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UCC FINANCING STATEMENT
FOLLOW INSTRUCTIONS ((ront and back) CAREFULLY
A. NAME & PHONE OF ÇONTACT AT FILER [optional]
B, SEND ACKNOWLEDGMENT TO: (Name and Address)
I Community Banks of Colorado
330 South 12th Street, Suite B
Montrose, CO 81401
I
RECEIVED 9/18/2007 at 10:53 AM
RECEIVING # 933225
BOOK: 672 PAGE: 606
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
000606
L
~
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (1a or 1b) - do not abbreviate or combine names
1a, ORGANIZATION'S NAME
Double L Ranch #4 LLC
OR 1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX
1c, MAILING ADDRESS CITY STATE rOST AL CODE COUNTRY
PO Box 132 Freedom WY 83120 USA
1d, SEE INSTRUCTIONS I:DD'L INFO RE 11e, TYPE OF ORGANIZATION 1!, JURISDICTION OF ORGANIZATION 19, ORGANIZATIONAL 10 #, if any
ORGANIZATION LLC I WY I 2003-000459410 n NONE
DEBTOR I
2, ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME· insert only one debtor name (2a or 2b) - do not abbreviate or combine names
2a. ORGANIZATION'S NAME
OR 2b, INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX
2c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY
2d, SEE INSTRUCTIONS I fDD'L INFO RE 12e, TYPE OF ORGANIZATION 2f, JURISDICTION OF ORGANIZATION 2g, ORGANIZATIONAL 10 #, if any
ORGANIZATION n NONE
DEBTOR I I I
3, SECURED PARTY'S NAME (or NAME ofTOTAL ASSIGNEE of ASSIGNOR SIP) - insert only one secured party name (3a or 3b)
3a, ORGANIZATION'S NAME
Community Banks of Colorado
OR 3b. INDIVIDJAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX
3c, MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY
330 South 12th Street, Suite B Montrose CO 81401 USA
4. This FINANCING STATEMENT covers the following collateral:
All Inventory, Machinery, Equipment, Goods, Building or Other Materials, Apparatus, General Intangibles and Fixtures; whether any of the
foregoing is owned now or acquired later; all accessions, additions. replacements, and substitutions relating to any of the foregoing; all
records of any kind relating to any of the foregoing; all proceeds relating to any of the foregoing (including insurance, general intangibles and
accounts proceeds), Located Upon or Under the Real Property Described as LOT TWENTY-TWO (22) OF DOUBLE L RANCH EAST
SUBDIVISION, LINCOLN COUNTY, WYOMING, AS SHOWN ON THE OFFICIAL PLAT THEREOF RECORDED MARCH 7. 2007 AT DOCUMENT
NUMBER 927425, IN THE OFFICE OF THE CLERK, LINCOLN COUNTY, WYOMING; Commonly known as LOT 22 OF DOUBLE L RANCH EAST
SUBDIVISION. LINCOLN COUNTY, WYand Used or Useable in Connection with the Construction, Development and Operation Thereof.
Debtor 2
FILING OFFICE COPY - UCC FINANCING STATEMENT (FORM UCC1) (REV, OS/22/02)
Harland Financial Solutions
400 S.W. 6th Avenue, Portland, Oregon 97204
UCC FINANCING STATEMENT ADDENDUM
FOLLOW INSTRUCTIONS (Iront and back) CAREFULLY
9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT
9a, ORGANIZATION'S NAME
Double L Ranch #4 LLC
OR I FIRST NAME riDDLE NAME, SUFFI>
9b, INDIVIDUAL'S LAST NAME
10. MISCELLANEOUS:
000607
THE ABOVE SPACE IS FOR FILING OFFICE USE ONL Y
11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME· insert only one name (11a or 11b). do not abbreviate or combine names
-
11a, ORGANIZATlON'S NAME
OR 11 b, INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX
11c, MAILING ADDRESS CITY STATE rOST AL CODE COUNTRY
11d, SEE INSTRUCTIONS I ADD'L INFO RE 111 e, TYPE OF ORGANIZATION 111. JURISDICTION OF ORGANIZATION 119, ORGANIZATIONAL ID #, if any
ORGANIZATION I n NONE
DEBTOR I I
12, lADDITIONAL SECURED PARTY'S or r 1 ASSIGNOR SIP'S NAME - insert only one name (12a or 12b)
12a, ORGANIZATION'S NAME
OR 12b, INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX
12c, MAILING ADDRESS CITY STATE rOSTAL CODE COUNTRY
13. This FINANCING STATEMENT covelS. o timber to be cut or Das.extracted 16. Additional collateral description:
collateral, or is filed as a ~ fixture filing,
14, Description of real estate:
LOT TWENTY-TWO (22) OF DOUBLE L RANCH EAST
SUBDIVISION. LINCOLN COUNTY. WYOMING. AS SHOWN
ON THE OFFICIAL PLAT THEREOF RECORDED MARCH 7.
2007 AT DOCUMENT NUMBER 927425. IN THE OFFICE OF
THE CLERK, LINCOLN COUNTY. WYOMING
15. Name and address of a RECORD OWNER 01 above-described real estate
(if Debtor does not have a record interest):
17. Check 2!1!ï if applicable and check 2!1!ï one box,
Debtor is a n Trust or n Trustee actin9 with respect to property held In trust or n Decedenrs Estate
~. Check 2!1!ï if applicable and check 2!1!ï one box.
. Debtor is a TRANSMITTING UTILITY
I- Filed in connection with a Manufactured-Home Transaction. effective 30 years
Filed in connection with a Public-Finance Transaction - effective for 30 years
FILING OFFICE COPY - UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05(22/02)
Harland Financial Solutions
400 S.W. 6th Avenue, Portland, Oregon 97204