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<br />f\.) <br />is <br />is <br />en <br />...... <br />is <br />-.....J <br />c.n <br />c.n <br /> <br /> <br />a1 <br />c <br />Z <br />c <br />~ <br /> <br />~~ <br />n:t <br />?:: <br /> <br />~~ <br />nc.n <br />~~ <br /> <br /> r""-..~ <br /> ;;-':':'.;,) <br /> !~"'~:~~ <br /> " c'-:-..'Ji <br /> ,-' c:" <br />::",) ,--,--, <br />r'. \.... C-:J <br /><") <br />. ....r: <br />-'1 <br /> --D <br />I.' ::::::3 <br />'-",. f: <br />(/) <br /> .'. f---> <br /> t- <br /> f-> <br /> --..J <br /> <br /> <br />~NCING STATEMENT <br />STRUCTIONS (front and back) CAREFULLY <br />)NE OF CONTACT AT FILER [optional] <br />)ne:(800) 331.3282 Fax: (818) 662-4141 <br /> <br />OWLEDGEMENT TO: (Name and Address) <br /> <br />10656 PRIM AC EPTAN <br />I <br /> <br />RJf hw /let' A~;;f <br />C Direct Services <br />). Box 29071 <br />.---Glendale, CA 91209.9071 <br />L <br /> <br />9793562 <br /> <br />NENE <br />FIXTURE <br /> <br />-.J <br /> <br />o (f) <br />C) --.1 <br />c. 10.. <br />........... -"'1 <br />-i 1", <br />~-< .-- <br /> <br />~I <br />~ar <br /> <br />C) ~,1 <br /> <br />OJ <br /> <br /> <br />1--' <br /> <br />r'" :::l:) <br />r-- 1'. <br />(j) <br />:;)'1:: <br />1']... <br />.................... <br /> <br />C) <br />--..J <br />Cf1 <br /> <br />Ul~ <br /> <br />(f) <br />(n <br /> <br />File with: CC NE Hall County Register of Deeds, NE THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />. <br />1. DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (1a or 1 b) - do not abbreviate or combine names <br /> <br /> - <br /> 1a. ORGANIZATION'S NAME AJ. <br />OR <br /> 1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> PASCUAL MIGUEL SEBASTIAN <br />1c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />1011 N PINE ST GRAND ISLAND NE 68801.3947 <br />1d. SEE INSTRUCTIONS ~:D'L INFO RE reo TYPE OF ORGANIZATION 11. JURISDICTION OF ORGANIZATION 1 g. ORGANIZATIONAL 10 #, if any <br /> RGANIZATION D NONE <br /> DEBTOR <br /> <br /> 23. ORGANIZATION'S NAME <br />OR MIDDLE NAME <br /> 2b. INDIVIDUAL'S LAST NAME FIRST NAME SUFFIX <br />2c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />2d. SEe INSTRUCTIONS ~:D'L INFO RE 12e. TYPE OF ORGANIZATION 21. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL 10 #, if any <br /> RGANIZATlON D NONE <br /> DEBTOR <br /> <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only ODL debtor name (2a or 2b) - do not abbreviate or combine names <br /> <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR SIP) - insert only OIlL secured party name (3a or 3b) <br /> <br />.so <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 /> 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 IL 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] <br />6. [xl his INA <br /> <br />8. OPTIONAL FILER REFERENCE DATA <br />9793562 <br /> <br />LESSEE/LESSOR <br /> <br /> <br />NON"UCC FILING <br /> <br />626060386 <br /> <br />Prepared bv UCC Direct 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 />