Laserfiche WebLink
<br /> n m 9 m <br /> CZ~ C A = C C) - <br /> <br /> <br /> N ca <br /> DANCING STATEMENT 2-" to to <br /> 'aTRUCTIONS (front and back) CAREFULLY m nj .1 ~ ' CD <br /> 4 I PHONE OF CONTACT AT FILER [optional] O ~ CI1 -4 <br /> (D - b .3 347.5131 C13 Ci') C <br /> -KNOWLEDGM N O: (Name and Address) F- m m <br /> ST STATE BANK #2445 FIRST 51#-r r '94A)rt' <br /> l C STREET, PO BOX 639 1/ 9 C S-"' <br /> ELTON, NE 68876 p Bo X b34 <br /> SHE~Td~'10 fJ~6&F~7~ <br /> L THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY / r J <br /> <br /> 1. DEBTOR'S EXACT FULL LEGAL NAME - insert only ene debtor name (1a or 1b) - do not abbreviate or combine names <br /> la. ORGANIZATION'S NAME <br /> OR <br /> 1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> HARTMANN KENT <br /> lc, MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br /> 12787 W HUSKER HWY WOOD RIVER NE 68883 USA <br /> Id, TAX ID C SSN OR FIN ADD'L INFO RE to. TYPE OF ORGANIZATION If. JURISDICTION OF ORGANIZATION lg. ORGANIZATIONAL ID , if any <br /> ORGANIZATION <br /> DEBTOR ❑ NONE <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 FIRST NAME MIDDLE NAME SUFFIX <br /> HARTMANN KIRK <br /> 2c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br /> 11678 W OLD POTASH ROAD WOOD RIVER NE 68883 USA <br /> 2d. TAX ID SSN OR EIN ADD'L INFO RE 2a. TYPE OF ORGANIZATION 2f, JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID X, if any <br /> ORGANIZATION <br /> DEBTOR ❑ NONE <br /> 3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S/P) - Insert only one secured party name (3a or 3b) <br /> 3a. ORGANIZATION'S NAME <br /> OR FIRST STATE BANK #2445 <br /> 3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> 3c, MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br /> 119 C STREET, PO BOX 639 SHELTON NE 68876 USA <br /> 4. This FINANCING STATEMENT covers the following collateral: <br /> ZIMMATIC 12 TOWER PIVOT SNL55726 <br /> 1999 T&L 10 TOWER PIVOT SN 7817 <br /> <br /> <br /> <br /> <br /> 5. ALTERNATIVE DESIGNATION (if applicable)' ❑ LESSEE/LESSOR ❑ CONSIGNEE/CONSIGNOR ❑ BAILEE/BAILOR ❑ SELLER/BUYER ❑ AG. LIEN ❑ NON-UCC FILING <br /> Th'a FIINNA <br /> RNCING STATEMENT la to be filed [for record] (or recorded) in the SEA} . ChDeck to REQU <br /> CORDS. ESEE o J SEARCH REPORTS) gn D btorlsl ❑ All Debtors ❑ Debtor 1 11 Debtor 2 <br /> ES~g7E <br /> ® Attach Addendum I a scab al ADITIONALL F tonal <br /> . OPTIONAL FILER REFERENCE DATA <br /> bankers Systems, Inc., St. Cloud, MN Form UCC-I-LAZ 5130/2001 <br /> FILING OFFICE COPY NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29198) <br />