Laserfiche WebLink
<br />UCC FINANCING STATEMENT ADDENDUM <br />FOllOW INSTRUCTIONS IIront and back) CAREFUllY <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT 200604401' <br /> 9a. ORGANIZATION'S NAME <br />OR <br /> 9b. INDIVIDUAl'S lAST NAME rlRST NAME IMIDDlE NAME,SUFFIX <br /> PETERS ROBERT DEAN <br />10. MISCELLANEOUS: <br /> THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br /> <br />11. ADDITIONAL DEBTOR'S EXACT FUll lEGAL NAME - insart onlYlllJll name (11a or 11b) - do notabbreviata or combine names <br /> <br /> 11 a. ORGANIZATION'S NAME <br />OR 11 b. INDIVIDUAL'S lAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />11c. MAiliNG ADDRESS CITY STATE rOSTAl CODE COUNTRY <br />11d. SEE INSTRUCTIONS I :DD'l INFO RE 111a. TYPE OF ORGANIZATION 11 f. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID #. if any <br /> g~~;~~ZATION I I I o NONE <br />12. 1 ADDITIONAL SECURED PARTY'S .QJ: TT ASSIGNOR SIP'S NAME - insert only l!lll! nama (12a or 12bl <br /> 12a. ORGANIZATION'S NAME <br />OR 12b. INDIVIDUAL'S lAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />12c. MAILING ADDRESS CITY STATE TPOSTAL CODE COUNTRY <br />13. This FINANCING STATEMENT covers D timbar to be cut or U as-extracted 16. Addrtional coliataral description: <br /> collateral, or is filed as a ~ fixture filing. <br />14. Description of raal astata: <br />SEE ATTACHED LEGAL DESCRIPTION <br />15. Name and address of a RECORD OWNER of above-described raal astata <br /> (if Debtor does not have a record intarest): <br /> 17. Check. if applicable and check. ana box. <br /> Debtor is a n Trust or n Trustaa acting with respect to property held in trust or n Decedent's Estate <br /> 18, Chack. if applicable and chllCk lllili one box. <br /> B Debtor is a TRANSMITTING UTILITY <br /> Filed in connection with a Manufactured-Home Transaction - effective 30 years <br /> r1 Filed in connection with a Public-Finance Transaction - effective 30 years <br /> <br />FILING OFFICE COPY - UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. OS/22/02) <br />