UCC FINANCING STATEMENT AMENDMENT
FOLLOW INSTRUCTIONS (front and back) CAREFULLY A. NAME & PHONE OF CONTACT AT FILER [optional]
B. SEND ACKNOWLEDGMENT TO: (Name and Address)
1a. INITIAL FINANCING STATEMENT FILE # 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
2. 3. 4.
TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to security interest(s) of the Secured Party authorizing this Termination Statement.
continued for the additional period provided by applicable law.
CONTINUATION: Effectiveness of the Financing Statement identified above with respect to security interest(s) of the Secured Party authorizing this Continuation Statement is 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.
Debtor or Secured Party of record. Check only one of these two boxes. ADD name: Complete item 7a or 7b, and also item 7c; also complete items 7e-7g (if applicable).
5. AMENDMENT (PARTY INFORMATION): This Amendment affects
CHANGE name and/or address: Please refer to the detailed instructions in regards to changing the name/address of a party.
Also check one of the following three boxes and provide appropriate information in items 6 and/or 7. DELETE name: Give record name to be deleted in item 6a or 6b.
6. CURRENT RECORD INFORMATION:
6a. ORGANIZATION'S NAME
OR 6b. INDIVIDUAL'S LAST NAME
7. CHANGED (NEW) OR ADDED INFORMATION:
7a. ORGANIZATION'S NAME
7b. INDIVIDUAL'S LAST NAME
7c. MAILING ADDRESS
7d. SEE INSTRUCTIONS
ADD'L INFO RE ORGANIZATION DEBTOR
7e. TYPE OF ORGANIZATION
7f. JURISDICTION OF ORGANIZATION
7g. ORGANIZATIONAL ID #, 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 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.
9a. ORGANIZATION'S NAME
9b. INDIVIDUAL'S LAST NAME
10. OPTIONAL FILER REFERENCE DATA
FILING OFFICE COPY UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) (REV. 05/22/02)
International Association of Commercial Administrators (IACA)
Instructions for National UCC Financing Statement AMENDMENT (Form UCC3)
Please type or laser-print this form. Be sure it is completely legible. Read all instructions, especially Instruction 1a; correct file number of the initial financing statement is crucial! Follow the instructions completely. Fill in the form very carefully. Mistakes may have important legal consequences. If you have questions, consult your attorney. Filing office cannot give legal advice. Do not insert anything in the open space in the upper portion of this form. It is reserved for filing office use. An amendment may relate to only one financing statement. Do not enter more than one file number in item 1a. When properly completed, send the Filing Office Copy, with the required fee, to filing office. If you want an acknowledgement, complete item B, and if filing in a filing office that returns an acknowledgement copy furnished by filer, you may also send acknowledgement copy; otherwise detach. Always detach the Debtor and Secured Party Copies. If you need to use attachments, use 8 ½ by 11 inch sheets and write at the top of each sheet, "AMENDMENT" and the file number of the initial financing statement to which this amendment relates. You are encouraged to use "Amendment Addendum" (Form UCC3Ad). Always complete items 1a and 9. A. To assist filing offices that might wish to communicate with filer, filer may provide information in item A. This item is optional. B. Complete item B if you want an acknowledgement sent to you. If filing in a filing office that returns an acknowledgement copy furnished by the filer, present simultaneously with this form a copy of this form for use as an acknowledgement copy. 1a. File number: Enter the number of the initial financing statement to that this is a deletion of a party. Enter the name (6a or 6b) of the which this amendment relates. Enter only ONE file number. In some deleted party in item 6. states, the file number is not unique. In those states, also enter in item 1a, after the file number, the date that the initial financing 5,7. To add a party: Check box in item 5 to indicate whether you are statement was filed. adding a Debtor or a Secured Party. Also check box in item 5 to indicate that this is an addition of a party. Also enter all required 1b. Check box 1b only if this amendment is to be filed or recorded in the information in item 7: name (7a or 7b) and address (7c). If adding a real estate records. Also, in item 13 of the Amendment Addendum, Debtor: tax ID # (7d) in those states where it is required, and enter Debtor's name in the proper format, exactly identical to the additional Debtor organization information (7e-g) if added debtor is format of item 1 of the financing statement, and the name of the an organization. Note: The preferred method for filing against a new record owner, if Debtor does not have a record interest. debtor (an individual or organization not previously of record as a debtor under this file number) is to file a new Financing statement Note: Show the purpose of this amendment by checking box 2,3,4,5 (UCC1), not an amendment (UCC3) (check two boxes in item 5) or 8. Also complete items 6, 7 and/or 8 as appropriate. 