Ucc Financing Statement: Debtor'S

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RECEIVED

UCC FINANCING STATEMENT IL SECRETARY OF STATE


FOLLOW INSTRUCTIONS
A. NAME & PHONE OF CONTACT AT SUBMITTER (optional) UNIFORM COMMERCIAL CODE
Jaelon-Kyle: Trice 708-990-6707
B. E-MAIL CONTACT AT SUBMITTER (optional) 02/27/2024 2:47 PM
[email protected]
$20.00 Electronic
C. SEND ACKNOWLEDGMENT TO: (Name and Address)

Jaelon-Kyle: Trice 30435958 FS


728 n Morgan street
Chicago, IL 60642

THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY


1. DEBTOR'S NAME: Provide only one Debtor name (1a or 1b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name); if any part of the Individual Debtor’s
name will not fit in line 1b, leave all of item 1 blank, check here and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad)

1a. ORGANIZATION'S NAME


JAELON KYLE TRICE
OR
1b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

1c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY


728 n Morgan street Chicago IL 69642 USA
2. DEBTOR'S NAME: Provide only one Debtor name (2a or 2b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name); if any part of the Individual Debtor’s
name will not fit in line 2b, leave all of item 2 blank, check here and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad)

2a. ORGANIZATION'S NAME

OR
2b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

2c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b)
3a. ORGANIZATION'S NAME

OR
3b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Trice Jaelon-Kyle
3c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY
PO BOX 5072 Lansing IL 60438 USA
4. COLLATERAL: This financing statement covers the following collateral:
Citibank Demand Deposit Account, Set-off rights and EFT pass through, and FDIC Depositor Insurance Bond for Account
#11636663939

Routing # - 271070081

5. Check only if applicable and check only one box: Collateral is ✔ held in a Trust (see UCC1Ad, item 17 and Instructions) being administered by a Decedent’s Personal Representative
6a. Check only if applicable and check only one box: 6b. Check only if applicable and check only one box:
Public-Finance Transaction Manufactured-Home Transaction A Debtor is a Transmitting Utility Agricultural Lien Non-UCC Filing

7. ALTERNATIVE DESIGNATION (if applicable): Lessee/Lessor Consignee/Consignor Seller/Buyer Bailee/Bailor Licensee/Licensor

8. OPTIONAL FILER REFERENCE DATA:

FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 07/01/23)

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