HomeMy WebLinkAbout0680 PULL- 0110ER HIOY 1~21~ INpIM1A AVE ~
.?.__A-i?ART CMiCAG4. IlL 60027
BUS~NESS fORMS
iNSTRUCTIONS. 1. VLEASE TVPE A~l INFORMATIOY, an0 sqn w~tn Dall pant pM SpMlur~ muat W Nq~C1s on F~linp OIt~cM CopNs
2. ConeKt Fu~np p~hc~r fa f~s xtr~dul~ a aaaNwna~ ~nlwmafion ?NOI'1E NI•~Zes
AREA ~ppf ~I?
STATE OF FLORIOA ~
UNIFORM COMMERCIAL CODE - FINANCINCi STATEMENT - FORM UCC•t REV.1981
THIS FINANCING STATEMENT is presentsd to a fiiinp offic~r tor Hlinp purswnt to tAS Unlto?m CommKClal Cqds:
OEBTOR (last lfam~ First if ~ Prrson) THIS SPACE FpR USE pF FILIN(; OFFICER
NAME ~O K/? I~A / T n C~ 2 O~ Z O~ O Wq' TiiM, NurefDM i FMinp Of1it~
~ A Rec gce ! y-~ OCUGI.A~ T?'!~ON
MAILIHG ADDRE55 9~ S /'-C/V iN,~y R~
~~i r ee s:. Luci ~ t~ .
o_ GTMPrT S 7, ~ p c y STATEF ~ Doc Ta: S C?crk nf C'
ep MUITIP~E OEB70R (IF ANIn (i.sst !J~ Firal it a Pwson) 111~ TA7I S
~ MAME ~~I ~N, ~A~ T'! ~ L ~ ~ :.~::.f ~...:li I
2 ~ s TOt.l~ s ~
I
z MAtL1lfG ADDRE55
~ S i
0
~ CITY STATE 10 2 2 0 2 0 I'
z I
~ MULTIPLE DEBTOR pF ANtl) (Lu! Name Rrsf il a Personl P Z•~~ ~
NAME e I
~Ci V~ I
MA1LIf:G AdOHE55 F I L E L' El N E_ G(~ !
I?OUGL A~~ ~~XGN ~
¢ G~ STATE S~. LC:: r~~JNT * i
SECURED PARTY (l.a~f Nam~ F~rsf d a Ptrson)
HAME ~/17O M~ 7~ C- f~{/ TC Y ~
2A ~
MAfUNG ADDRESS ~3 ~ O /tI , Ni S/ i
CITV Fm Bf RGM STATE hL. ~ 7
MULTIP~E SECUAEO PARTV pF AfJ1~ (LYt N;rtN FNSt if a PNyon~
NAAAE
28
MAIIiNG ADDRESS AUD1T UPDATE
CITY STATE
~ l~SSIGNEE OF SECURED PAHTV (IF ANY) (LSS1 NartM F~nt ~f a Pe~son) YALIDA11.7N INFOpMAT1pN ~
NAME C~,. ys ~ ev Fir ST Fj%~//q/li G~ AL
3 Str v,~C ~ S Co rP'
MAIIiNG AODRESS ~
P, o. I3eX ~ y»
GTV / STATE ~L.
V (~l
4. Tn~! FINAkCING STATEMENT ~orere l~! tollOwiny typ~! or ~tlms Of p~pp~rty (~ncf~p~ d~scnpf~on OI rlalOropar~y on ~vnrc~ /o[I!W
and owner of record NMn repu~rM~. 11 mon space ~s requ~reO. ~ttacn aOC~tWna~ sReate BK' R t 1-.
,8Y N s~; e~i G ~ ni ~c s T..~,; ^i k/,~ 7-c r ~'e f;~v ev i~/~/ f'.. ~
~
W
# ~ - 1(,/ATGV ~/~C %o F'f/ Sy STC ~1 ''S~OOO /P/G s/e ~ n v
~
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- - _ - _ y~ y
5. Proceeos c~ couats~ai a+e c,~rersd ae p~or~ow m SecGOns 67920J anC 679 706. F 5 _ No of add~uonal SReets D~~sentetl: O~ V ~
8. FillCwFt~'. S~l...._~j'A---Q-f_.----S~LIi~_~__ y.~i.._~_~~~_~ ---lt7~i.{/7L 4 tr v_ 4
- ~
IC~sck ~_:1,~, A~I documencary stamp taYes dus and paYabb a to Decome Oue aM Dayabte Dvrsuant to Sect~on 2pt 22. F 5. Mve osen p~~ o~~ ~
2
? Fbnd~ Docurs~ntary StamD T~~ is not rspuub _ _ W
9. Tn~> >4t~msnf Is fdW wrthout tA~ dWta"s spnaWro ro pM~ct ~ sscunty ~ntersat ~n collatsra~ (Cneck d ao) (CMck ? il fo) Z~' Q .
~ a~~sady suDHct to a s~cuntr ~nte~es! in anotnN ~unsd:cuo~ wnen ~t w~s Drouqht m~o tn~s stafs ar OsD~or s C~ DeDla is ~ tr~nsmi:tinp uti~i~y ~
tocatron cnanpe0 to Mis itats. i L
~ PrpQutts of collatsra~ ar~ cowreC , e, ~
~ whit~ if pro~~t o/ IM Wlym~f cotia~sr~l 6eSCnpW a8ove m w~ic~ a s~tunty ~ntsrest was psrtx;sC !C j
~ as to wn~cn tAe hunQ nas IaO~
_ S~ N*1URE(SI OF DE~ ~
~tQu~r~ ifter s thanpe of n~rN, ~dsnUty, or corppr~td str~ture of tn6 _,Y,~` ~
t dsDio~o~ securwtparty
13. Ret~m ;,ovr to. ~ ~C~~~^~~~'~f"
v
NAME ~ - e v • ' L ~
ADDRESS 68^ ~Z. SIGNATUqESS10F5ECURED
60GK , U P~~~~ES) OR ASSIGNEE
Cirr „t * ~ t
ISTATE ~ / ZlpCQpf ~ ~
L~
STANDARD FORM -~ORM UCG 1 ApproreG Dy SKr~t~ry ol5ute. Sl~te of FbnOa
(i? r!LlP~G OFFICER C:OPY
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