Free EFS 3 - Nebraska

Continuation or Termination of the Nebraska Effective Financing Statement

EFS - 3

If EFS was filed on or after July 1, 1999 provide: Secretary of State File Number and Secretary of State Filing Date .

Said Effective Financing Statement is hereby amended to read as follows: CHECK APPROPRIATE BOX (Only one action may be indicated) Continuation - The original Effective Financing Statement between the foregoing Debtor(s) and the Secured Party bearing the file number shown above is hereby extended and continued for the full period allowed by law. Termination (Notice of Lapse) - The Secured Party hereby terminates the Effective Financing Statement bearing the file number shown above.
1. DEBTOR - IF INDIVIDUAL 2. ADDITIONAL DEBTOR - IF INDIVIDUAL FOR SECRETARY OF STATE USE ONLY

Name (Last, First, MI) Mailing Address City State Zip Code

Name (Last, First, MI) Mailing Address City State Zip Code

Soc. Sec. No. or Fed. Tax I.D. No.
3. ADDITIONAL DEBTOR - IF INDIVIDUAL

Soc. Sec. No. or Fed. Tax I.D. No.
4. ADDITIONAL DEBTOR - IF ENTITY

CONTINUATION FILING FEE $10.00
5. SECURED PARTY

Name (Last, First, MI) Mailing Address City State Zip Code

Name Mailing Address City State Zip Code

Name (Last, First) Mailing Address City State Zip Code

Soc. Sec. No. or Fed. Tax I.D. No.

Soc. Sec. No. or Fed. Tax I.D. No.

Soc. Sec. No. or Fed. Tax I.D. No.

Signature of Secured Party below:

By

Reset Form
Click reset button to clear this form. To be filed with: Nebraska Secretary of State UCC Division PO Box 95104 Lincoln, NE 68509

INSTRUCTIONS
This form must be typed. Illegible forms will be returned without filing.

Provide information relating to Secretary of State Filing Date of EFS and Secretary of State Filing Number of EFS if filed on or after July 1, 1999.

After you have filed any EFS document with the Secretary of State's Office, please provide only the Secretary of State's Filing Number for future document reference.
Blocks 1 thru 5. Complete information relating to Debtors and Secured Party as such appears on the original Effective Financing Statement or as Amended. Check appropriate box to indicate whether this document is a continuation or a termination (Notice of Lapse). Only one action may be indicated per form. File at: Nebraska Secretary of State's Office Business Services Division PO Box 95104 Lincoln, NE 68509