11 §9-1521. Uniform form of written financing statement and amendment
Title 11: UNIFORM COMMERCIAL CODE
Article 9-A: TRANSACTIONS HEADING: PL 1999, C. 699, PT. A, §2 (NEW)
Part 5: FILING HEADING: PL 1999, C. 699, PT. A, §2 (NEW)
Subpart 2: DUTIES AND OPERATION OF FILING OFFICE HEADING: PL 1999, C. 699, PT. A, §2 (NEW)
§9-1521. Uniform form of written financing statement and amendment
(1). A filing office that accepts written records may not refuse to accept a written initial financing statement in the following form and format except for a reason set forth in section 9-1516, subsection (2):
UCC FINANCING STATEMENT
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
A. NAME AND PHONE OF CONTACT AT FILER [optional]
B. SEND ACKNOWLEDGMENT TO: (Name and Address)
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
1. DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (1a
or 1b) - Do not abbreviate or combine names
1a. ORGANIZATION'S NAME
__________________________________________________________________
OR 1b. INDIVIDUAL'S FIRST MIDDLE SUFFIX
LAST NAME NAME NAME
__________________________________________________________________
1c. MAILING CITY STATE POSTAL
COUNTRY CODE
ADDRESS
__________________________________________________________________
1d. TAX ID ADD'L INFO. RE. 1e. TYPE OF ORGANIZATION
NO. SSN ORGANIZATION
OR EIN DEBTOR
__________________________________________________________________
1f. JURISDICTION OF 1g. ORGANIZATIONAL ID NO.,
ORGANIZATION if any
_________________________________________________________[__]NONE
2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one
debtor name (2a or 2b) - do not abbreviate or combine names
2a. ORGANIZATION'S NAME
__________________________________________________________________
OR 2b. INDIVIDUAL'S FIRST MIDDLE SUFFIX
LAST NAME NAME NAME
__________________________________________________________________
2c. MAILING CITY STATE POSTAL COUNTRY
ADDRESS CODE
__________________________________________________________________
2d. TAX ID ADD'L INFO. RE. 1e. TYPE OF ORGANIZATION
NO. SSN ORGANIZATION
OR EIN DEBTOR
__________________________________________________________________
2f. JURISDICTION OF 2g. ORGANIZATIONAL ID NO.,
ORGANIZATION if any
_________________________________________________________[__]NONE
3. SECURED PARTY'S NAME (or name of total assignee of assignor S/P) - insert
only one secured party name (3a or 3b)
3a. ORGANIZATION'S NAME
__________________________________________________________________
OR 3b. INDIVIDUAL'S FIRST MIDDLE SUFFIX
LAST NAME NAME NAME
__________________________________________________________________
3c. MAILING CITY STATE POSTAL COUNTRY
ADDRESS CODE
__________________________________________________________________
4. This FINANCING STATEMENT covers the following collateral:
__________________________________________________________________
5. ALTERNATIVE DESIGNATION [if applicable]: [ ] LESSEE/LESSOR
[ ] CONSIGNEE/CONSIGNOR [ ] BAILEE/BAILOR [ ] SELLER/BUYER
[ ] AG. LIEN [ ] NON-UCC FILING
6. [ ] This FINANCING STATEMENT is to be filed (for record) (or recorded) in
the REAL ESTATE RECORDS. Attach Addendum [if applicable]
7. Check to REQUEST SEARCH REPORT(S) on Debtor(s)
[ ] All Debtors [ ] Debtor 1 [ ] Debtor 2
[ADDITIONAL FEE] [optional]
__________________________________________________________________
8. OPTIONAL FILER REFERENCE DATA
FILING OFFICE COPY - NATIONAL UCC FILING STATEMENT (FORM UCC 1) (REV. 07/29/98)
[BACK OF FORM]
UCC FINANCING STATEMENT ADDENDUM
Follow instructions (front and back) CAREFULLY
9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING
STATEMENT
__________________________________________________________________
9a. ORGANIZATION'S NAME
__________________________________________________________________
OR 9b. INDIVIDUAL'S FIRST MIDDLE SUFFIX
LAST NAME NAME NAME
__________________________________________________________________
10. MISCELLANEOUS:
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one
name (11a or 11b) - do not abbreviate or combine names
11a. ORGANIZATION'S NAME
__________________________________________________________________
OR 11b. INDIVIDUAL'S FIRST MIDDLE SUFFIX
LAST NAME NAME NAME
11c. MAILING CITY STATE POSTAL COUNTRY
ADDRESS CODE
__________________________________________________________________
11d. TAX ID ADD'L INFO. RE. 11e. TYPE OF ORGANIZATION
NO. SSN ORGANIZATION
OR EIN DEBTOR
__________________________________________________________________
11f. JURISDICTION OF 11g. ORGANIZATIONAL ID NO.,
ORGANIZATION if any
_________________________________________________________[__]NONE
12. [ ] ADDITIONAL SECURED PARTY'S or [ ] ASSIGNOR S/P'S NAME -
insert only one name (12a or 12b)
12a. ORGANIZATION'S NAME
__________________________________________________________________
OR 12b. INDIVIDUAL'S FIRST MIDDLE SUFFIX
LAST NAME NAME NAME
__________________________________________________________________
12c. MAILING CITY STATE POSTAL COUNTRY
ADDRESS CODE
__________________________________________________________________
13. This FINANCING STATEMENT covers [ ] timber to be cut or [ ] as-extracted
collateral, or is filed as a [ ] fixture filing.
