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N 4NCING STATEMENT <br />ISTRUCTIONS (front and back) CAREFULLY <br />CD ONE OF CONTACT AT FILER [optional] <br />N Ione:(800) 331 -3282 Fax: (818) 662 -4141 <br />4OWLEDGEMENT T0: (Name and Address) 10656 PRIME A <br />+� 'G n sect Services Z Tee � 10668866 <br />�r '�u:LiiGt S <br />—:J. Box 29071 f�C ,6a k'. <br />Glendale, CA 91209 -9071 NENE <br />L FIXTURE <br />4 <br />File with: CC NE Hall, NE <br />1. DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (1a or 1b) - do not abbreviate or combine names <br />1a. ORGANIZATION'S NAME <br />TAN <br />1'17 V! <br />In ._ <br />a� t <br />-TI N <br />rr <br />1� <br />ry <br />C7r) <br />C7 Ua <br />C T' <br />r n <br />U> <br />n <br />cn <br />C!) <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />OR <br />1 b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME <br />SALAZAR Rene <br />1c. MAILING ADDRESS CITY STATE I POSTAL CODE <br />516 E 8TH ST GRAND ISLAND NE 68801 <br />1d. SEE INSTRUCTIONS DD'L INFO RE 1e. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION 1g, <br />ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names <br />2a. ORGANIZATION'S NAME <br />OR <br />2b. INDIVIDUAL'S LAST NAME <br />2c. MAILING ADDRESS <br />2d. SEE INSTRUCTIONS DD'L INFO RE 2e, TYPE OF ORGANIZATION <br />ORGANIZATION <br />DEBTOR <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIG <br />3a. ORGANIZATION'S NAME „ <br />Prime Acceptance Corp. <br />FIRST NAME I MIDDLE NAME <br />CITY I STATE I POSTAL CODE <br />2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID #, if any <br />S /P) - insert only one secured party name (3a or 3b) <br />C <br />N <br />C� <br />CD <br />t <br />f1) <br />ry <br />N rM <br />a <br />SUFFIX <br />COUNTRY <br />NONE <br />SUFFIX <br />COUNTRY <br />NONE <br />OR <br />PC <br />FIRST NAME <br />M <br />SUFFIX <br />n <br />CITY <br />C <br />„�.. <br />z <br />200 W Jackson Blvd. Suite 720 <br />Chicago <br />rn <br />60606 <br />N 4NCING STATEMENT <br />ISTRUCTIONS (front and back) CAREFULLY <br />CD ONE OF CONTACT AT FILER [optional] <br />N Ione:(800) 331 -3282 Fax: (818) 662 -4141 <br />4OWLEDGEMENT T0: (Name and Address) 10656 PRIME A <br />+� 'G n sect Services Z Tee � 10668866 <br />�r '�u:LiiGt S <br />—:J. Box 29071 f�C ,6a k'. <br />Glendale, CA 91209 -9071 NENE <br />L FIXTURE <br />4 <br />File with: CC NE Hall, NE <br />1. DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (1a or 1b) - do not abbreviate or combine names <br />1a. ORGANIZATION'S NAME <br />TAN <br />1'17 V! <br />In ._ <br />a� t <br />-TI N <br />rr <br />1� <br />ry <br />C7r) <br />C7 Ua <br />C T' <br />r n <br />U> <br />n <br />cn <br />C!) <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />OR <br />1 b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME <br />SALAZAR Rene <br />1c. MAILING ADDRESS CITY STATE I POSTAL CODE <br />516 E 8TH ST GRAND ISLAND NE 68801 <br />1d. SEE INSTRUCTIONS DD'L INFO RE 1e. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION 1g, <br />ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names <br />2a. ORGANIZATION'S NAME <br />OR <br />2b. INDIVIDUAL'S LAST NAME <br />2c. MAILING ADDRESS <br />2d. SEE INSTRUCTIONS DD'L INFO RE 2e, TYPE OF ORGANIZATION <br />ORGANIZATION <br />DEBTOR <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIG <br />3a. ORGANIZATION'S NAME „ <br />Prime Acceptance Corp. <br />FIRST NAME I MIDDLE NAME <br />CITY I STATE I POSTAL CODE <br />2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID #, if any <br />S /P) - insert only one secured party name (3a or 3b) <br />C <br />N <br />C� <br />CD <br />t <br />f1) <br />ry <br />N rM <br />a <br />SUFFIX <br />COUNTRY <br />NONE <br />SUFFIX <br />COUNTRY <br />NONE <br />OR <br />36. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />3c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />200 W Jackson Blvd. Suite 720 <br />Chicago <br />IL <br />60606 <br />4, This FINANCING STATEMENT covers the following collateral: <br />WATER TREATMENT SYSTEM <br />5. ALTERNATIVE DESIGNATION [if applicable] LESSEE /LESSOR CONSIGNEE /CONSIGNOR BAILEE /BAILOR SELLER/BUYER AG. LIEN NON -UGC FILING <br />g I- is CING STAT is to be filed [for record] (or retarded) in the A 7. Check to RE CH REPORT(S) on a tor(s) All Debtors Debtor 1 ❑ Debtor 2 <br />S. OPTIONAL FILER REFERENCE DATA <br />10668866 626050444 <br />FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 05122102) Prepared by UCC Direct Services, P.O, Glendale, GI ®ndale, CA 91209.9071 Tel (800) 331 -1- 3282 82 <br />