Free UCC Financing Statement

This UCC Financing Statement is used when selling goods to another in which the goods are financed and collateral is necessary. This financing statement sets forth all information regarding the transaction including the specific goods sold and all collateral held as security.

Disclaimer:This was not drafted by an attorney & should not be used as a legal document.




UCC-1 FINANCING STATEMENT

A. NAME & PHONE OF CONTACT AT FILER (optional)

_________________________________________________________________
B. SEND ACKNOWLEDGMENT TO: (Name and Address)
[ ]







[ ] THE ABOVE SPACE IS FOR OFFICE USE ONLY
1. DEBTORíS EXACT FULL LEGAL NAME Ė insert only one debtor name (1a or 1b)-do not abbreviate or combine names__________________________

____________________________________________________________________________________________________________________________
1a. ORGANIZATIONíS NAME
OR
_____________________________________________________________________________________________________________________________
1b. INDIVIDUALíS LAST NAME FIRST NAME MIDDLE NAME SUFFIX

_____________________________________________________________________________________________________________________________
1c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

_______________________|_____________________________________________________________________________________________________
1d. SEE INSTRUCTIONS 1e. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION 1g. ORGANIZATIONAL ID#, if any
2. ADDITIONAL DEBTORíS EXACT FULL LEGAL NAME Ė insert only one debtor name (2a or 2b) Ė do not abbreviate or combine names

_____________________________________________________________________________________________________________________________
2a. ORGANIZATIONíS NAME
OR
_____________________________________________________________________________________________________________________________
2b. INDIVIDUALíS LAST NAME FIRST NAME MIDDLE NAME SUFFIX

_____________________________________________________________________________________________________________________________
2c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

______________________|______________________________________________________________________________________________________
2d. SEE INSTRUCTIONS 2e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID #, if any
3. SECURITY PARTYíS NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S/P)-insert only one secured party name (3a or 3b)

_____________________________________________________________________________________________________________________________
3a. ORGANIZATIONíS NAME
OR
_____________________________________________________________________________________________________________________________
3b. INDIVIDUALíS LAST NAME FIRST NAME MIDDLE NAME SUFFIX

____________________________________________________________________________________________________________________________
3c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY
4. This FINANCING STATEMENT covers the following collateral:


All inventory of the Debtor acquired from the Secured Party or hereafter acquired from the Secured Party as well as accounts
Receivable, chattel paper, proceeds of collateral and products of collateral from the sale of such inventory. A Purchase Money
Security Interest Agreement and a Conditional Personal Guaranty have also been recorded as part of this Financing Statement.



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 REPORTS(S) on Debtor(s) (ADDITIONAL FEE (optional) _______ALL DEBTORS _______DEBTOR 1 _______DEBTOR 2
8. OPTIONAL FILER REFERENCE DATA


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