14. Description of real estate:
__________________________________________________________________
15. Name and address of a RECORD OWNER of the above-described real estate (if
Debtor does not have record interest):
__________________________________________________________________
16. Additional collateral description:
__________________________________________________________________
17. Check only if applicable and check only one box:
Debtor is a [ ] Trust or [ ] Trustee acting with respect to property held in trust or
[ ] Decedent's Estate
18. Check only if applicable and check only one box:
[ ] Debtor is a TRANSMITTING UTILITY
[ ] Filed in connection with a Manufactured-Home Transaction - effective 30
years
[ ] Filed in connection with a Public-Finance Transaction - effective 30 years
FILING OFFICE COPY - NATIONAL UCC FILING STATEMENT
(FORM UCC 1Ad) (REV. 07/29/98)
[[PL 1999, c. 699, Pt. A, § 2 (NEW).].]
[[PL 1999, c. 699, Pt. A, § 4 (AFF).].]
[ 1999, c. 699, Pt. A, §2 (NEW); 1999, c. 699, Pt. A, §4 (AFF) .]
(2). A filing office that accepts written records may not refuse to accept a written record in the following form and format except for a reason set forth in section 9-1516, subsection (2):
UCC FINANCING STATEMENT AMENDMENT
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
A. NAME AND PHONE OF CONTACT AT FILER [optional]
B. SEND ACKNOWLEDGMENT TO: (Name and Address)
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
1a. INITIAL FINANCING STATEMENT FILE NO.
1b. [ ] This FINANCING STATEMENT AMENDMENT is to be filed (for record) (or recorded) in the REAL ESTATE RECORDS.
2. [ ] TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to security interest(s) of the Secured Party authorizing this Termination Statement.
3. [ ] CONTINUATION: Effectiveness of the Financing Statement identified above with respect to security interest(s) of the Secured Party authorizing this Continuation Statement is continued for the additional period provided by applicable law.
4. [ ] ASSIGNMENT (full or partial): Give name of assignee in item 7a or 7b and address of assignee in item 7c; and also give name of assignor in item 9.
__________________________________________________________________
5. AMENDMENT (PARTY INFORMATION): This Amendment affects [ ] Debtor or [ ] Secured Party of record. Check only one of these two boxes. Also check one of the following three boxes and provide appropriate information in items 6 and/or 7.
[ ] CHANGE name and/or address: Give current record name in item 6a or 6b; also give new name (if name change) in item 7a or 7b and/or new address (if address change) in item 7c.
[ ] DELETE name: Give record name to be deleted in item 6a or 6b.
[ ] ADD name: Complete item 7a or 7b, and also item 7c; also complete items 7d-7g (if applicable).
6. CURRENT RECORD INFORMATION:
6a. ORGANIZATION'S NAME
__________________________________________________________________
OR 6b. INDIVIDUAL'S FIRST MIDDLE SUFFIX
LAST NAME NAME NAME
__________________________________________________________________
7. CHANGED (NEW) OR ADDED INFORMATION:
7a. ORGANIZATION'S NAME
__________________________________________________________________
OR 7b. INDIVIDUAL'S FIRST MIDDLE SUFFIX
LAST NAME NAME NAME
__________________________________________________________________
7c. MAILING CITY STATE POSTAL COUNTRY
ADDRESS CODE
__________________________________________________________________
7d. TAX ID ADD'L INFO. RE. 7e. TYPE OF ORGANIZATION
NO. SSN ORGANIZATION
OR EIN DEBTOR
__________________________________________________________________
7f. JURISDICTION OF 7g. ORGANIZATIONAL ID NO.
ORGANIZATION if any
_________________________________________________________[__]NONE
8. AMENDMENT (COLLATERAL CHANGE): check only one box
Describe collateral [ ] deleted or [ ] added, or give entire [ ] restated collateral description, or describe collateral [ ] assigned.
__________________________________________________________________
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT (name of assignor, if this is an Assignment). If this is an Amendment authorized by a Debtor that adds collateral or adds the authorizing Debtor, or if this is a Termination authorized by a Debtor, check here [ ] and enter name of DEBTOR authorizing this Amendment.
9a. ORGANIZATION'S NAME
__________________________________________________________________
OR 9b. INDIVIDUAL'S FIRST MIDDLE SUFFIX
LAST NAME NAME NAME
__________________________________________________________________
10. OPTIONAL FILE REFERENCE DATA
__________________________________________________________________
FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) (REV. 07/29/98)
[BACK OF FORM]
UCC FINANCING STATEMENT AMENDMENT ADDENDUM
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
11. INITIAL FINANCING STATEMENT FILE NO. (same as item 1a on Amendment form)
__________________________________________________________________
12. NAME OF PARTY AUTHORIZING THIS AMENDMENT (same as item 9 on Amendment form)
12a. ORGANIZATION'S NAME
__________________________________________________________________
OR 12b. INDIVIDUAL'S FIRST MIDDLE SUFFIX
LAST NAME NAME NAME
__________________________________________________________________
13. USE THIS SPACE FOR ADDITIONAL INFORMATION
THIS SPACE IS FOR FILING OFFICE USE ONLY
FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT AMENDMENT ADDENDUM (FORM UCC3Ad) (REV. 07/29/98)
[[PL 1999, c. 699, Pt. A, § 2 (NEW).].]
[[PL 1999, c. 699, Pt. A, § 4 (AFF).].]
[ 1999, c. 699, Pt. A, §2 (NEW); 1999, c. 699, Pt. A, §4 (AFF) .]
(3). A form that a filing office may not refuse to accept under subsection (1) or (2) must conform to the format prescribed for the form by the National Conference of Commissioners on Uniform State Laws.
[ 1999, c. 699, Pt. A, §2 (NEW); 1999, c. 699, Pt. A, §4 (AFF) .]
SECTION HISTORY
1999, c. 699, §A2 (NEW). 1999, c. 699, §A4 (AFF).