8. Collateral Change. To change the collateral covered by the identified financing statement, describe the change in item 8. You may do this 2. To terminate the effectiveness of the identified financing statement by either describing the collateral to be added or deleted, OR by with respect to the security interest(s) of the authorizing Secured setting forth the full collateral description as it is to be effective after Party, check box 2. (See instruction 9 below.) the filing of this amendment. Check the appropriate box which clearly indicates the method you have chosen. (If the space in item 3. To continue the effectiveness of the identified financing statement 8 is insufficient, use item 13 of Amendment Addendum (Form with respect to the security interest(s) of the authorizing Secured UCC3Ad). A partial release of collateral is a deletion. If, due to a Party, check box 3. (See instruction 9 below.) full release of collateral, filer no longer claims a security interest under the identified financing statement, check box 2 (termination) 4. To assign (1) all of the assignor's interest under the identified instead of box 8 (Collateral Change). If a partial assignment financing statement, or (2) a partial interest in the security interest consists of the assignment of some (but not all) of the collateral covered by the identified financing statement, or (3) the assignor's covered by the identified financing statement, the filer may indicate the assigned collateral in item 8. Check the appropriate box in item full interest in some (but not all) of the collateral covered by the identified financing statement: 8, and also follow instruction 4 above. a.) Check the box in item 4. b.) Enter the name of the assignee in item 7a if the assignee is an 9. Always enter the name of the party of record authorizing this organization, or in item 7b, formatted as indicated, if the assignee amendment. (In most cases, this will be a Secured Party of record.) is an individual. Complete 7a OR 7b, but not both!!! If there is more than one authorizing Secured Party, give the c.) Enter the assignee's address in item 7c. additional names, properly formatted, in item 13 of Amendment d.) Enter the name of the assignor in item 9. Addendum (Form UCC3Ad). If the indicated financing statement If partial Assignment affects only some (but not all) of the collateral refers to the parties as lessee and lessor, consignee and consignor, or covered by the identified financing statement, the filer may check seller and buyer instead of Debtor and Secured Party, references in the appropriate box in item 8 and indicate the affected collateral in this Amendment shall be deemed likewise to refer to the parties. If item 8. this is an assignment, enter the assignor's name. If this is an amendment authorized by a debtor that adds collateral or adds a 5, 6, 7. To change the name and/or address of a party: Check box in item debtor, or if this is a termination authorized by a debtor, check the 5 to indicate whether this Amendment amends information relating box in item 9 and enter the name, properly formatted, of the Debtor to a Debtor or a Secured Party. Also, check the box in item 5 to authorizing this amendment, and, if this amendment or termination indicate that it is a name or address change. Also, enter the name of is to be filed or recorded in the real estate records, also enter, in item the affected party (use the current record name, in the case of a 13 of Amendment Addendum, name of Secured Party of record. name change) in items 6a or 6b as appropriate. Also, give new name (7a or 7b) and/or new address (7c) in item 7. 10. This item is optional and is for filer's use only. For filer's convenience of reference, filer may enter in item 10 any identifying 5,6. To delete a party: Check box in item 5 to indicate whether deleting a information (e.g., Secured Party's loan number, law firm file Debtor or a Secured Party. Also check the box in item 5 to indicate number, Debtor's name or other identification, state in which form is being filed, etc.) that filer may find useful.
FORM SHOULD BE TYPE WRITTEN OR COMPUTER GENERATED