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UCC FINANCING STATEMENT AMENDMENT ADDENDUM
FOLLOW INSTRUCTIONS (front and back) CAREFULLY 11. INITIAL FINANCING STATEMENT FILE # (same as item 1a on Amendment form) 12. NAME OF PARTY AUTHORIZING THIS AMENDMENT (same as item 9 on Amendment form)
12a. ORGANIZATION'S NAME

OR

12b. INDIVIDUAL'S LAST NAME

FIRST NAME

MIDDLE NAME,SUFFIX

13. Use this space for additional information

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THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY

FILING OFFICE COPY NATIONAL UCC FINANCING STATEMENT AMENDMENT ADDENDUM (FORM UCC3Ad) (REV. 07/29/98)

International Association of Commercial Administrators (IACA)

Instructions for National UCC Financing Statement AMENDMENT Addendum (Form UCC3Ad)
11. 12. 13. Enter information exactly as given in item 1a on Amendment form. Enter information exactly as given in item 9 on Amendment form. If space on Amendment form is insufficient or you must provide additional information, enter additional information in item 13.