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THIS SPACE FOR USE OF FILING OFFICER <br />FINANCING STATEMENT— FOLLOW INSTRUCTIONS CAREFULLY <br />This Financing Statement is presented for filing pursuant to the Uniform Commercial Code <br />and wig remain effective, with certain exceptions for 5 years from date of filing. <br />A NAME 3 TEL. # OF CONTACT AT FILER (optional) I B. FILING OFFICE ACCT. # (ootionall <br />G. RETURN COPY TO: (Name and Mailing Address) <br />Development Services Department <br />City of San Leandro <br />835 East 14th Street <br />San Leandro, CA 94577 <br />L <br />D.OPTIONAL DESIGNATION [if applicable]: LESSOR LESSEE U CONSIGNOR/CON NON <br />1. DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (1a or 1b) <br />0 <br />1c. MAILING ADDRESS <br />626 Chetland Road <br />1d. S.S. OR TAX I.D.# AD OPTIONAL 1e. TYPE OF ENTITY <br />562-74-5746 ENiDITYDEBTORJ <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert <br />NAMt <br />Ronald <br />CITY STATE CC <br />San Leandro CA <br />1f. ENTITY'S STATE 1g. ENTITY'S <br />OR COUNTRY OF <br />ORGANIZATION <br />one debtor name (2a or 2b) <br />94577 <br />if any <br />_ ...__.... .,.....1—. ....,......�J %—. N -- w N-P�y. <br />See Attached <br />— ,acN 1 is signed Dy me ,.rec any instead of the uebtor to perfect a security interest 7. If filed in Florida (check one) <br />BOX (a) in collateral at 'subject to a security interest in another jurisdiction when it was brought into this state, o when the Documentary Documentary stamp <br />[if applicable] debtors k>ca' as changed to this state, or (b) in rd a with other statutory provisions [additional data may be required] stamp lax paid ❑ tax not applicable <br />. REQUIREDSIGNAT E(S 7 ! 8, U This FINANCING STATEMENT is to be filed [for record] <br />z` „. ;+�e . f- - (or recorded) in the REAL ESTATE RECORDS <br />%%% Attach Addendum d applicable <br />9. Check to REQUEST SEARCH CERTIFICATE(S) on Debtor(s) <br />[ADDITIONAL FEE] <br />(optional) All DebtorsLJ Debtor 1 Debtor 2 <br />(1) FILING OFFICER COPY — NATIONAL FINANCING STATEMENT (FORM UCC1) (TRANS) (REV. 12/18/95) WOLCOTTS FORM <br />I Irr:NATn1 <br />12b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />2c. MAILING ADDRESS <br />CITY <br />STATE COUNTRY <br />POSTAL CODE <br />2d. S.S. OR TAX I.D.# <br />OPTIONAL 2e. TYPE OF ENTITY 2f.ENTITYS STATE 2g. ENTITY'S ORGANIZATIONAL I.D.#, if any <br />` <br />ADD'NL INFO RE OR COUNTRY OF <br />ENTITY DEBTOR I JORGANIZATION NONE <br />3. SECURED <br />PARTY'S (ORIGINAL S/P or ITS TOTAL ASSIGNEE) EXACT FULL LEGAL NAME - insert only one secured party name (3a or 3b) <br />3a. ENTITY'S NAMECR ' <br />City of San Leandro <br />3b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />3c. MAILING ADDRESS <br />CITY <br />STATE <br />COUNTRY <br />835 East 14th Street <br />San Leandro <br />CA <br />1POSTALCODE <br />94577 <br />_ ...__.... .,.....1—. ....,......�J %—. N -- w N-P�y. <br />See Attached <br />— ,acN 1 is signed Dy me ,.rec any instead of the uebtor to perfect a security interest 7. If filed in Florida (check one) <br />BOX (a) in collateral at 'subject to a security interest in another jurisdiction when it was brought into this state, o when the Documentary Documentary stamp <br />[if applicable] debtors k>ca' as changed to this state, or (b) in rd a with other statutory provisions [additional data may be required] stamp lax paid ❑ tax not applicable <br />. REQUIREDSIGNAT E(S 7 ! 8, U This FINANCING STATEMENT is to be filed [for record] <br />z` „. ;+�e . f- - (or recorded) in the REAL ESTATE RECORDS <br />%%% Attach Addendum d applicable <br />9. Check to REQUEST SEARCH CERTIFICATE(S) on Debtor(s) <br />[ADDITIONAL FEE] <br />(optional) All DebtorsLJ Debtor 1 Debtor 2 <br />(1) FILING OFFICER COPY — NATIONAL FINANCING STATEMENT (FORM UCC1) (TRANS) (REV. 12/18/95) WOLCOTTS FORM <br />I Irr:NATn1 <br />