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HomeMy WebLinkAbout956998OR 3a. ORGANIZATION'S NAME Wells Fargo Bank, N.A. 3b. INDIVIDUALS LAST NAME FIRST NAME MIDDLE NAME SUFFIX 3c. MAILING ADDRESS PO Box 8203 CITY Boise STATE ID POSTAL CODE 83707 -2203 COUNTRY USA UCC FINANCING STATEMENT FOLLOW INSTRUCTIONS (front and back) CAREFULLY OR A. NAME PHONE OF CONTACT AT FILER [optional] Phone:(800) 331 -3282 Fax: (818) 662 -4141 OR 411 2c. B. SEND ACKNOWLEDGEMENT TO: (Name and Address) 2d. S P CT Lien Solutions P.O. Box 29071 Glendale, CA 91209 -9071 L File with: CC WY Lincoln, WY 1. DEBTOR'S EXACT FULL LEGAL NAME insert only one debtor name (1 a or 1 b) do not abbreviate or combine names la. ORGANIZATION'S NAME THE GREAT NORTHERN COFFEE COMPANY 1 b. INDIVIDUALS LAST NAME 5 SOUTH PUB PLACE ADD'L INFO RE ORGANIZATION DEBTOR le. TYPE OF ORGANIZATION CORPORATION FIRST NAME CITY JACKSON 1f. JURISDICTION OF ORGANIZATION WY MIDDLE NAME STATE WY POSTAL CODE 83001 lg. ORGANIZATIONAL ID if any 1991 000267421 lc. MAILING ADDRESS 1d. SEE INSTRUCTIONS 2. ADDITIONAL DEBTORS EXACT FULL LEGAL NAME insert only one debtor name (2a or 2b) do not abbreviate or combine names 2a. ORGANIZATION'S NAME 2b. INDIVIDUAL'S LAST NAME MAILING ADDRESS EE INSTRUCTIONS ADD'L INFO RE ORGANIZATION DEBTOR 2e. TYPE OF ORGANIZATION FIRST NAME CITY 2f. JURISDICTION OF ORGANIZATION MIDDLE NAME STATE POSTAL CODE 2g. ORGANIZATIONAL ID if any 3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S /P) insert only one secured party name (3a or 3b) 4. This FINANCING STATEMENT covers the following collateral: All Fixtures; whether any of the foregoing is owned now or acquired later; all accessions, additions, replacements, and substitutions relating to any of the foregoing; all records of any kind relating to any of the foregoing; all proceeds relating to any of the foregoing (including insurance, general intangibles and accounts proceeds) 5. ALTERNATIVE DESIGNATION [if applicable] LESSEE/LESSOR 8417 WFB -BBG- BOISE -M 26301025 WYOM FIXTURE CONSIGNEE/CONSIGNOR 6. [xi This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL 17. Check to REQUEST SEARCH REPORT(S) on Debtor(s) L J ESTATE RECORDS. Attach Addendum fif aoolicablel [ADDITIONAL FEF1 footionall 8. OPTIONAL FILER REFERENCE DATA 26301025 3642003019 34 FILING OFFICE COPY NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 05/22/02) RECEIVED 12/2/2010 at 4:10 PM RECEIVING 956998 BOOK: 758 PAGE: 223 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY 00 223 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY BAILEE/BAILOR ❑SELLER/BUYER AG. LIEN C All Debtors C Debtor 1 SUFFIX COUNTRY USA SUFFIX COUNTRY NON -UCC FILING NONE NONE Debtor 2 Prepared by CT Lien Solutions, P.O. Box 29071, Glendale, CA 91209 -9071 Tel (800) 331 -3282 JR 12a. ORGANIZATION'S NAME 12b. INDIVIDUALS LAST NAME FIRST NAME MIDDLE NAME SUFFIX 12c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 13. This FINANCING STATEMENT covers timber to be cut or as- extracted collateral or is filed as a fixture filing. 14, Description of real estate: Description: Real Property: 108740 N US Hwy 89, Etna, WY 83118 Lot 1, DEC SUBDIVISION as shown on the plat thereof that was recorded in the land records of Lincoln County, Wyoming on April 14, 2004, as Instrument No. 898490 and Plat No. 315 -A Together with a nonexclusive 60 -foot wide right of way easement for inqress and egress from and to U.S. Highway 89 as shown on said Plat. Parcel #3519- 023 -00 -345 15. Name and address of a RECORD OWNER of above described real estate (if Debtor does not have a record interest): 16. Additional collateral description: 17. Check only if applicable and check only one box. Debtor is a Trust or Trustee acting with respect to property held in trust or Decedent's Estate 18. Check only if applicable and check only one box. Debtor is a TRANSMITTING UTILITY Filed in connection with a Manufactured -Home Transaction effective 30 years Filed in connection with a Public- Finance Transaction effective 30 years Prepared by CT Lien Solutions. P.O. Box 29071 AME OF FIRST DEBTOR (la or 1b) ON RELATED FINANCING STATEMENT 9a. ORGANIZATIONS NAME 9b. INDIVIDUALS LAST NAME 17 WFB -BBG- BOISE -M e with: CC WY Lincoln, WY FIRST NAME MIDDLE NAME,SUFFIX 3642003019 -34 FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS (front and back) CAREFULLY 9. OR 10. MISCELLANEOUS 26301025 -WY -23 0 84 Fil 11. ADDITIONAL DEBTORS EXACT FULL LEGAL NAME insert only one name (11a or 11b) do not abbreviate or combine names 11a. ORGANIZATIONS NAME 11b. INDIVIDUAL'S LAST NAME MAILING ADDRESS SEE INSTRUCTION ADD'L INFO RE ORGANIZATION DEBTOR 11e. TYPE OF ORGANIZATION FIRST NAME CITY 11f. JURISDICTION OF ORGANIZATION MIDDLE NAME STATE POSTAL CODE 11g. ORGANIZATIONAL ID if any OR 11c. 11d. S or LJ ASS S P's NAME insert only one name (12a or 12b FILING OFFICE COPY NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02) 000224 THE ABOVE SPACE IS FOR FILING OFFICE USE. ONLY SUFFIX COUNTRY C NONE Glendale, CA 91209 -9071 Tel (800) 331 -3282