HomeMy WebLinkAbout888945UCC FINANCING STATEMENTAMENDMENT
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
8889L $
A. NAME & PHONE OF CONTACT AT FILER [optional]
Cindy Williams . 307-877-3926
B. SEND ACKNOWLEDGMENT TO: (Name and Address)
[~-First National Bank - West
Kemmerer Branch
716 Pine Avenue
Kemmerer, WY 83101
L_
RECEIVED '
LINCOLN COUNTY CLERK
03 ,,*,,,PR -2 II: 28
BOOK ~-"1 ~'f~PR PAGE
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
la, INITIAL FINANCING STATEMENT FILE # lb. This FINANCING STATEMENT AMENOMENT is
r'~ lO be filed [for record) (or recorded) in the
Recorded 2-27-1997 @ 3:54 p.m. Book #394PR Page #223, I IREAL ESTATE REGORDS'
_J, v"JTERMINATION: Elfectiveness of the Financing Stalement identified above is terminated with respect to seoJrffy interest(s) of the SeoJred Party authoflzing Ibis Termination Statement.
3. ~CONTINUATION: Effectiveness of the Financing Statement identified above with respect Io security interest(s) of the Secured Party authorizing this Continuation Statement is
~conlinued for the additional pedod provided by applicable law
4. L~ASSIGNMENT (full or padial): Give name of assignee in item 7a or 7b and address of assignee in ilem 7c; and also give name ol assignor in item 9.
5. AMENDMENT (PARTY INFORMATION): This Amendment affects E]Debtor ~[D Secured Part-/of record. Check only ~Q~ of these two boxes.
Also check once of the following three boxes an~d provide appropriate inforrnalion in ilems 6 and/or 7.
Ea HANGE name and/or address: Give current record name in item 6a or 6b also give new F-1 DELETE name: Give record name rIl ADD name: Comr~lele item 7a or 7b, and also
me lif name c~an,(:le) in item 7a or 7b and/or new address Iff address chan,~e) in item 7c. ~lto be deleled in ilem 6aor 6b. I I item 7c; also complete items 7d-7q (if applicable}.
6, CURRENT RECORD INFORMATION:
OR 'Ga, ORGANIZATION'S NAME
6b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX
7. CHANGED (NEW) OR ADDED INFORMATION:
t
Ta. ORGANIZATION'S NAME
OR 7b. iNDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME I SUFFIX
STATE POSTAL CODE J COUNTRY
7g. ORGAN ZATIONAL ID #, if any QNONE
7c, MAILING ADDRESS
7d. TAX ID fl: SSN OR EIN AOD'L INFO RE ITc. TYPE OF ORGANIZATION
ORGANIZATION
DEBTOR
8. AMENDMENT (COLLATERAL CHANGE): check only one box.-
Descri',e co,a,e,a, Flde,eted o¢ F].dded, or ¢ .... t,ra E]rest,,ed co,,a,ara, da,cdp, ..... de$cdbe collateral B assigned.
NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT (name of assignor, if this is an Assignment). If this is an Amendmenl authorized by a Debtor whioh
adds collateral or adds the authorizing Deblor, or if this is a Termination authorized by a Deblor, check here N and enler name of DEBTOR authorizing This Amendmenl.
ga. ORGANIZATION'S NAME
First National Bank West, Kemmerer
Branch
R 9b. INDIVIDUAL'S LAST NAME FIRST NAME I MIDDLE NAME SUFFIX
I
10. OPTIONAL FILER REFERENCE DATA
Jason M. Schmid
FILING OFFICE COPY-- NATIONAL UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) (REV. 07/29/98)