Free UCC3AP - Arizona


File Size: 240.8 kB
Pages: 2
File Format: PDF
State: Arizona
Category: UCC Forms
Author: MJackson
Word Count: 531 Words, 3,603 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.azsos.gov/business_services/Forms/UCCs/ucc3ap.pdf

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Preview UCC3AP
UCC FINANCING STATEMENT AMENDMENT ADDITIONAL PARTY
FOLLOW INSTRUCTIONS (front and back) CAREFULLY 14. INITIAL FINANCING STATEMENT FILE # (same as item 1a on Amendment form) 15. NAME OF PARTY AUTHORIZING THIS AMENDMENT (same as item 9 on Amendment form)
15a. ORGANIZATION'S NAME

OR

15b. INDIVIDUAL'S LAST NAME

FIRST NAME

MIDDLE NAME,SUFFIX

16. MISCELLANEOUS

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17. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (17a or 17b) - do not abbreviate or combine names
17a. ORGANIZATION'S NAME

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THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY

OR

17b. INDIVIDUAL'S LAST NAME

FIRST NAME

MIDDLE NAME

SUFFIX

17c. MAILING ADDRESS

CITY

STATE

POSTAL CODE

COUNTRY

17d. SEE INSTRUCTIONS

ADD'L INFO RE 17e. TYPE OF ORGANIZATION ORGANIZATION DEBTOR

17f. JURISDICTION OF ORGANIZATION

17g. ORGANIZATIONAL ID #, if any NONE

18. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (18a or 18b) - do not abbreviate or combine names
18a. ORGANIZATION'S NAME

OR

18b. INDIVIDUAL'S LAST NAME

FIRST NAME

MIDDLE NAME

SUFFIX

18c. MAILING ADDRESS

CITY

STATE

POSTAL CODE

COUNTRY

18d. SEE INSTRUCTIONS

ADD'L INFO RE 18e. TYPE OF ORGANIZATION ORGANIZATION DEBTOR

18f. JURISDICTION OF ORGANIZATION

18g. ORGANIZATIONAL ID #, if any NONE

19. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (19a or 19b) - do not abbreviate or combine names
19a. ORGANIZATION'S NAME

OR 19b. INDIVIDUAL'S LAST NAME

FIRST NAME

MIDDLE NAME

SUFFIX

19c. MAILING ADDRESS

CITY

STATE

POSTAL CODE

COUNTRY

19d. SEE INSTRUCTIONS

ADD'L INFO RE 19e. TYPE OF ORGANIZATION ORGANIZATION DEBTOR

19f. JURISDICTION OF ORGANIZATION

19g. ORGANIZATIONAL ID #, if any NONE

20. ADDITIONAL SECURED PARTYS NAME (or Name of TOTAL ASSIGNEE) - insert only one name (20a or 20b)
20a. ORGANIZATION'S NAME

OR

20b. INDIVIDUAL'S LAST NAME

FIRST NAME

MIDDLE NAME

SUFFIX

20c. MAILING ADDRESS

CITY

STATE

POSTAL CODE

COUNTRY

21. ADDITIONAL SECURED PARTYS NAME (or Name of TOTAL ASSIGNEE) - insert only one name (21a or 21b)
21a. ORGANIZATION'S NAME

OR

21b. INDIVIDUAL'S LAST NAME

FIRST NAME

MIDDLE NAME

SUFFIX

21c. MAILING ADDRESS

CITY

STATE

POSTAL CODE

COUNTRY

FILING OFFICE COPY UCC FINANCING STATEMENT AMENDMENT ADDITIONAL PARTY (FORM UCC3AP) (REV. 05/22/02)

International Association of Commercial Administrators (IACA)

Instructions for UCC Financing Statement Amendment Additional Party (Form UCC3AP)
Use this form to continue adding additional Debtor or Secured Party names as needed when filing a UCC Financing Statement Amendment (Form UCC3). 14. 15. 16. Enter file number of Financing Statement as shown on the Amendment to which this Amendment Additional Party relates, exactly as shown in item 1a of Amendment. Enter information exactly as shown in item 9 of Amendment. Miscellaneous: Under certain circumstances, additional information not provided on Amendment may be required. Also, some states have non-uniform requirements. Use this space to provide such additional information or to comply with such requirements; otherwise, leave blank.

17-19. If this Amendment Additional Party adds additional Debtors, complete items 17, 18, and 19 in accordance with Instruction 1 of Financing Statement and give complete information for each additional Debtor. Be sure to complete either the organizations name or individuals name items. 20-21. If this Amendment Additional Party adds additional Secured Parties, complete items 20 and 21 in accordance with Instruction 3 of Financing Statement and give complete information for each additional Secured Party.