Laserfiche WebLink
<br /> <br /> ;0 () () <br /> m :I: > <br /> ." m (.1'1 <br /> C n :J: r........., <br /> Z l~~~~ 0 (I) <br /> t'\ '" G-:::;:) 0 --I <br /> C c;;I'3 <br />N J: n ............ . c:::l> <br />is m > !-!' "..'\" =3 z -~ <br />is ANCING STATEMENT (') (.1'1 :AJ 'f' "- = -IrT'1 <br />O':l ~ :::t: fT1 s.'r- = -<0 <br />is TRUCTIONS (front and back) CAREFULLY o ~- t--' 0"" <br /> "" <br />N PHONE OF CONTACT AT FILER [optional] ........ 0 C> "z <br />..... -'1 <br />is lTIlon 308-389-2600 t~. I 1'1 <br /> a C:J co <br /><D rn ~ ,~ -0 po <br /> KNOWL TO: (Name and Address) r'n :::3 r ?:l <br /> P~1k 1rf.1~/lpaL(~Jf- ' r :l> <br /> Cl (I) <br /> (fl ~ <br /> ,~ alley Stat Bank & Trust Company, atte aIle St t- rv ;::><:; <br /> );>- <br /> lk & Trust Company U1 ..........."~ <br /> &i~ '430 CD (I) <br /> (/l <br /> ~-earney, Nebraska 68848 <br /> <br /> <br />L <br /> <br />-.J <br /> <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S EXACT FULL LEGAL NAME. insert only .2!l1dabtor nama (1a or 1b) - do not abbraviate or combine names <br /> <br />c> g:, <br />NfD <br />03. <br />C) <br />O?G;- <br />03' <br />rvg <br />~~ <br /> <br />c.o...... <br /> <br />~ <br /> <br />/ /. (ro <br /> <br /> la. ORGANIZATION'S NAME <br />OR <br /> lb. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> Cosgriff Bernard <br />Ie. MAIliNG ADDRESS CITY STATE rOSTAL CODE COUNTRY <br />7124 S Gunbarrel Rd. Doniphan NE 68832 USA <br />ld. TAX 10 #: SSN OR EIN I ;DD'L INFO RE 11 e. TYPE OF ORGANIZATION 11. JURISDICTION OF ORGANIZATION 19. ORGANIZATIONAL 10 p, if any <br /> ORGANIZA TION I 1 I <br /> DEBTOR o NONE <br /> <br />2, ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only 2.!l2. debtor name (2a or 2bl - do not abbreviate or combine names <br /> <br /> 2a. ORGANIZATION'S NAME <br />OR <br /> lb. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> Cosgriff Lola <br />2e. MAIliNG ADDRESS CITY STATE rOSTAL CODE COUNTRY <br />7124 S. Gunbarrel Rd. Doniphan NE 68832 USA <br />2d. TAX 10 #: SSN OR EIN I ADD'L INFO RE 12e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2Q. ORGANIZATIONAL 10 #, if any <br /> ORGANIZATION I I I <br /> DEBTOR o NONE <br /> <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR SIP) . Insert only 2!l!! secured party nama (3a or 3b) <br /> <br /> 3a. ORGANIZATION'S NAME <br />OR Platte Valley State Bank & Trust Company <br /> 3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />3c. MAILING ADDRESS CITY STATE rOSTAL CODE COUNTRY <br />810 Allen Drive Grand Island NE 68803 USA <br /> . . <br /> <br />4. This FINANCING STATEMENT cova" tha following collataral: FIXTURES: All goods now or in the future affIxed or attached to real estate. <br /> <br /> <br />o AG. LIEN 0 NON.UCC FILING <br />All Dabtors 0 Debtor 1 0 Debtor 2 <br /> <br />FILING OFFICE COPY - NATIONAL uce FINANCING STATEMENT (FORM UCC 11 (REV, 07/29/98) <br /> <br />Bankers Systems, Ine.. St. Cloud, MN Form UCC.l-LAZ 5/30/2001 <br />