HomeMy WebLinkAbout971440FOLLOW INSTRUCTIONS (front and back) CAREFULLY
A. NAME PHONE OF CONTACT AT FILER [optional]
B. SEND ACKNOWLEDGMENT TO: (Name and Address)
Cl Stock
PO Box 227
Freedom, Wyoming 83120
L
J
1a. INITIAL FINANCING STATEMENT FILE
BK: 601 Page 128 #912749
RECEIVE
RECEI
BOOK: 8
LINCOLN COU
2. 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.' I CONTINUATION: Effectiveness of the Financing Statement identified above with respect to security interest(s) of the Secured Party authorizing this Continuation Statement is
continued for the additional period provided by applicable law.
4. l__I ASSIGNMENT (full or partial): Give name of assignee in item 7a or 7b and address of assignee in item 7c; and also give name of assignor in item 9.
5. AMENDMENT (PARTY INFORMATION): This Amendment affects Debtor gs 0 Secured Party of record. Check only gne of these two boxes.
Also check gos of the following three boxes and provide appropriate information in items 6 and/or 7.
ri CHANGEnameand /oraddress: Please refertothe detailed instructions DELETE name: Give record name
LI in regards to charming the name/address of aoartv. n to be deleted in item ¢a or 6b.
6. CURRENT RECORD INFORMATION:
6a. ORGANIZATIONS NAME
6b. INDIVIDUAL'S LAST NAME
Stock
FIRST NAME
Clyde
MIDDLE NAME
Wallace
OR
7. CHANGED (NEW) OR ADDED INFORMATION:
7a. ORGANIZATIONS NAME
7b. INDIVIDUAL'S LAST NAME
MAILING ADDRESS
ADD'L INFO RE 17e. TYPE OF ORGANIZATION
ORGANIZATION
DEBTOR
FIRST NAME
CITY
7f. JURISDICTION OF ORGANIZATION
MIDDLE NAME
STATE
POSTAL CODE
7g. ORGANIZATIONAL ID if any
n
7o.
7d.
8. AMENDMENT (COLLATERAL CHANGE): check only,gpe_ box.
Describe collateral El deleted or added, or give entire ❑restated collateral description, or describe collateral passigned.
All present and futrue equity in the real property located near Afton Wyoming: Described below:
Legal description: SW1 /4 T32N Section 26, R119W 393 PR 428 -15.63 acreas
All personal property owned by the above named Debtor, including, but not Huai
vehicles; home furnishings; audio /video equipment; lawn and garden equi
bonds, mutual funds, precious metals, etc.) business interests; licenses, inb
to fulfill a financial obligation of three hunddred seventy -five thousand
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT (name of assignor, if this is an 9(�gsignmeng.
adds collateral or adds the authorizing Debtor, or if this is a Termination authorized by a Debtor, check here n and enter name tf DEBTOR
9a. ORGANIZATION'S NAME
JR
JCC FINANCING STATEMENT AMENDMENT
10.OPTIONAL FILER REFERENCE DATA
t 0a"r.?,
D 6/12/2013 at 2:23 PM
VING 971440
13 PAGE:
J EANNE WAGNER
NTY CLERK, KEMMERER, WY
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
1b. This FINANCING STATEMENT AMENDMENT is
to be filed [for record) (or recorded) in the
Irr REAL ESTATE RECORDS.
ri ADD name: Complete item 7a or 7b, and also item 7c;
also complete items7e -7o (ifaoolicable),
an Amendment author" 6y
ing this Amendment
SUFFIX
SUFFIX
COUNTRY
NONE
Checking accounts, savings accounts,
ues4 collectibles; investments (stocks,
which
9b, INDIVIDUALS LAST NAME
Stock
FIRST NAME
Clyde
MIDDLE NAME
Wallace
Sow
FILING OFFICE COPY UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) (REV 05/22/02) Association of Commercial Administrators (IAA