• Current through October 23, 2012

(a) A filing office that accepts written records for filing may not refuse to accept a written initial financing statement in the following form, except for a reason set forth in § 28:9-516(b):

 UCC FINANCING STATEMENT                                                        

FOLLOW INSTRUCTIONS (front and back) CAREFULLY                                

-------------------------------------------------------                        

 A. NAME AND PHONE OF CONTACT AT FILER [optional]                              

                                                                              

-------------------------------------------------------                        

 B. SEND ACKNOWLEDGMENT TO: (Name and Address)                                

                                                                              

               ____                  ____                                      

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

               ____                  ____                THE ABOVE SPACE IS FOR

                                                           FILING OFFICE USE  

                                                                  ONLY        

 

 -------------------------------------------------------------------------------

1.    DEBTOR'S EXACT FULL LEGAL NAME--insert only one debtor name (1a or 1b)-  

        Do not abbreviate or combine names                                    

      -------------------------------------------------------------------------

      1a. ORGANIZATION'S NAME                                                  

                                                                              

                                                                              

OR    -------------------------------------------------------------------------

      1b. INDIVIDUAL'S LAST NAME            FIRST NAME  MIDDLE NAME     SUFFIX

                                                                              

                                                                              

-------------------------------------------------------------------------------

1c. MAILING ADDRESS                         CITY        STATE POSTAL    COUNTRY

                                                                CODE          

                                                                              

                                                                              

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1d. TAX ID.   ADD'L INFO. RE 1e. TYPE OF    1f. JURISD- 1g. ORGANIZATIONAL ID  

  NO. SSN OR    ORGANIZATION   ORGANIZATION   ICTION OF   No., if any          

  EIN           DEBTOR                        ORGANIZA-                        

                                              TION                            

                                                                       [ ] NONE

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2.    ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME--insert only one debtor name  

        (2a or 2b)--do not abbreviate or combine names                        

      -------------------------------------------------------------------------

      2a. ORGANIZATION'S NAME                                                  

                                                                              

                                                                              

OR    -------------------------------------------------------------------------

      2b. INDIVIDUAL'S LAST NAME            FIRST NAME  MIDDLE NAME     SUFFIX

                                                                              

                                                                              

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2c. MAILING ADDRESS                         CITY        STATE POSTAL    COUNTRY

                                                                CODE          

                                                                              

                                                                              

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2d. TAX ID.   ADD'L INFO. RE 2e. TYPE OF    2f. JURISD- 2g. ORGANIZATIONAL ID  

  NO. SSN OR    ORGANIZATION   ORGANIZATION   ICTION OF   No., if any          

  EIN           DEBTOR                        ORGANIZA-                        

                                              TION                            

                                                                       [ ] NONE

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3.    SECURED PARTY'S NAME (or name of total assignee of assignor S/P)-insert  

        only one secured party name (3a or 3b)                                

      -------------------------------------------------------------------------

      3a. ORGANIZATION'S NAME                                                  

                                                                              

                                                                              

OR    -------------------------------------------------------------------------

      3b. INDIVIDUAL'S LAST NAME            FIRST NAME  MIDDLE NAME     SUFFIX

                                                                              

                                                                              

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3c. MAILING   CITY           STATE          POSTAL CODE COUNTRY                

  ADDRESS                                                                      

                                                                              

                                                                              

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4. This FINANCING STATEMENT covers the following collateral:                  

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

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5. ALTERNATIVE DESIGNATION [if applicable]: [ ] LESSEE/LESSOR [ ]              

  CONSIGNEE/CONSIGNOR [ ] BAILEE/BAILOR [ ] SELLER/BUYER [ ] AG. LIEN [ ]      

  NON-UCC FILING                                                              

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6. [ ] This FINANCING STATEMENT is to be filed 7. Check to REQUEST SEARCH      

  (for record) (or recorded) in the REAL         REPORT(S) on Debtor(s)        

  ESTATE RECORDS. Attach Addendum [if            [ADDITIONAL FEE] [optional]  

  applicable]                                    [ ] All Debtors [ ] Debtor 1  

                                                 [ ] Debtor 2                  

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8. OPTIONAL FILER REFERENCE DATA                                              

                                                                              

                                                                              

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FILING OFFICE COPY--NATIONAL UCC FILING STATEMENT (FORM UCC 1) (REV. 07/29/98)

                                [Back of form]                                

 

 UCC FINANCING STATEMENT ADDENDUM                                              

FOLLOW INSTRUCTIONS instructions (front and                                    

  back) CAREFULLY.                                                            

------------------------------------------------                              

9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED                                  

  FINANCING STATEMENT                                                          

------------------------------------------------                              

   9a. ORGANIZATION'S NAME                                                    

OR                                                                            

------------------------------------------------                              

   9b. INDIVIDUAL'S FIRST NAME      MIDDLE NAME,                              

     LAST NAME                        SUFFIX                                  

------------------------------------------------                              

10. MISCELLANEOUS:                                                            

                                                     THE ABOVE SPACE IS FOR    

                                                     FILING OFFICE USE ONLY    

-------------------------------------------------------------------------------

   ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME--insert only one name (11a or    

