HomeMy WebLinkAbout966482DR
1 a. ORGANIZATIONS NAME
JAMES LIVINGSTON D.D.S., P.C.
1b. INDIVIDUALS LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
lc. MAILING ADDRESS
800 S WASHINGTON PO BOX 1709
CITY
AFTON
STATE
WY
POSTAL CODE
83110
COUNTRY
USA
1d. SEE INSTRUCTIONS
ADD'L INFO RE
DEBTOR
le. TYPE OF ORGANIZATION
CORPORATION
1f. JURISDICTION OF ORGANIZATION
WY
1g. ORGANIZATIONAL ID if any
1991 000267745 [NONE
NONE
DR
2a. ORGANIZATION'S NAME
2b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
2c. MAILING ADDRESS
CITY
STATE
POSTAL CODE
COUNTRY
2d. SEE INSTRUCTIONS
ADD'L INFO RE
ORGANIZATION
DEBTOR
2e. TYPE OF ORGANIZATION
2f. JURISDICTION OF ORGANIZATION
2g. ORGANIZATIONAL ID if any
NONE
OR
3a. ORGANIZATIONS NAME
U.S. Bank Equipment Finance, a division of U.S. Bank National Association
3b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
3c. MAILING ADDRESS
1310 Madrid Street
CITY
Marshall
STATE
MN
POSTAL CODE
56258
COUNTRY
USA
UCC FINANCING STATEMENT
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
A. NAME 8 PHONE OF CONTACT AT FILER [optional]
Phone:(800) 331 -3282 Fax: (818) 662 -4141
B. SEND ACKNOWLEDGEMENT TO: (Name and Address)
r
CT Lien Solutions
P.O. Box 29071
Glendale, CA 91209 -9071
L
File with: CC WY Lincoln, WY
15602 US BANK BUSINE
34527054
WYOM
FIXTURE
1. DEBTOR'S EXACT FULL LEGAL NAME insert only one debtor name (1 a or 1 b) do not abbreviate or combime names
2. ADDITIONAL DEBTORS EXACT FULL LEGAL NAME insert only one debtor name (2a or 2b) do not abbreviate or combine names
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:
1 DOUBLE FACE SIGN ILLUMINATED
5. ALTERNATIVE DESIGNATION [if applicable] LESSEE /LESSOR
34527054 1622958
CONSIGNEE/CONSIGNOR
FILING OFFICE COPY NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 05/22/02)
RECEIVED 8/27/2012 at 3:17 PM
RECEIVING 966482
BOOK: 792 PAGE: 552
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
BAILEE/BAILOR
SELLER/BUYER
6. al ms FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL 17 Check to REQUEST SEARCH REPORT(S) on Debtor(s)
FSTATF RFCORDS Attach Addendum [if aoolcablel [ADDITIONAL FFFI [ootionall
8. OPTIONAL FILER REFERENCE DATA
3000009363
AG. LIEN
on
NON -UCC FILING
All Debtors r] Debtor 1 El Debtor 2
Prepared by CT Lien Solutions, P.O. Box 29071,
Glendale, CA 91209 -9071 Tel (800) 331 -3282
OR
11a. ORGANIZATIONS NAME
11 b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
11c. MAILING ADDRESS
CITY
STATE
POSTAL CODE
COUNTRY
11d.
SEE INSTRUCTION
ADD'L INFO RE
ORGANIZATION
DEBTOR
11e. TYPE OF ORGANIZATION
11f. JURISDICTION OF ORGANIZATION
11g. ORGANIZATIONAL ID if any
NONE
12.
OR
ADDITIONAL SECURED PARTY'S or ASSIGNOR S /P's NAME insert only one name (12a or 12b)
12a. ORGANIZATIONS NAME
12b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
12c. MAILING ADDRESS
CITY
STATE
POSTAL CODE
COUNTRY
13. This
collateral
14. Description
Description:
TOWNSHIP
15. Name
SAME
FINANCING STATEMENT covers timber
to be cut or as- extracted
11 SECTION 36
#32193610101200
described real estate
16. Additional collateral description:
or is filed as a x fixture filing.
of real estate:
AIRPORT ADDN LOT
32 RANGE 119 PARCEL
and address of a RECORD OWNER of above
(if Debtor does not have a record interest):
AS LESSEE
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.
C
Check only if applicable and check onlv,one box.
Debtor is a TRANSMITTING UTILITY
Filed in connection with a Manufactured -Home Transaction
Filed in connection with a Publiq- Finance Transaction
9. N
OR
10.
34
15
Fil
AME OF FIRST DEBTOR (la or lb) ON RELATED FINANCING STATEMENT
9a. ORGANIZATIONS NAME
JAMES LIVINGSTON D.D.S., P.C.
9b. INDIVIDUAL'S LAST NAME
MISCELLANEOUS
527054 -WY -23
602 US BANK BUSINE
e with: CC WY Lincoln, WY 3000009363
FIRST NAME
1622958
MIDDLE NAME,SUFFIX
FINANCING STATEMENT ADDENDUM
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME insert only one name (11a or 11 b) do not abbreviate or combine names
00551
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
G OFFICE COPY NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02)
Prepared by CT Lien Solutions, P.O. Box 29071
Glendale, CA 91209 -9071 Tel (800) 331 -3282