HomeMy WebLinkAbout902201UCC FINANCING STATEMENT AMENDMENT
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
902201
A. NAME & PHONE OF CONTACT AT FILER [optional]
Phone (800) 331-3282 Fax (818) 662-4141
B. SEND ACKNOWLEDGEMENT TO: (Name and Mailing Address) 51 1615 ICOMMUNITY2
I
UCC Direct Services
P.O. Box 29071
Glendale, CA 91209-9071
I
m
5880532.1
WYOM
FIXTURE
la. INITIAL FINANCING STATEMENT FILE #
892218 BK529 P574 08-05-03 CC WY LINCOLN
RECEIVED
LINCOLN COUNTY CLERK'
Oh ~UG23 PH !' 10" ':
5651; ,, ( 0545
B, ,t *t~ .... -PR FAG~,
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
1~.] This FINANCING STATEMENT AMENDMENT is
to be filed [for record] (or recorded) in me
REAL ESTATE RECORDS.
-- 2. ~ TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respecl to security interest(s) of the Secured Party authonzmg this Termination Statement.
3. [--1 CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the secunt/interest(s) of the Secured Party aumorlzlng this Continuation Statement is
~ continued for the additional period provided by applicable law.
4. [~ ASSIGNMENT (full or partial): Give name of assignee in item 7a or 7b and address of assignee in 7c; and also give name of assignor in item 9.
5. AMENDMENT (PARTY INFORMATION): This Amendment affects[--] Debtor or [] Secured Part:~ of record. Check only one_ of these two coxes. ;
Aisc check one of the following three boxes and provide appropriate information in items 6 and/or 7.
F-~ CHANGE name and/or address: Give current record name in item 6a or 6b; also give new DELETE name: Give record name ADD name: Complete item 7a or 7b. and also
L_.J name (if name change) in item 7a or 7b and/or new address [if address change) in item 7c. []to be delete(3 m item 6a or 6b. [] item 7c: also complete items 7d-Tg (if applicable)
6. CURRENT RECORD INFORMATION:
6a. ORGANIZATION'S NAME
Kemmerer Antler Motel, LLC
OR 6b. INDIVIDUAL'S LAST NAME
FIRST NAME MIDDLE NAME
7. CHANGED (NEW) OR ADDED INFORMATION:
OR 17a' ORGANIZATION'S NAME
1
7b. INDIVIDUAL'S LAST NAME
SUFFIX
SUFFIX
FIRST NAME
7C. MAILING ADDRESS CITY
7d. SEE INSTRUCTION 7e. TYPE OF ORGANIZATION 7f. JURISDICTION OF ORGANIZATION
IAOD'L INFO RE
ORGANIZATION
DEBTOR
MIDDLE NAME
STATE POSTAL CODE
7g. ORGANIZATIONAL ID #, if any
8. AMENDMENT (COLLATERAL CHANGE): check only one box.
COUNTRY
D NONE
Describe collateralD deleted or [] added, or give entireD restated collateral description, or describe collateralDassigned.
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT [name of assignor if this ~s an Assignment). if this is an Amendment authorized ny a Debtor which
adds collateral or adds the authorizing Debtor, or if this is a Termination authorized by a Debtor, check herer--I and enter name of DEBTOR authorizing this Amendment.
I ga. ORGANIZATION'S NAME
Community First National Bank
OR
9b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME ~ SUFFIX
I
10. OPTIONAL FILER REFERENCE DATA
5880532.1 Debtor Na~e: KemmererAntler Motel, LLC 1100060 SBA 27/03
__ __ ~, ,,.,, , .... ,;':;.:?;, --
FILING OFFICE ~;~' ~ m,,~.'IONAL UCC FINANCING STATEMENT AMENDME~i UCC3) [REV. 05/22/02)
Preoared bY UCC !, PO Box 29071
Glendale. CA 91209-9071 Te (800) 331-3282
0902201.
UCC FINANCING STATEMENT AMENDMENT ADDENDUM
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
11. INITIAL FINANCING STATEMENT FILE # (same as item la on Amendment form)
892218 BK529 P574 08-05-03 CC WY LINCOLN
12. NAME of PARTY AUTHORIZING THIS AMENDMENT (same as Item 9 on Amendment form)
12a. ORGANIZATION'S NAME
'~'t Community First National Bank
~iOR 12b. INDIVIDUAL'S LAST NAME
13. Use this space for additional Information
FIRST NAME ]MtDDLE NAME.SUFFIX
054 6
THE ABOVE SPACE iS FOR FILING OFFICE USE ONLY
Description: PARCEL 1: The Lots 1.2,3.and 4 of block 58 of the Second Addition to the Town of Kemmerer.,.Li,n.¢oln,.'Countv,
-- W¥omin.q. PARCEL 2: Lot 4, 5,6,7,8,9,10 and 11 of block 64 in the Second Addition in the Town of Kemmerer, Lincoln County,
Wyoming.
5t;5,
Prepared by UCC-Oirecl Services, Inc PO. Box 29071
FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT AMENDMENT ADDENDUM .FORM UCC3Ad) (REV. 05/22/02) Glendale, CA 91209-9071 Tel (800) 331-3292