Free UCC 3F - Louisiana


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State: Louisiana
Category: Secretary of State
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STATE OF LOUISIANA UNIFORM COMMERCIAL CODE - AMENDMENT UCC-3
Important - Read instructions Before Completing Form FOLLOW INSTRUCTIONS (FRONT AND BACK CAREFULLY) 1. Initial Financing Statement File # 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 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 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.

3.

4.

5. AMENDMENT (PARTY iNFORMATION) This amendment affects

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 DELETE name: Give record name new name (if name change) in item 7a or 7b and/or new address (if address change) in item 7c to be deleted in item 8a or 8b 6. CURRENT RECORD INFORMATION: 6a Organization's Name
OR

ADD name: Complete item 7a or 7b and
item 7c; also complete items 7d-7g (if applicable)

6b Individual's Last Name (and Title of Lineage (e.g. Jr., Sr., III, if applicable)

First Name

Middle Name

7. CHANGED (NEW) OR ADDED INFORMATION:

7a Organization's Name
OR

7b Individual's Last Name (and Title of Lineage (e.g. Jr., Sr., III, if applicable)

First Name

Middle Name

7c Mailing Address

City

State

Postal Code

Country

7d Tax ID #: SSN or EIN

Add'l info re Organization:

7e Type of Organization

7f Jurisdiction of Organization

7g Organization 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 or 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
OR

9b Individual's Last Name (and Title of Lineage (e,g. Jr., Sr., III), if applicable First Name

Middle Name

10. OPTIONAL FILER REFERENCE DATA 11. NAME AND PHONE OF CONTACT AT FILER (optional)

12. SEND ACKNOWLEDGMENT TO: (Name and Address)

The above space is for filing office use only

LOUISIANA SECRETARY OF STATE JAY DARDENNE 11/11/2006

INSTRUCTIONS FOR LOUISIANA UCC FINANCING STATEMENT AMENDMENT (FORM UCC3)

Please type or laser print this form. Be sure it is completely legible. Read all instructions, especially Instruction 1; correct file number of initial financing statement is crucial. Follow instructions completely. Fill in 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 lower 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 1. PROPER PLACE TO FILE: This amendment must be filed in the same filing office as the financing statement to which it relates was filed. DO NOT FILE WITH THE SECRETARY OF STATE. When properly completed, send Filing Office Copy, with required fee, to filing office. If you want an acknowledgment, complete item 12 and, if filing in a filing office that returns an acknowledgment copy furnished by filer, you may also send Acknowledgment Copy, otherwise detach. Always detach Debtor and Secured Party copies. If you need to use attachments, use 8 1/2 X 11 inch sheets and put at the top of each sheet "AMENDMENT" and the file number of the initial financing statement to which this Amendment relates. To assist filing offices that might wish to communicate with filer, filer may provide information in item 11. This item is optional. Complete item 12 if you want an acknowledgment sent to you. If filing in a filing office that returns an acknowledgment copy furnished by filer, present simultaneously with this form a carbon or other copy of this form for use as an acknowledgment copy. Always complete item 1 and 9. 1. File number: Enter file number of initial financing statement to which this Amendment relates. Enter only one file number. NOTE Show purpose of the Amendment by checking box 2, 3, 4, 5 (in item 5 you must check two boxes) or 8; also complete items 6, 7 and/or 8 as appropriate. To terminate the effectiveness of the identified financing statement with respect to security interest(s) of authorizing Secured Party, check box 2. See instruction 9 below. To continue the effectiveness of the identified financing statement with respect to security interest(s) of authorizing Secured Party, check box 3. See instruction 9 below. To assign (i) all of assignor's interest under the identified financing statement, or (ii) a partial interest in the security interest covered by the identified financing statement, or (iii) assignor's full interest in some (but not all) of the collateral covered by the identified financing statement: check box in item 4 and enter name of assignee in item 7a if assignee is an organization, or in item 7b, formatted as indicated, if assignee is an individual. Complete 7a or 7b but not both. Also enter assignee's address in item 7c and name of assignor in item 9. If partial Assignment affects only some (but not all) of the collateral covered by the identified financing statement, filer may check appropriate box in item 8 and indicate affected collateral in item 8. To change the name and/or address of a party: Check box in item 5 to indicate whether this Amendment amends information relating to a Debtor or a Secured Party, also check box in item 5 to indicate that this is a name and/or address change; also enter name of affected party (current record name, in case of name change) in items 6a or 6b as appropriate; and also give new name (7a or 7b) and/or new address (7c) in item 7. To delete a party: Check box in item 5 to indicate whether deleting a Debtor or a Secured Party; also check box in item 5 to indicate that this is a deletion of a party; and also enter name (6a or 6b) of deleted party in item 6. To add a party: Check box in item 5 to indicate whether adding a Debtor or Secured Party; also check box in item 5 to indicate that this is an addition of a party; also enter all required information in item 7: name (7a or 7b) and address (7c); also, if adding a Debtor that is an origanization, enter additional organization Debtor information (7e-g). Note: The preferred method for filing against a new Debtor (an individual or organization not previously of record as a Debtor under this file number) is to file a new Financing Statement (UCC) and not an Amendment (UCC3). Collateral change. To change the collateral covered by the identified financing statement, describe the change in item 8. This may be accomplished either by describing the collateral to be added or deleted, or by setting forth in full the collateral description as it is to be effective after the filing of this Amendment, indicating clearly the method chosen (check the appropriate box). A partial release of collateral is a deletion. If due to a full release of all collateral, filer no longer claims a security interest under the identified financing statement, check box 2 (Termination) and not box 8 (Collateral Change). If a partial assignment consists of the assignment of some (but not all) of the collateral covered by the identified financing statement, filer may indicate the assigned collateral in item 8, check the appropriate box in item 8, and also comply with instruction 4 above. Always enter name of party of record authorizing this Amendment; in most cases, this will be a Secured Party of record. If more than one authorizing Secured Party, attach additional name(s), properly formatted, on 8 1/2 x 11 inch sheet of paper and put at the top of each sheet the Financing Statement File Number. If the indicated financing statement refers to the parties as lessee and lessor, or consignee and consignor, or seller and buyer, instead of Debtor and Secured Party, references in this Amendment shall be deemed likewise so to refer to the parties. If this is an Assignment, enter assignor's name. If this is an Amendment authorized by a Debtor that adds collateral or adds a Debtor, or if this is a Termination authorized by a Debtor, check the box in item 9 and enter the name, properly formatted, of the Debtor authorizing this Amendment. 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 information (e.g.), Secured Party's loan number, law firm file number, Debtor's name or other identification, state in which form is being filed, etc.) that filer may find useful.

2.

3.

4.

5,6,7.

5,6.

5, 7.

8.

9.

10.