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UCC FINANCING STATEMENT AMENDMENT
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
A. NAME & PHONE OF CONTACT AT FILER [optional]
Diligenz, Inc. 1-800-858-5294
B. SEND ACKNOWLEDGMENT TO: (Name and Address)
f29367250
Prepared By:
Diligenz, Inc.
6500 Harbour Heights Pkwy, Suite 400
Mukilteo, WA 98275
I
RECEIVED 10/15/2007 at 3:31 PM
RECEIVING # 934059
BOOK: 615 PAGE: 569
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
L
Filed In: Wyoming
Lincol~
000569
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
1 a. INITIAL FINANCING STATEMENT FILE #,.. r b. This FINANCING STATEMENT AMENDMENT is
BK-647 PG-805 2/2/2007 : r.I to be filed [for record] (or recorded) in the
,VI REAL ESTATE RECORDS,
2. ~ TERMINATION: Effectiveness of the Financing statement Identified above Is terminated with respect to security interest(s) of the Secured Party authorizing this Termination statement
3. U CONTINUATION: Effectiveness of the Financing statement identifiad above with respect to security interest(s) of the Secured Party authorizing this Continuation Statement Is
continued for the add~ional period provided by applicable law.
4. ASSIGNMENT (full or partial): Give name of assignee in ~em 7a or 7b and address of assignee in ~em 7c: and also give name of assignor in Item 9.
5. AMENDMENT (PARTY INFORMATION): This Amendment affects Debtor.Q[ Secured Party of record. Check only Q!1i of these two boxes,
Also check ~ of the following three boxes¡¡¡¡ provide appropriate Information In Items 6 andlor 7.
CHANGEnameand/oraddress: Pleese refertothe detailed instructions DELETE name: Give record name ADD name: Completeitem7aor7b,andalsoitem7c;
inre arclstochan in thename/addressofa a to be deleted in item 6a or6b, also com letellems7e.7 If a licable,
6. CURRENT RECORD INFORMATION:
6a. ORGANIZATION'S NAME
OR 6b. INDIVIDUAL'S LAST NAME
Willis
FIRST NAME
Roland
MIDDLE NAME
SUFFIX
c
7. CHANGED (NEW) OR ADDED INFORMATION:
7a, ORGANIZATION'S NAME
OR 7b. INDIVIDUAL'S LAST NAME SUFFIX
FIRST NAME MIDDLE NAME
7c, MAILING ADDRESS CITY STATE rOSTAL CODE COUNTRY
7d, SEE INSTRUCTIONS I ;DD'L INFO RE 17e, TYPE OF ORGANIZATION 7f, JURISDICTION OF ORGANIZATION 7g. ORGANIZATIONAL ID #, If any
ORGANIZATION o NONE
DEBTOR I
8. AMENDMENT (COLLATERAL CHANGE): chack only Q!1i box.
Describe collateral q deleted or 0 added, or give entire 0 restated collateral description, or describe collateral 0 assigned.
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT (name of assignor, if this is an Assignment). If this is an Amendmantauthorizad by a Dabtorwhich
adds collataral or adds the authorizing Debtor, or if this Is a Termination authorized by a Debtor. check here and enter name of DEBTOR authorizing this Amendment
9a. ORGANIZATION'S NAME
Farm Credit Leasing Services Corporation
OR 9b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
10.0PTIONAL FILER REFERENCE DATA
0004855
29367250
FILING OFFICE COPY - UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) (REV. OS/22/02)