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202009392
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12/1/2020 12:01:27 PM
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12/1/2020 12:01:26 PM
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202009392
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'INANCING STATEMENT <br />INSTRUCTIONS <br />& PHONE OF CONTACT AT FILER (optional) <br />1-800-858-5294 <br />L CONTACT AT FILER (optional) <br />(Filing@cscglobal.com <br />ACKNOWLEDGMENT TO: (Name and Address) <br />I �s 48938 <br />CSC 17.0 • XZG (cci i� V <br />Springfield, IL 62708 - 2q(,Ct /% <br />L <br />Filed In: Nebraska <br />(Hall) I <br />Cr) <br />\ r <br />% <br />CD <br />t <br />c'n <br />--H r-1 <br />r71 <br />D rr <br />r— .L1 <br />r z> <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S NAME: Provide only one Debtor name (la or lb) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtors <br />name will not fit in line lb, leave all of item 1 blank, check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />OR <br />15. ORGANIZATION'S NAME <br />lb. INDIVIDUAL'S SURNAME <br />QUINTANA <br />FIRST PERSONAL NAME <br />AGUEDO <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />1c. MAILING ADDRESS 311 W 5TH <br />CITY <br />GRAND ISLAND <br />STATE <br />NE <br />POSTAL CODE <br />68801 <br />COUNTRY <br />USA <br />2. DEBTOR'S NAME: Provide only one Debtor name (2a or 2b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtor's <br />nam,, will not fit in line 2b, leave all of item 2 blank, check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />OR <br />2a. ORGANIZATION'S NAME <br />2b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />2c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b) <br />OR <br />3a. ORGANIZATION'S NAME Service Experts Heating & Air Conditioning LLC <br />3b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />3c. MAILING ADDRESS 807 Claude Road <br />CITY <br />Grand Island <br />STATE <br />NE <br />POSTAL CODE <br />68803 <br />COUNTRY <br />USA <br />4. OL T RAI-: Thisfinancing statement covers the followingcoil teal: <br />he following described property as set orth In that certain HVAC RENTAL AGREEMENT dated 05/13/2019, by and <br />between Service Experts Heating & Air Conditioning LLC and the Debtor: A ALLIED AIR heating component, Model <br />#A8OUH1D070Al2 (Serial # 1719605939) and a ALLIED AIR air conditioner, Model # 4SCU13LE130P-5 (Serial # <br />1618K26058), whether now owned or hereafter acquired, together with all replacements thereof, all attachments, <br />accessories, parts <br />and tools belonging thereto or for use in connection therewith; and any and all products and proceeds of any of the <br />foregoing (including, but not limited to, any claims to any items referred to in this definition, and any claims of Debtor <br />against third parties for loss of, damage to or destruction of any or all of the collateral or for proceeds payable under, or <br />unearned premiums with respect to, policies of insurance) in whatever form, including, but not limited to, all cash, <br />interest, principal, royalties, license fees, rents, dividends, negotiable instruments and other instruments for the payment <br />of money, chattel paper, security agreements and other documents or other property from time to time received, <br />receivable or otherwise distributed in respect of, or in exchange for, the collateral. Said collateral is located at address: <br />5. Check only if applicable and check only one box: Collateral is held in a Trust (see UCC1Ad, item 17 and Instructions) being administered by a Decedent's Personal Representative <br />6a. Check only if applicable and check only one box: 6b. Check only if applicable and check 41111( one box: <br />Public -Finance Transaction ❑ Manufactured -Home Transaction ❑ A Debtor is a Transmitting Utility ❑ Agricultural Lien ❑ Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): El Lessee/Lessor ❑ Consignee/Consignor Seller/Buyer ❑ Bailee/Bailor ❑ Licensee/Licensor <br />8. OPTIONAL FILER REFERENCE DATA: <br />2023 48938 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />ENTERED AS INSTRUMENT NO <br />
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