HomeMy WebLinkAbout945006
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 2/2/2009 at 2:52 PM
RECEIVING # 945006
BOOK: 714 PAGE: 380
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
17385784
WYOM
FIXTURE
(;:Oû380
-.J
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
f[b. This FINANCING STATEMENT AMENDMENT is
f)(l to be filed [for record] (or recorded) in the
~ REAL ESTATE RECORDS.
L
1a.INITIAL FINANCING STATEMENT FILE #
901403 BK563 PG145 07/27/04 CC WY Lincoln
2. r l 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. [29 CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of the Secured Party authorizing this Continuation Statement is
continued for the additional period provided by applicable law.
4. 0 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 Q[ 0 Secured Party of record. Check only one of these two boxes.
Also check one of the following three boxes IillQ.. provide appropriate information in items 6 andlor 7.
O CHANGE name andlor 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 lIem 7c. to be deleted in item 6a or 6b. item 7c; also complele items 7d-7g (if applicable)
6. CURRENT RECORD INFORMATION:
6a. ORGANIZATION'S NAME
OR 6b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
Gray
7. CHANGED (NEW) OR ADDED INFORMATION:
Ronald
S.
7a. ORGANIZATION'S NAME
OR
7b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX
7c. MAILING ADDRESS CITY STATE TpOSTAL CODE COUNTRY
7d. SEE INSTRUCTION I ADD'L INFO RE I 7e. TYPE OF ORGANIZATION 7f. JURISDICTION OF ORGANtZATION 7g. ORGANIZATIONAL ID #, if any
ORGANIZATION o NONE
DEBTOR
8. AMENDMENT (COLLATERAL CHANGE): check only 0..lliL box.
Describe cOllateralO deleted or 0 added, or give entire[] restated collateral description, or describe cOllaleralO assigned.
{,
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9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT (name of assignor, if Ihis Is an Assignment). If Ihis 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 aulhorizing Ihis Amendment.
9a. ORGANIZATION'S NAME
Community First National Bank
OR
9b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
10. OPTIONAL FILER REFERENCE DATA
17385784 Debtor Name: Gray, Ronald S. Fossil Butte Motellnc 00815
PrAMrAI'1 hv CT Lien Solutions. P.O. Box 29071
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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)
901403 BK563 PG145 07/27/04 CC WY Lincoln
12. NAME of PARTY AUTHORIZING THIS AMENDMENT (same as Item 9 on Amendment form)
12a. ORGANIZATION'S NAME
Community Firs1 National Bank
'/\.' OR
I 12b. INDIVIDUAL'S LAST NAME
MIDDLE NAME,SUFFIX
~
60&38:1
13. Use this space for additional information
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
Description: The Qoods are or are to become fixtures on: Lots 8. 9, 10 and 11 of Block 8 of Fairview Addition to the Town of
Kemmerer, Lincoln County, Wyoming as described on the official plat thereof
FILING OFFICE CI
Prepared b~
Glendale, C
ions. P.O. Box 29071
I rei (800) 331-32B2
aNAL UCC FINANCING STATEMENT AMENDMEN'
JUM (FORM UCC3Ad) (REV OS/22/02)
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