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<br />N <br />is <br />is <br />--.,J <br />is <br />en <br />CO <br />CO <br />en <br /> <br /> <br />ANCING STATEMENT <br />TRUCTIONS (front and back) CAREFUllY <br />lONE OF CONTACT AT FilER (optional) <br />Wileman <br /> <br /> jiQ I I n () <br /> m ::t: )> THIS SPACE FOR USE OF FlUNG OFFICER <br /> .'111 <br /> C::;" m c:.r; <br /> !ft.;,,. (") :c <br />() "".. ;,:;, <br />:t: n tJ l <br />m );,.. ~() I :-" <br />n (/) c::.:.> C) &l <br /> ~ <br />~ ::c 1 J ~, ~ o -'-i <br /> ! ::n C)> <br /> U\ ~~' %'"-4 <br /> c:: -1f"T1 <br /> C) C? <br /> -< C> <br /> I ~ 0 .." <br /> "T1 C,..,) .." :z <br /> ~r ::t: f"T1 <br /> ::D :r> c:o <br /> :=3 r ;0 <br /> r l> <br /> ........ Ul <br /> ~ ;0;: <br /> l> <br /> c::::> -..-........ <br /> C') (:.I'll- <br /> (I) <br /> <br />~ <br />i! <br />~ <br />~~ <br /> <br />en <br /> <br />: i <br />CT)-~ <br /> <br />o <br />N <br />o <br />o <br /> <br /> <br />) BY & RETURN TO' (Name and Address) <br /> <br />Orion Financial Group, Inc. <br />.zB60 Exchange Blvd. # 100 <br />South lake, TX 76092 <br />'(888) 316.7466 <br /> <br />/tJ ,50 <br /> <br />1. DEBTOR'S EXACT FULL LEGAL NAME ~ insert only QM debtor name (1a or 1b) - do nol abbreviate or combine names <br /> <br />1a. ORGANIZATION'S NAME <br />1 b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />MARTINEZ EDUARDO <br />1c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />2023 W 14TH ST GRAND ISLAND NE 68803 USA <br />ld. TAX I.D.# SSN OR EIN I:DD'Tl INFO RE lIe. TYPE OF ORGANIZATION 11. JURISDICTION OF ORGANIZATION 19. ORGANIZATIONAL LD.#, if any <br /> ORGANIZATION D NONE <br /> DEBTOR <br /> <br />2 ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME <br /> <br /> - insert onlv one debtor name (2a or 2b) - do not combine or abbreviate names <br /> 2a. ORGANIZATION'S NAME <br /> 2b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> MARTINEZ ERICK <br />2c. MAILING ADDRESS CITY STATE I ~OST AL CODE COUNTRY <br />2023 W 14TH ST GRAND ISLAND NE 68803 USA <br />2d. TAX I.D.# SSN OR EIN I:DD'TL INFO RE 12e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL I.D.#, ifany <br /> ORGANIZATION D NONE <br /> DEBTOR <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR SIP - insert only = secured party name (3a or 3b) <br /> 33. ORGANIZATION'S NAME <br /> NATIONWIDE ACCEPTANCE <br />OR <br /> 3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />3c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />817 Greenview Drive Grand Prairie TX 75050 USA <br /> <br />4. ThiS FINANCING STATEMENT covers the followmg collateral: <br /> <br />111111I1111111I111111111111 11111111I111111111I1111 <br /> <br />MARTINEZ JLR *03127693* <br /> <br />Serial # <br />Affixed to the real property situated at: 2023 W 14TH ST GRAND ISLAND NE 68803 <br />SEE ATTACHED EXHIBIT A <br />WATER TREATMENT SYSTEM <br /> <br />5. ALTERNATIVE DESIGNATiON if a Iicable LESSEE/LESSOR D CONSIGNEE/CONSIGNOR D BAILEE/BAILOR D SELLER/BUYER D AG. LIEN D NON.UCC FILING <br />6 . This FINANCING STATEMENT is to be filed (for record) (or recorded) in the REAL 7. Check to REQUEST SEARCH REPORT(s) on Debtor(s) D D D <br />X ESTATE RECORDS. (ADDITIONAL FEE) (optional) All Debtors Debtor 1 Debtor 2 <br /> <br />8. Al FILER REFERENCE DATA <br /> <br />Account # <br /> <br /> <br />FILING OFFICE COpy - NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 7/29/98) <br />