12e. TYPE OF ORGANIZATION ORGANIZATION DEBTOR 3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR 3a. ORGANIZATION'S NAME Sherman County Bank OR 3b. INDIVIDUAL'S LAST NAME FIRST NAME CITY 2f. JURISDICTION OF ORGANIZATION insert only one secured party name (3a or FIRST NAME MIDDLE NAME STATE IPOSTALCODE 2g. ORGANIZATIONAL ID #, if any MIDDLE NAME SUFFIX COUNTRY USA NONE SUFFIX COUNTRY SUFFIX 3c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY — PO Box 543, 734 'O' Street I Loup City I NE 68853 -0543 4. This FINANCING STATEMENT covers the following collateral: All Equipment and Fixtures; whether any of the foregoing is owned now or acquired later; all accessions, additions, replacements, and substitutions relating to any of the foregoing; all records of any kind relating to any of the foregoing; all proceeds relating to any of the foregoing (including insurance, general intangibles and accounts proceeds) and a 1977 Electrogater 7 Tower pivot (SIN 377C4232) with 75 HP Electric Motor (SN F330390) and a Western Land Roller Pump and approximately 1800 ft. 8" aluminum pipe and approximately 1200 ft. 10" plastic pipe. 5. ALTERNATIVE DESIGNATION if applicable]: LESSEE /LESSOR CONSIGNEE/CONSIGNOR I I BAILEE/BAILOR SELLER/BUYER UAG. LIEN NON -UCC FILING 8 pQThis FINANCING STATEMENT is to be filed (for record] (or recorded) in the REAL 7 Check to REQUEST SEARCH REPORT(S) on Debtor(s) TAT R CORDS. Attach Addendum if a licable ADDITI NAL FEE o tional All Debtors Debtor 1 Debtor 2 8, OPTIONAL FILER REFERENCE DATA Harland Financial Solutions FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98) 400 S.W. 6th Avenue, Portland, Oregon 97204