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<br />1. DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (1a or 1 b) - do not abbreviate or combine names <br /> la. ORGANIZATION'S NAME <br />OR <br /> lb. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> JOHNSON SCOTT A <br />lc. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />1008 SPINE ST GRAND ISLAND NE 68801 <br />ld. SEE INSTRUCTIONS ~:D'L INFO RE 11e. TYPE OF ORGANIZATION 11. JURISDICTION OF ORGANIZATION 19. ORGANIZATIONAL 10 #, if any <br /> RGANIZATION DNONE <br /> EBTOR <br /> <br /> 2a. ORGANIZATION'S NAME <br />OR <br /> 2b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> JOHNSON CHRISTINE M <br />2c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />1008 SPINE ST GRAND ISLAND NE 68801 <br />2d. SEE INSTRUCTIONS fo:D'L INFO RE 12e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL 10 #. if any <br /> RGANIZATION o NONE <br /> DEBTOR <br /> <br /> - <br /> 3a. ORGANIZATION'S NAME <br /> PRIME ACCEPTANCE CORP. <br />OR <br /> 3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />3c, MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />200 West Jackson Blvd #720 Chicago IL 60606 <br /> <br />I\J <br />S <br />S <br />O'l <br />S <br />S <br />S <br />c:.o <br />.p. <br /> <br /> <br />n <br />:r.: <br />m <br />() <br />'" <br /> <br />\ ,'~f,i~~~l: : <br />::,,",I'!. <br /> <br />n ~ <br />X <br />m <br />n ::a: <br />~ <br />..:::- ,---.,.,> <br />"-> c",j (") (f) <br /> c::;> <br />'\ cr.o 0-1 <br /> ~ cl> <br />a c_ z-l <br /> ~t :D -irT'1 <br /> ~, .;~ :z: -<0 <br /> 0" <br /> U1 ., Z <br /> ""T'1 <br /> CI r ::r: IT! <br /> "., ::D 1:>- OJ <br /> ,." ::3 r ;u <br /> 0 r l> <br /> Ul ...... (fl <br /> 0 ;:><; <br /> l> <br /> Q -..-. -..- <br /> ....z (fl <br /> (f) <br /> <br />~ <br />:z <br />() t:1 <br />>~ <br />en <br />:c <br /> <br />lANCING STATEMENT <br />NSTRUCTIONS (front and back) CAREFULLY <br />'HONE OF CONTACT AT FILER [optional1 <br />hone:(800) 331-3282 Fax: (818) 662-4141 <br /> <br />KNOWLEDGEMENT TO: (Na"", and Address) <br /> <br />5106561PRIMEAC EP <br /> <br />T <br /> <br />UCC Direct Services -uft~ 6994802 <br />_" .0. Box 29071 <br />Glendale. CA 91209-9071 <br />L <br /> <br />-.J <br /> <br />NENE <br />FIXTURE <br /> <br />File with: Hall, NE <br /> <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <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 /> <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR SIP) - insert only one secured party name (3a or 3b) <br /> <br />4. This FINANCING STATEMENT covers the following collateral: <br /> <br />WHOLE HOUSE WATER TREATMENT SYSTEM <br /> <br />c:i <br />~ <br />~ <br />c:n:; <br /> <br /> <br />lU __S'O <br /> <br />- <br />- <br />- <br /> <br />- <br />- <br />- <br /> <br />- <br /> <br />- <br />= <br /> <br />- <br /> <br />- <br />;;;;;;;;;; <br /> <br />- <br /> <br />= <br /> <br />- <br /> <br />- <br />- <br /> <br />- <br />- <br />- <br /> <br />~ <br />= <br /> <br />5. ALTERNATIVE DESIGNATION [if applicable] LESSEE/LESSOR <br /> <br />6. X This FINANCING STATEMENT is to be i e <br /> <br />8. OPTIONAL FILER REFERENCE DATA <br /> <br />6994802 <br /> <br /> <br />620034833 <br /> <br />NON-UCC FILING <br /> <br />Prepared by UCC Direct Services. P.O. Box 29071. <br />Glendale. CA 91209-9071 Tel (800) 331-3282 <br /> <br />FILING OFFICE COpy - NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 05/22/02) <br />