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<br />I\J <br />SI <br />SI <br />0) <br />SI <br />SI <br />I\J <br />SI <br />I\J <br /> <br /> <br />10 <br />tR <br />c <br />z <br />C <br />en <br /> <br />nn <br />:1:> <br />m en <br />n::x: <br />" <br /> <br />("') <br />i~ ~ <br />ncn <br />;l'l\:J: <br /> <br /> <br />lANCING STATEMENT <br />NSTRUCTIONS (front and back) CAREFULLY <br />HONE OF CONTACT AT FilER [optional] <br />hone:(800) 331-3282 Fax: (818) 662-4141 <br /> <br /> <br /><NOWlEDGEMENT TO, (Name and Address) <br /> <br />5106561P IME CCEPT <br />I <br /> <br />,,' <br />,~.iIi <br /> <br />~8birect Services <br /> <br />u~E[6f~~999481 <br /> <br />--- P.O. Box 29071 <br />Glendale, CA 91209-9071 <br />L <br /> <br />NENE <br />FIXTURE <br /> <br />~ <br /> <br /> ........,. fl <br /> t::;:..." C'). (J) <br /> C=> 0-< <br /> c::r.t <br />~~ c:> <br />c_ :z:-I <br />= -1m <br />:z: -<0 <br /> 0"" C::>fr <br />0'" c.D ..., :z ~I <br />'Tl <br /> t ::I: 1'1 <br />0 1> CJ <br />rn ::D r :::0 <br />fT1 ::3 r l> <br />0 (J) <br />Cfl <.D ;:><; <br /> 1> <br /> c.n -- ("\,)~ <br /> ..- (J) '? <br /> U'J <br /> <br />File with: Hall, NE THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S EXACT FUll LEGAL NAME - insert only one debtor name (1 a or 1b) - do not abbreviate or combine names <br /> <br /> 18. ORGANIZATION'S NAME <br /> /0 <br />OR <br /> 1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> CERVANTES REBECCA A <br />1c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />2720 N WEBB RD GRAND ISLAND NE 68803 <br />1d. SEE INSTRUCTIONS fo:D'l INFO RE 11e- TYPE OF ORGANIZATION 11. JURISDICTION OF ORGANIZATION 19_ ORGANIZATIONAL ID #, if any <br /> RGANIZATION o NONE <br /> DEBTOR <br /> <br />.5'-0 <br /> <br />== <br /> <br />- <br /> <br />- <br />- <br />;;;;;;;;;; <br />- <br />- <br /> <br />2. ADDIT[ONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names <br /> <br /> 28. ORGANIZATION'S NAME <br />OR <br /> 2b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />2c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <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 /> <br />- <br />= <br /> <br />- <br />~ <br /> <br />- <br /> <br />- <br />- <br /> <br />- <br />- <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 /> - <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 I L 60606 <br /> <br />4. This FINANCING STATEMENT covers the following collateral: <br /> <br />WHOLE HOUSE WATER TREATMENT SYSTEM <br /> <br />- <br />- <br />- <br /> <br />- <br />- <br /> <br />5. ALTERNATIVE DESIGNATION [If applicable] lESSEE/lESSOR <br />6. [XJThiS FINANCING STATEMENT is to be filed [for record] (or recorded) in. the REAL <br />8. OPTIONAL FILER REFERENCE DATA <br />6999481 <br /> <br /> <br />NON-UCC FILING <br /> <br />620034219 <br /> <br />Prepared bv UCC Direct Services, P.O. Box 29071, <br />Glendale, CA 9120\l-9071 Tel (BOO) 331.32B2 <br /> <br />FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 05/22/02) <br />