Laserfiche WebLink
<br /> : FINANCING STATEMENT AMENDMENT ......., <br /> c:::::> 0" en i <br /> l.LOW INSTRUCTIONS (front and back) CAREFULLY <:= 0 <br /> ~..~ c:.n o -i <br /> c=J cl> N <br /> NAME & PHONE OF CONTACT AT FILER (optional) ~ ~' z-i <br />N rr1 -IfTl <br />cSl MARY KREJCI (402) 694-3136 ~ - C":) -< 0 <br /> 0 <br />cSl N 0 ., <:::> or <br />('J1 ~ N ., ...... <br />...... SEND ACKNOWLEDGMENT TO: (Name and Address) tl) ...- U1 <br />N <::;.7 :r: 1'1 3" <br />.j;::.. I m ::n 1> (U I--" <br />00 I 1"'11 t ::3 r- ;:0 I <br /><0 <::;.7 r- :D0- N <br /> HERITAGE BANK '~ IT EoN V' en ....... (f) <br /> m~F..:Y ,K~!s-ci I--" A -C <br /> POBOX 329 1> 00 <br /> c.:> .................... <br /> AURORA NE 68818 ....... (f) (,C <br /> (f) ~ <br />----.-- -" L ~ <br /> THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br /> <br />1. INITIAL FINANCING STATEMENT FilE It 1b. The FINANCIAL STATEMENT AMENDMENT <br /> <br />200509393 9-22-05 is to be filed (for record) (or recorded) in the <br />!]I REAL ESTATE RECORDS. <br />2.l;J TERMINA f[ON: EtfeC1iveness of the Financing Statement identilled at>Ova IS termina'leCl with respect to security interest(s} of the Suc:ureCl Party <br />authonzing this Termination Statement. <br /> <br />3. 0 CONTINUATION: EtfeC1rveness 01 the financing Statement identified above with respect to secunty interest(s) 01 the Secured Party authorizIng thIs <br />Continuation Statement is continued for the additional period provided by applicable law. <br /> <br />4. 0 ASSIGNMENT (full or partial): Give name of assignee in item 7a or 7b and address 01 assignee In l1em 7c. and also give name of assignor In item 8.. <br /> <br />5. AMENDMENT (PARTY INFORMATION): This Amendment atfeC1s 0 Debtor or 0 Secured Party 01 record. Check only one of these two boxes. <br /> <br />Also check ~ of the follow1l1g boxes and provide appropriate inlonTlation in item 65 andlor 7. <br /> <br />o CHANGE name andlor address: 0 DELETE name: Give record name to be <br />Give current record name in item 6a or 6b, deleted in item 6a or 6b. <br />also give new name (if name change) in <br />item 7a or 7b and/or new address (il <br />address chanQe) in Item 7c. <br /> <br />/1// <br />/C_ <br /> <br />o ADD name: Complete Item 7a or 7b, and also <br />item 7c, also complete items 7c-7g (il <br />applicable) <br /> <br />6. CURRENT RECORD INFORMATION <br />Sa. ORGANIZATION'S NAME <br /> <br />OR <br /> <br />6b. INDIVIDUAl'S LAST NAME <br />SULLIVAN <br /> <br />FIRST NAME <br />R MARK & KAREN <br /> <br />MIDDLE NAME <br /> <br />SUFFIX <br /> <br />7 CURRENT RECORD INFORMATION <br /> <br /> 7a. ORGANIZATION'S NAME <br />OR <br /> 7b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />7c. ~AllING ADDRESS CITY STATE ! POSTAL CODE COUNTRY <br /> 905 HWY 2 .. -. . DONIPHAN ... .n... __HE. . ..68832 .. <br />7d. TAX 10 #: ADD'l INFO RE I 1E. TYPE OF 1 F. JURISDICTION OF 19. ORGANIZATIONAL 10 It, if any <br />SSN OR EIN ORGANIZATION ORGANIZATION ORGANIZATION o NONE <br /> DEBTOR <br /> <br />8. AMENDMENT (COLLATERAL CHANGE): check only ~ box. <br />Describe collateral 0 deleted or 0 added, or give entire 0 I estated collateral description. or describe collateral 0 assigned. <br /> <br />9. NAME OF SECURED PARTY of RECORD AUTHORIZING THIS AMENDMENT (name of assignor (If this is an Assignment). If thiS is an Amendment <br />authorized by a Debtor which adds collateral or adds the authorizing Debtor, or if this is a Termination authorized by a Debtor. check here Oand enter <br />name of DEBTOR authorizing this Amendment <br /> <br />9a. ORGANIZATION'S NAME <br />HERITAGE BANK, AURORA NE <br /> <br />9b. INDIVIDUAl'S LAST NAME <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />SUFFIX <br /> <br />OR <br /> <br />10. OPTIONAL FLIER REFERENCE DATA <br /> <br />NATIONAL UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) (REV. 07/29/98) <br /> <br />-136- <br />