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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 1/23/2009 at 3:16 PM
RECEIVING # 944855
BOOK: 713 PAGE: 582
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
B. SEND ACKNOWLEDGEMENT TO: (Name and Mailing Address) 11466 BANK OF THE WE
I
I
CT Lien Solutions
P.O. Box 29071
Glendale, CA 91209-9071
17291795
WYOM
000582
L
-.J
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
b. This FINANCING STATEMENT AMENDMENT is
D to be flied [for record] (or recorded) in the
REAL ESTATE RECORDS.
1a.INITIAL FINANCING STATEMENT FILE #
943277 BK 708, PG 59 10/29/08
CC WY Lincoln
2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated wllh respect to security interest(s) of the Secured Party authorizing this Termination Slatement.
3. 0 CONTINUATION; Effectiveness of the Financing Statement identified above with respect to the security interest(s) of the Secured Party aUlhorizing this Continuation Statement is
continued for the addilional 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 g.
5. AMENDMENT (PARTY INFORMATION): This Amendment affects 0 Deblor ill 0 Secured Party of record. Check only one of these two boxes.
Also check one of the following three boxes 1!ill!.. provide appropriate information in items 6 andlor 7.
D CHANGE name andlor address: Give current record name in lIem 6a or 6b; also give new D DELETE name: Give record name DADO 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 applicable)
6. CURRENT RECORD INFORMATION:
6a. ORGANIZATION'S NAME
OR 6b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
DENT
SHELL Y
D
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 ADD'L INFO RE 7e. TYPE OF ORGANIZATION 7f. JURISDICTION OF ORGANIZATION 7g. ORGANIZATIONAL ID #, If any
ORGANIZATION
DEBTOR
8. AMENDMENT (COLLATERAL CHANGE); check only 01!!L box.
Describe cOllateralD deleted or D added, or give entlreD restated collateral description, or describe cOllateralD assigned.
D NONE
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT (name of assignor, if this is an Assignment). If this is an Amendment authorized by a Debtor which
adds collateral or adds the authorizing Debtor, or if this is a Termination authorized by a Debtor. check here 0 and enter name of DEBTOR authorizing this Amendment.
9a. ORGANIZATION'S NAME
BAN~ OF THE WEST
OR
9b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
10. OPTIONAL FILER REFERENCE DATA
17291795 Debtor Name: DENT, SHELLY D DENT, SHELLY D 21198
FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) (REV. 05/22/02)
Prepared bv CT Lien Solutions. P.O. Box 29071
Glendale, CA 91209-9071 Tel (800) 331-3282
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