200803331 - Laserfiche WebLink

Browse

~., <. < .. UCC FINANCING STATEMENT ADDENDUM FOllOW INSTRUCTIONS (front and back) CAREFUllY 9. NAME OF FIRST DEBTOR (1. or 1b) ON RELATED FINANCING STATEMENT 9a. ORGANIZATION'S NAME OR 9b. INDIVIDUAL'S LAST NAME IFIRST NAME jMIDDLE NAME,SUFFIX RAIN FORTH TROY MAURICE 10, MISCEllANEOUS: THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 200803331 11. ADDITIONAL DEBTOR'S EXACT FUll lEGAL NAME - insert only 2llll.name (11a or 11b) - do not abbreviate or combine names 11a. ORGANIZATION'S NAME OR 11b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 11c. MAILING ADDRESS CITY STATE 1POSTALCODE COUNTRY 11 d. SEE INSTRUCTIONS IfDD'L INFO RE 111e. TYPE OF ORGANIZATION 111. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID#, i!any ORGANIZATION I nNONE DEBTOR I I 12, I ADDITIONAL SECURED PARTY'S Q[ rl ASSIGNOR SIP'S NAME - insert only 2llll. name (12a or 12b) 12a. ORGANIZATION'S NAME OR 12b. INDiVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 12c. MAiliNG ADDRESS CITY STATE 1POSTAL CODE COUNTRY 13. This FINANCING STATEMENT covers 0 timber to be cut or 0 as-extracted 16. Additional collateral description: collateral. or is filed as a 121 fixture filing. 14, Description of real estate: SEE ATTACHED LEGAL DESCRIPTION 15, Name and address of a RECORD OWNER of above-described real estate (if Debtor does not have a record interest): 17, Check m if applicable and check m one box. Debtor is a n Trust or n Trustee acting with respect to property held in trust or n Decedenh Estate 18. Check m if applicable and check m one box. o Debtor is a TRANSMITTING UTiliTY I R Filed in connection with a Manufactured-Home Transaction ~ effective 30 yea.. Filed in connection with a Public~Finance Transaction - effective 30 years FILING OFFICE COPY - UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. OS/22/02)