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C153568 3/27/12
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C153568 3/27/12
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Last modified
4/30/2012 11:09:42 AM
Creation date
4/4/2012 2:51:53 PM
Metadata
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Template:
Loan Projects
Contract/PO #
C153568
Contractor Name
Coon Creek Reservoir & Ditch Company
Contract Type
Loan
Water District
72
County
Mesa
Loan Projects - Doc Type
Contract Documents
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INSTRUCTIONS <br />1. , PLEASE TYPE this form. Do not write in Box 3. <br />11 collateral is CROPS, state in Box 4. "The above dese ps arc crowing or are to be gnwn on: (Describe Real Estate et <br />3 If collateral is or will become FIXTURES. or is TIMBER CUT. or is MINERALS OR OTHER SUBSTANCES OF VAL H MAYBE EXTRACTED FROM THE EARTH <br />..OR ACCOUNTS RESULTING FROM THE SALE THEREOF AT THE WELLHEAD OR MINEHEAD. CHECK Ix "This Financing Statement is to be filed for re cord in the Real Estate <br />records." in Box 4 and state if applicable. "The above goods am. or are to become. fixtures on (describe real estate)." or where appropriate. substitute either. "The above timber is standing on <br />(describe real estate)." or. "The above minerals or other substances of value which may be extracted from the earth or accounts resulting from the sale thereof at the wellhead or mmehead of the <br />well or mine located on (describe real estate).- Describe real estate concerned sufficient as if it were contained in a mortgage of the real estate to give constructive notice of the mortgage under <br />the law of this State. If the debtor does not have an interest of record in the realty, give the name of a record owner of the real estate concerned in Box 4. <br />4. If the space provided for any item on the form is inadequate, the item should be continued on additional sheets, that are 81^x11. <br />Please do not staple or tape additional sheets directly on this form <br />5. Remove Secured Party and Debtor copies, and send 3 copies with interleaved carbon paper still intact to the filing officer <br />6. At the time of ongmal filing. the filing officer will return third copy as an acknowledgment. If acknowledgment copy is to he returned to other than the Secured Party, please enclose a self - <br />addressed envelope. <br />IMPORTANTT— Read instructions before filling out form <br />3. For Filing Officer (Date, Time. Number and <br />This FINANCING STATEMENT is presented for filing pursuant to the Uniform Commercial Code. I Fling Office) <br />Debtons) Name and Mailing Address: "_. Secured Partylies) Name and Address <br />Coon Creek Reservoir State of Colorado for th <br />and Ditch Company use and benefit of the <br />Box 145 Colorado Water Conserva- <br />Mesa, CO 81643 tion Board <br />1313 Sherman St., Rm. 72 <br />Denver, CO 80203 <br />This Financing Statement covers the following types for items) of property: <br />(WARNING: if collateral is crops, fixtures, timber, or minerals or other substances to be extracted or <br />accounts resulting from the sale thereof. read instructions above.) <br />All revenues derived from assessment on shares to <br />repay indebtedness on Coon Creek No. 1 and No. 2, <br />approved by the shareholders or the Board of <br />Directors pursuant to C.R.S. 9 7 -42 -104, as amended <br />heck only if applicable <br />_1 This Statement is to be filed for record in the real estate records. <br />—I Products of collateral are also covered. <br />5. Name and address of Assignee of Secured <br />This statement is signed by the Secured Party instead of the Debtor to perfect a security interest in collateral <br />(Please check 1 already subject to a security interest in another jurisdiction when it was brought into this state. or when the debtor's location was changed to this state: <br />appropnate box) 7 which is proceeds of the original collateral described abtwe in which a security interest was perfected: <br />as to which the filing has lapsed. or <br />Li acquired after a change of name, identity or corporate structure of the debtor. <br />Check only if applicable: J The Debtor is a transmitting utility. C OR�D //yJ,�ATER CODS RVATION /�OARD <br />>, DITCH CO ?�LDANY by �U.!/�G'"`��`-- <br />Use whichever signature line is • icable. <br />b� <br />Si turetga� 'si of Debtonsl Stgnaturetst of Secured Parn7tes: <br />:;c= approved by the Secretary of State and (1) FILING OFFICER COPY No. coo. COLORADO FORM U.C.C. 1 (REV. 1 -78) <br />rte County Clerks and Recorders Association Bradford Publishing. (303i'_33.64M <br />EXHIBIT D -2 <br />
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