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HomeMy WebLinkAbout939407 1J;~~',FI,~ÄN~I~ß:'$TATEMaN,r 'FOLLOWINSTRUCnQNS (fror1tiU'ldl)à~) CAR,EFULLY A., t'lAWE&~NE;O/"CºNrACTATFILEl;t[øptìQnág 800-648-8026 Ø.,SENPAêkNþV)íLEQ,~~NT' TQ. ~¡un~andAl;!drQs,sI- G;VERSIFIED FINANCIAL SERVICES, LLC 14010 FIRST NATIONAL BANK PKWY STE 400 OMAHA, NE 68154 --.. RECEIVED 5/30/2008 at 2:53 PM RECEIVING # 939407 BOOK: 695 PAGE: 859 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY 000859 L ..J THE'AØOYE$liAtE I$F()R:FILIN«;,ØFFIOE~SEÖNLY' 1. DE6TQR'S:EXACTI''lJLLLEMI, NAME.II\S8~1'>"IVmJ!t ebtdrnéme(1á.CiI,1bJ -do natá.bbr......teorcor'i\blnen..m... 1.., ORGANIZATION'S NAME: öFt: 1 ~JNDIVIDlIAL'SLAST NAME GARDNER FIRST NAME RÖLLlN MUDDLE NAME $i=FI>,\: 1~,MA,q/:lG,ADDI;!~ P.O. BOX 608 CITY AFTON tq4'/T\iY 1d,SEEINstRUC110NS 1 tJlIRISblCTlONOFORGANllATION 1JONAlIDIiI;lfilhy N9f: E ....... ,',. ., ' ...-,. - .. ~RRGAtIIIZAJ10~!~N~E; þft 2b;-'~MP.lIAL:S ~SrNAME FIRST NAME MIDDLE NIIME ,SUFFIX 2c. Ml\IUNG.ADDRESS CITY STATE rÖSTAL (JODE ÓO~TRV 2d:, SE!"INSTRUC:TICJNS ItD'li'lFORE .128. TY»EPF:ORGÂNIlATIQN 2'., JUR1SQIÇT QN QFORQAMlATION 2g, ORGANI¥\Tl9f' A.lIDJlI,lfany oRGANiZATION, ' '" . I I n NONE DEBTOR 3\ 'SEGU RED PARTY'S NAME(Oi' NAMEòfTOTALAS$IGNEÊorASSlG NOR SIp) .In&ertonIYQlJØ.å''''uredpilrtyná.me (31\ 01'31), 31L':ORGANIZATION'S'NAME DIVERSIFIED FINANCIAL SERVICES, LLC .oR 3IUI:!D1VIDI,IA1:.'ßl!iST ~E I'IRSTNAME MIDDLE !'lAME SYI'¡;:Q{, 3<;; MAUJNG!\DORESS, CITY ,!1TA:æ I~STAl C::~54 COWJ"R'i' 14010 FIRST NATIONAL BANK PKWY STE 400 OMAHA NE 4, Thlš'FINANCING:s:(I\TEMElI,ITtQiIIoili.l!1& ,fOIIOIiÎi~g'coll.lDrB/: 1 NEW 2008 MODEL 7000 VALLEY PIVOT 1289' 7-TOWER RONK ROTOPHASE, 1050' #2 QUAD WIRE, DRAGON FILTER, MISC. VALVES & FITIINGS Débtor2' 6';,OP.tIONAL FlLEffREFERENCE,DATA 0160623-001 FILING,OfF1Cg,Çppy-UCC FINANQINGSTATEMENT (FORMUQC1) mEV, 05/22/1>2) UCC FINAN,CING STATEMENT ADDEND,UM FOLLOW INSTRUCTIONS (fr'ôntänd backtCAREFULLY I ~. NANleÖI" FIR$.T Di;BTOR(laor 1b)'C>N RELAtED FINANCiNG STÞ~TE~NT 9a.ORGANIlATION~S NAME, .oR !i~.INtiI'iIDUAl:SL}.\s:r NAME FIRSTNAME I MIDDlE'NAME;SUFFiX GARDNER ROLLIN I 10. Mr~QELlANEOUs: 000B60 THE ABOVE SPAdE IS FORFILIIIIGOFFICI!: VSEONLY 11. ADDITIONAL DEBTOR'S EXAOT FULL LEGAL NANE· ins"ìtolily.!ZM name (11a 0' 11b) - do nohbbteviabl or combine names 11 a. ORGANIZATlOl'¡:S,NAME .oR 11b, INDIVIDU/Il'SLAST NAME: FIRST NAME MIDOlE NAME SUFf'l)\ 11... MAlUNO ADDRESS CITY STAtE rOSTAlCODE COltlJRY ! 11d; SEEINSTFlUèTlONS ItD'UNFORE 1118. TYPEOFORGANIZATlON 11 f.JURISÖICTION OF ORGANIZATION 11g.0RGANIlATIONALlD //, Ihiiy ORGANIZATION I ' I I nt-K>NE ,DEBTOR 12. lADDITIONAL SECURED pARTY'S Q[ I IASSI~moftSIP'S /IIA~E -lnS,~,óIÍIYJ:!lJ§n,ama,(12a,or12b) 12a.ORGANllATlOI'fS NAME ! O~ 1 í1b.INDIVlDUAlJs LAST NAME FIRST NAME MIDOlË NAME SUFFiX 120, IMIUNGADÐRESS CITY STATE, I PöSTAl CODE CO~TRY 13. lÌ1i. FfNMìCING¡stATEMENTCOYe~..u, jmlii'to bicut ~U As-8Xl!ac!od 16. Additional coJa\8l:al descriþtbn: ,oollaloral;'o, Jsllled 85a 18] filrtlilli filing. i 14. PaS~ri~ jon oJ "'aI~;jta: , 144.81 AC. PT SW1/2 SEC 1,TWP31N. RGE 119W,UNCOLN COUNTY, WY 15. Namo and liddre... of", RECORD OWNER of abM'd..cribod real; ,estate (if:OeÞb:>r doøo;nót.haYO ~'e,c( n:llntøres~: ROLLIN GARDNER TAMI GARDNER 17; CheÇk~lf appliCable and, chO!êk !1t1IJlónebóJC. Dëbto,rsanTrU.f or n Tl\Js!ëea~Ungv.jlh 'especffo property hald In(ius! ,or n becadent's E.iate 18. CI,""*_,lfepJ¡licable ,¡I/)d,chøckmJl¥óne, box: ~ Dèbtoi1& a TRANSMIfTlNO ,UT1UTY ¡. Flied In connecion wiih,a,Menúfactured-Hóme'T,ansaction'-.èlfec:liYé,30ye"". FUed In ,conneotionwiiha'PiJt!lic.flnanœ T'ansactlon-~,30,y...,. FILINGOFFlþECºPY-I.ICC FINANCING STATEMË~T ADD,ENDUM (FO~MI.ICC1AçI)(~EV.05/~2(02)