HomeMy WebLinkAbout57❑ The property is minerals or the like Occluding gas and oil) or accounts to he financed at the wellhead or
minehaead of the well or mine located on...(Describe real estate. Use legal description.)
This FIXTURE FILING is to be filed for record in the real estate records If the debtor does not have an
interest of record in the realty, the name of a record owner is
❑ Products of collateral are also covered.
FILE FOR RECORD WITH
1. RETURN ACKNOWLEDGMENT COPY T0: COUNTY AUDITOR OF COUNTY
LEXIS Document Services IN WHICH REAL PROPERTY IS LOCATED
PO BOX 2969
Springfield, IL 62708
8. This statement is signed by the Second Partybes) instead
of the Debtor(s) to perfect a security interrest In collateral.
(Please check appropriate box.)
(a) ❑ already subject to a security interest in another jurisdiction Complete fully if box (d) is checked.
when it was brought into this state, or when the debtor's
Complete as applicable for (a), {b), and (c):
location was changed to t^ris, or
Ibl ❑ whir_h is proceeds at the original collateral described above
Original recording number
m in which a security interest was peNected, or
Fling office where filed _
c Former name of debtor(s)
o Ic) ❑ as to which the filing lapsed, or
0
r
fell ❑ acquired after the change of name, identify, or corporate
o structure of the debtors).
9. r� USE IF APPLICABLE
O r
O
r=
N _
TYPE NAMEIS! OF CEBTORISI (OR ASSIGNORIS)) —� TYPE NAMES; Of SECURED PARTYIIES) (or assigneels))
SIGNATURESIS) OF DEBTORS(SI for assignor(s)) SIGNATURES(S) OF SECURED PARTV pESi for assigneeslsle
10 TERMINATION STATEMENT The SECURED PAR'tV(1ES) certdms that the SECURED PARTYIIES) no longer
reeord:n9 number shown above.
claims a security iMtregir under th FIXTURE FILING bearing the
DATE_ ---
NAME
Return to: County Auditor of County where
original filing/recording was made wh
SIGNATURE — WASHINGTON UCC 2 FIXTURE .:)LING
FORM APPROVED FOR USE IN WASHINGTON STATE