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UCC FINANCING STATEMENT AMENDMENT
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
A, NAME & PHONE OF CONTACT AT FilER [optional]
Phone (800) 331-3282
Fax (818) 662-4141
RECEIVED 11/30/2007 at 3:06 PM
RECEIVING # 935273
BOOK: 680 PAGE: 99
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
B, SEND ACKNOWLEDGEMENT TO: (Name and Mailing Address) 10011 BANK OF AMERIC
I
I
UCC Direct Services
P.O. Box 29071
Glendale, CA 91209-9071
12802102
WYOM
FIXTURE
000099
L
~
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
1a. INITIAL FINANCING STATEMENT FILE # lIb, This FINANCING STATEMENT AMENDMENT is
895941 Bk 544 Pg 003 12/15/03 CC WY Lincoln 1)(110 be filed [for record] (or recorded) in the
~ REAL ESTATE RECORDS.
2. Ix1 TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to security Interesl(s) of the Secured Party aulhò~zlng this Termination Slatemen!.
3. D CONTINUATION: 'Effectiveness of the Financing Slatemenl identified above with respect to the security inlerest(s) of the Secured Party authorizing this Continuation Statemenl is
continued for the additional period provided by applicable law,
4. ASSIGNMENT (full or partial): Give name of assignee in item 7a or 7b and address of assignee in 7c; and also give name of assignor in item 9,
5. AMENDMENT (PARTY INFORMATION): This Amendment affects 0 Debtor 2!: 0 Secured Party of record, Check only Qilli of these two boxes.
Also check one of the following three boxes a.mL provide appropriate information in items 6 and/or 7,
O CHANGE name and/or address: Give current record name in item 6a or 6b: also give new 0 DELETE name: Give record name 0 ADD name: Complete Item 7a or 7b. and also
name (if name change) in item 7a or 7b andlor new address (if address change) In item 7c, to be deleted in item 6a or 6b, item 7c: also complete items 7d-7g (if appticable)
6. CURRENT RECORD INFORMATION:
6a. ORGANIZATION'S NAME
Mid Plains Pizza, Inc
OR 6b, INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
7. CHANGED (NEW) OR ADDED INFORMATION:
7a, ORGANIZATION'S NAME
OR
7b, INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX
7c, MAILING ADDRESS CITY STATE POSTAl CODE COUNTRY
7d, SEE INSTRUCTION I ADD'l INFO RE I 7e, TYPE OF ORGANIZATION 7f. JURISDICTION OF ORGANIZATION 7g, ORGANIZATIONAL 10 #, if any
ORGANIZATION o NONE
DEBTOR
8. AMENDMENT (COLLATERAL CHANGE): check only o~ box.
Describe cOllateralD deleted or D added, or give entlreD restated collateral description, or describe cOllateralD assigned.
A
"\
9, NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT'(name of assignor, if this is an Assignment), If Ihis Is an Amendment authorized by a Debtor which
adds collateral or adds the a,uthorizing Debtor, or if this is a Termination authorized by a Debtor, check here D and enter name of DEBTOR authorizing this Amendment,
9a, ORGANIZATION'S NAME
Bank of America, N.A.
OR
9b, INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
10, OPTIONAL FILER REFERENCE DATA
12802102 Debtor Name: Mid Plains Pizza, Inc 43-0020019054/349 3180013053 CB WEST
FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) (REV, OS/22/02)
Preoared bV UCC Direct Services, P,O, Box 29071
Glendale. CA 91209-9071 Tel (600) 331-3262
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UCC FINANCING STATEMENT AMENDMENT ADDENDUM
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
11. INITIAL FINANCING STATEMENT FILE # (same as item 1a on Amendment form)
895941 Bk 544 Pg 003 12/15/03 CC WY Lincoln
12. NAME of PARTY AUTHORIZING THIS AMENDMENT (same as Item 9 on Amendment form)
12a, ORGANIZATION'S NAME
Bank of America, NA
OR
12b, INDIVIDUAL'S LAST NAME
MIDDLE NAME,SUFFIX
13. Use this space for additional information
000'100
,.
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
- IDescription: All that parcel or parcels of real property locted in Lincoln County, Wyominq, and more particularly described as follows:
That part of Lot 1 of Block 18 of the Oriqinal Townsite of Afton. within the NE1/4SE1/4 of Section 25, T32N, R119W, beinq part of that
tract of record in the Office of the Clerk of Lincoln County in Book 188 of Photostatic Records on Paqe 249, described as follows:
Beqinninq at a point on the East line of Lot 1 said Block 18, S14 47.1 'W, 222.45 feet from an 1.L.C, RLS274 mueller water cap with
brass hexaqon bolt at the approximate intersection of the center-lines of Third Avenue and Washinqton Street; thence S01 07.0'W,
165.00 feet alonq the East line of said Lot 1 to the Southeast point of said Lot 1: thence N 88 08.1 'W, 80.00 feet alonq the South line
of said Lot 1 identical with the North line of the tract of record in said Office in Book 67 of Photostatic Records on Paqe 485 to a point;
thence N01 07.0'E, 165.00 feet parallel to said East line to a point on the North line of daid tract of record in Book 188 identical with
the South line of said tract of record in Book 213 of Photostatic Records on Page 352; thence S88 08.1'E, 80.00 feet along said
identical line to the point of beginning.
Page No: 003 Book No: 544
FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT AMENDMENT ADDENDUM (FORM UCC3Ad) (REV, OS/22/02)
Prepared by I,JCG-Direct Service., Ine, P,O, eox 29071
Glendale, CA 91209·9071 rei (800) 331·3282
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