HomeMy WebLinkAbout878097 UCC FINANCING STATEMENT ' ....
FOLLOW INSTRUCTIONS Ifront and backI CAREFULLY :,,,. ~
A, NAME' & PHONE OF CONTACT AT FILER [optional] J :' '":' ['",! i" ~ ~'.J~ ii"i i'.: ::', ;' i:i::
~ ..... "i ;:: .... ;, Ir,!b
:Anna Kueht 800-648-8026 . -:.,' ,' ........ i'i, ',: "" ....
i
B. SEND ACKNOWLEDGMENT TO: (Name and Address)
D~iversified Financial Services, Iuc:
14010 First National Bank Pkx~%, #205 .~!.~'~.. ./.,,(~.
Omaha, NE 68154 BOOK .... PR. PAGE ~F¢~,~
THE ABOVE SPACE tS FOR Ell. lNG OFFICE USE ONLY
1, DEBTOR'S EXACT FULL LEGAL NAME *Jnsefl only one debtor ne_me (la ar lb) - do nat abbreviate or combine names
Jla. ORGANIZATION'S NAME
OR/lb, INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX
[Cm!ter Raymond T.
lc. MAlt_lNG ADDRESS CITY STATE POSTAL CODE COUNTRY
P.O. Box 100 Cokeville WY 183114
lfl. TAXID#; SSNOREIN ADD'L INFO RE IIe. TYPE~FORGANIZATIONtf. JURISDICT~ONOFORGAN~ZATION /I§.ORGANIZATIONALID#.iIany
ORGANIZATION
,529-48-6377 DEBTOR I I [ l~] NONE
2; ADDITIONAL DEBTOR'S EXACT FULL LEGAl.. NAME - insert only one debtor name (2a or 2bi - do nat abbreviate or combine names
2a, ORGANIZATION'S NAME
Carter Enterprises
OR 2b. ND V DUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX
2c. MAILING ADDRESS I CITY STATE POSTAL CODE COUNTRY
P.O. Box 100 LCokeville WY [83114
2d. TAXID#: SSNOREIN IADD'LINFORE J20. TYPEOFORGANIZATION J2¢i,JURISDICTIONOFORGANIZATION 2g. ORGANIZATIONALID#,ifany
~ReAN~ZATION~EBTOR jgnincorporated Assoc. j Wyoming J ~ NONE
3. SECURED PARTY'S NAME (or NAME cf TOTAL ASSIGNEE of ASSIGNOR S/P) - insert only one secured pady name (3a or 3bi
3a, ORGANIZATION'S NAME
Di~rersified Financial Services, Inc.
OR 13b. INDIVIDUAL'S t_A~T NAME FIRST NAblE MIDDLE NAME ]SUFFIX
2c. MAILING ADDRESS CiTY STATE POSTAL COpE COUNTRY
-- 14010 First National Bani( Pkwy #205 Omaha NE 68154
:' 4, Tl~is FINANCING STATEMENT covers the following collateral:
2-Model 8000 Valley h'rigation Center Pivots 1578' & 1276' w/Valley Supplied Acc., Freight, and Installation (non-towable)
850' 8" 125# PVC Pipe, 890' #2 Quad & 12~2 PVC, 1420' #2/0 Quad in PVC, 1-Sump Box, 1-40HP Pmnp & Motor, 2-Pmnps,
'Pivot Tie-ins, and Other Misc. Fittings
§, ALTERNATIVE DESIGNATION [if applicab{e]: CONSIGNEE/CONSIGNOR ~AILEEIBAILOR SELLER/BUYER NON-UCC FILING
ESTATE RECORDS, Attach Addendum Debtor 2
8, OPT ONAL F LER REFERENCE DATA
#1676301
FILING OFFICE COPY-- NATIONAL UCC FINANCING STATEMENq" (FORM UCC1) (REV. 07/29/98)
UCC FINANCING STATEMENTADDENDUM
FOLLOW iNSTRUCTIONS/trent and backI CAREFULLY
9. NAME OF FIRST DEBTOR (la or lb) ON RELATED FINANCING STATEMENT
I 9~. ORGANIZATION'S NAME
DR 9b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME.SUFFI×
ICarter lZay;nond .,.!..T:
10, MISCELLANEOUS: ;BOOK ~ T,(~ IR' PAGE
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only ~ name (11a er 1 lb) - do not abbreviate or combine names
~la. ORGANIZATION'S NAME
11C. MAILING ADDRESS C~'FY STATE POSTAL CODE
lid. TAX]D#: SSNOREIN ADD'L INFO RE Ille, TYPEOFORGANIZAT[ON 11LJURSDICTIONOFORGANIZATION Illg. ORGANIZATIONALiD#,ifany
ORGANIZATION
12. ~ ADDITIONALSECURED PARTY'S or [-1 ASSIGNOR S/P'S NAME - Iosart only one name (12a or12b)
112a, ORGANIZATION'S NAME i.~.. '
OR [12b. INDIVIDUAL'S LAST NAME ir FIRST NAME MIDDLE' NAME SUFFIX
12C. MAILING ADDRESS '~ CiTY STATE POSTAL CODE COUNTRY
:.13. This FINANCING STATEMENT covers [] timber ID de cut or U as-extracted 16. Additional collateral description:
collaleral, cr is flied as a [] fixture filin§.
14. Description of real estale;
SW 1/4 SE 1/4 Section 30; W 1/2 NE 1/4 Section 31;
SE 1/4NW 1/4 &NE 1/4 SW I/4 Section 13;
-- Township 25N; Range 118W; ~incoln County, WY :, "'
15. Name and address of a RECORD OWNER of above-~escribed real estate
(if Debtor does not have a record interest):
Robert Kirk
17, Check ~ i~ applicable and check .C~[Y one box.
IDebtoris a['_--']. Trust or'Trust .... ting wilt .... pecl,o property held !n trust orL--~Decedent's Estate
r"-il 8. Check ~ if applicable and d~eck only one box.
· - L-J DeStcr is a TRANSMITTING UTILITY
U Filed in corlneclion wdh a Manufactured-Home Transaction -- effective 30
years
JL~ Filed in coI'meclion with e Poblic-Finance Transaction ~ effeclive 30 years
FILING OFFICE COPY-- NATIONAL UCC F!NANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98)