Standard UCC Financing Statement Amendment

1b. This FINANCING STATEMENT AMENDMENT is
to be filed [for record] (or recorded) in the
REAL ESTATE RECORDS.
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
CHANGE name and/or address: Please refer to the detailed instructions
in regards to changing the name/address of a party.
Describe collateral deleted or added, or give entire restated collateral description, or describe collateral assigned.
Also check one of the following three boxes and provide appropriate information in items 6 and/or 7.
FIRST NAME SUFFIXMIDDLE NAME
FIRST NAME
MIDDLE NAME
SUFFIX
COUNTRY
POSTAL CODE
STATECITY
7c. MAILING ADDRESS
ADD'L INFO RE
ORGANIZATION
DEBTOR
7e. TYPE OF ORGANIZATION 7f. JURISDICTION OF ORGANIZATION
7g. ORGANIZATIONAL ID #, if any
NONE
OR
OR
B. SEND ACKNOWLEDGMENT TO: (Name and Address)
A. NAME & PHONE OF CONTACT AT FILER [optional]
1a. INITIAL FINANCING STATEMENT FILE #
5. AMENDMENT (PARTY INFORMATION): This Amendment affects Debtor or Secured Party of record. Check only one of these two boxes.
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.
TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to security interest(s) of the Secured Party authorizing this Termination Statement.
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.
2.
3.
4.
7a. ORGANIZATION'S NAME
7b. INDIVIDUAL'S LAST NAME
6b. INDIVIDUAL'S LAST NAME
6a. ORGANIZATION'S NAME
ADD name: Complete item 7a or 7b, and also item 7c;
also complete items 7e-7g (if applicable).
6. CURRENT RECORD INFORMATION:
7. CHANGED (NEW) OR ADDED INFORMATION:
8. AMENDMENT (COLLATERAL CHANGE): check only one box.
UCC FINANCING STATEMENT AMENDMENT
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
DELETE name: Give record name
to be deleted in item 6a or 6b.
FILING OFFICE COPY UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) (REV. 05/22/02)
OR
OPTIONAL FILER REFERENCE DATA
FIRST NAME
MIDDLE NAME SUFFIX
9a. ORGANIZATION'S NAME
9b. INDIVIDUAL'S LAST NAME
10.
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 which
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.
7d. SEE INSTRUCTIONS
Page 1/2
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Standard UCC Financing Statement Amendment PDF

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