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<br />N <br />S <br />CSl <br />(j) <br />CSl <br />~ <br />(Xl <br />W <br />W <br /> <br /> <br /> <br />nn <br />:J:> <br />men <br />OX <br />'" <br /> <br />~ <br /> <br />10 <br />m <br />-n <br />c: <br />Z <br />o <br />~ <br /> <br />n <br />::J: <br />m <br />n <br />~ <br /> <br />E <br />::J: <br /> <br />ANCING STATEMENT <br />JSTRUCTIONS (front and back) CAREFULLY <br />lONE OF CONTACT AT FILER [optional] <br />lOne:(800) 331-3282 Fax: (818) 662-4141 <br /> <br /> ,-..." <br /> c::'~ (':) (f) <br /> c::::> <br />~"" ~ 0----1 <br />:3 C:J> <br />~f' z'""-'l <br />= ----Il'Tl <br />/"T1 ""-).. -c -<0 <br />(;") <br />0<;';: <:..) o ""T1 <br />""T') ~ "T1 ;z <br />0 ~ :::r: rrl <br />rn t -0 :r>- eo <br />rn ::3 r ;:0 <br />0 I :t:>- <br />v:> ....... (/) <br /> N ;:><; <br /> 1> <br /> -C ......... '--" <br /> CJ1 G/) <br /> r.n <br /> <br />U\ <br />0- <br /> <br />NOWLEDGEMENT TO: (Name and Address) <br /> <br />10656 Pri e ceptan <br /> <br />ht~ lAce~ <br />:C Direct Services <br /> <br />8515744 <br /> <br />P. ). Box 29071 <br />'-"r--Lendale, CA 91209-9071 <br /> <br /> <br />File with: Hall, NE <br /> <br />NENE <br />FIXTURE <br /> <br />00604833 <br /> <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S EXACT FULL LEGAL NAME - insert only o~ debtor name (1 a or 1 b) - do not abbreviate or combine names <br /> <br />0 I <br />N <br />0 <br />C) it <br />0') <br />c:::> <br />...c <br />CO <br /><:..) <br />w <br />/o,A <br /> <br /> <br /> 1a. ORGANIZATION'S NAME <br />OR <br /> lb. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> ARRIAZA ANSELMA <br />10. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />615 N EDDY ST GRAND ISLAND NE 68801 <br />ld. SEE INSTRUCTIONS ~rD'L INFO RE 11e. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION 1 g. ORGANIZATIONAL ID #, if any <br /> ORGANIZATION D NONE <br /> DEBTOR <br /> <br /> 2a. 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 j2e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 29. ORGANIZATIONAL ID #, if any <br /> RGANIZATION D 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 W Jackson Blvd #720 Chicago IL 60606 <br /> <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only 0.!l!L debtor name (2a or 2b) - do not abbreviate or combine names <br /> <br />3. SECURED PARTY'S NAME (or NAME ofTOTAL 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 />WATER TREATMENT SYSTEM <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 />- <br />- <br /> <br /> <br />426050221 <br /> <br />NON-UCC FILING <br /> <br />Prepared by UCC Oirect 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 />