Laserfiche WebLink
<br />.... <br /> <br />FINANCING STATEMENT ADDENDUM 200601617 <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br /> 9a. ORGANIZATION'S "rAME <br />OR I MIDDLE NAME,SUFFIX <br /> 9b. INDIVIDUAL'S LAST NAME IFIRST NAME <br /> ORTEGA l}'~ j~E~RO <br />10. MISCELLANEOUS Jr \.';; IJII'((+ <br />7072856-40-1 <br />.510656IPRIMEACCEPT <br />610051376 <br />File with: Hall, NE ~). <br /> THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY ~) <br /> <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (11a or 11 b) - do not abbreviate or combine names <br /> <br />-0 <br /> <br />\ 11a. ORGANIZATION'S NAME <br />OR <br /> 11 b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />11 c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />11d. SEE INSTRUCTION ~D'L INFO RE r1e. TYPE OF ORGANIZATION 111. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID #, if any <br /> RGANIZATION o NONE <br /> DEBTOR <br /> <br />12. 0 ADDITIONAL SECURED PARTY'S or 0 ASSIGNOR SIP's NAME - insert only ~ name (12a or 12b) <br />12a. ORGANIZATION'S NAME <br /> <br />OR 12b. INDIVIDUAL'S LAST NAME <br /> <br />12c. MAILING ADDRESS <br /> <br />13. This FINANCING STATEMENT covers 0 timber to be cut or 0 as-extracted <br />collateral or is filed as a ~ fixture filing. <br /> <br />14. Description Of real estate: <br /> <br />Description: GILBERTS SECOND ADD L T 5 BLK 2 APN <br />400134276 <br /> <br />15. Name and address of a RECORD OWNER of above-described real estate <br />(if Debtor does not have a record interest): <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />SUFFIX <br /> <br />CITY <br /> <br />STATE I POSTAL CODE <br /> <br />COUNTRY <br /> <br />- <br />- <br /> <br />16. Additional collateral description: <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 />17. Check illll'L if applicable and check 2n!Y one box. <br />Debtor i$ aOTrust or o Trustee acting with re.pectlo property held in trust orO Decedent's Estate <br /> <br />18. Check 2D.b! if applicable and check illl!'l one box. <br />o Debtor is a TRANSMITTING UTILITY <br />o Filed in connection with a Manufactured-Home Transaction -. effective 30 years <br />I n Filed in connection with a Public-Finance Transaction"" effective 30 years <br /> <br />FlUNG OFFICE COPY - NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02) <br /> <br />Prepared by UCC-D~ect Services, Inc., P.O. Box 29071 <br />Glendalo, CA 91209-9071 Tel (800) 331.3282 <br />