     11b)--do not abbreviate or combine names                                  

   ----------------------------------------------------------------------------

   11a. ORGANIZATION'S NAME                                                    

OR ----------------------------------------------------------------------------

   11b. INDIVIDUAL'S LAST NAME              FIRST NAME  MIDDLE NAME     SUFFIX

-------------------------------------------------------------------------------

11c. MAILING ADDRESS                        CITY        STATE POSTAL    COUNTRY

                                                                CODE          

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11d. TAX    ADD'L INFO. RE  11e. TYPE OF    11f. JURIS- 11g. ORGANIZATIONAL ID

  ID. NO.     ORGANIZATION    ORGANIZATION    DICTION     No., if any          

  SSN OR      DEBTOR                          OF ORGAN-                        

  EIN                                         IZATION                          

                                                                       [ ] NONE

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   [ ] ADDITIONAL SECURED PARTY'S or [ ] ASSIGNOR S/P'S NAME-insert only one  

     name (12a or 12b).                                                        

   ----------------------------------------------------------------------------

   12a. ORGANIZATION'S NAME                                                    

OR ----------------------------------------------------------------------------

   12b. INDIVIDUAL'S LAST NAME              FIRST NAME  MIDDLE NAME     SUFFIX

-------------------------------------------------------------------------------

12c. MAILING ADDRESS                        CITY        STATE POSTAL    COUNTRY

                                                                CODE          

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13. This FINANCING STATEMENT covers [ ]     16. Additional collateral          

  timber to be cut or [ ] as-extracted        description:                    

  collateral, or is filed as a [ ] fixture                                    

  filing.                                                                      

14. Description of real estate:                                                

15. Name and address of a RECORD OWNER of                                      

  the above-described real estate (if                                          

  Debtor does not have record interest):                                      

                                            -----------------------------------

                                                                              

                                            17. Check only if applicable and  

                                              check only one box:              

                                            Debtor is a [ ] Trust or [ ]      

                                              Trustee acting with respect to  

                                              property held in trust or [ ]    

                                              Decedent's Estate                

                                            -----------------------------------

                                            18. Check only if applicable and  

                                              check only one box:              

                                            [ ] Debtor is a TRANSMITTING      

                                              UTILITY                          

                                            [ ] Filed in connection with a    

                                              Manufactured-Home                

                                              Transaction--effective 30 years  

                                            [ ] Filed in connection with a    

                                              Public-Finance                  

                                              Transaction--effective 30 years  

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    FILING OFFICE COPY--NATIONAL UCC FILING STATEMENT (FORM UCC 1Ad) (REV.    

                                   07/29/98)                                  

 

(b) A filing office that accepts written records for filing may not refuse to accept a written financing statement amendment in the following form, except for a reason set forth in § 28:9-516(b):

 UCC FINANCING STATEMENT                                                        

FOLLOW INSTRUCTIONS (front and back) CAREFULLY                                

------------------------------------------------------                        

 A. NAME AND PHONE OF CONTACT AT FILER [optional]                              

                                                                              

------------------------------------------------------                        

 B. SEND ACKNOWLEDGMENT TO: (Name and Address)                                

                                                                              

               ____                  ____                                      

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

               ____                  ____                                      

                                                        THE ABOVE SPACE IS FOR

                                                           FILING OFFICE USE  

                                                                 ONLY          

 

 -------------------------------------------------------------------------------

1a. INITIAL FINANCING STATEMENT FILE NO.     1b. [ ] This FINANCING STATEMENT  

                                               AMENDMENT is to be filed (for  

                                               record) (or recorded) in the    

                                               REAL ESTATE RECORDS.            

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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.                                      

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3. [ ] 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.                                                              

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4. [ ] 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.    

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5. AMENDMENT (PARTY INFORMATION): This Amendment affects [ ] Debtor or [ ]    

  Secured Party of record. Check only one of these two boxes. 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 [ ] DELETE    [ ] ADD name:      

  record name in item 6a or 6b; also give      name: Give    Complete item 7a  

  new name (if name change) in item 7a or 7b   record name   or 7b, and also  

  and/or new address (if address change) in    to be         item 7c; also    

  item 7c.                                     deleted in    complete items    

                                               item 6a or    7d-7g (if        

                                               6b.           applicable).      

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6.   CURRENT RECORD INFORMATION:                                              

     --------------------------------------------------------------------------

     6a. ORGANIZATION'S NAME                                                  

                                                                              

                                                                              

OR   --------------------------------------------------------------------------

     6b. INDIVIDUAL'S LAST NAME           FIRST NAME   MIDDLE NAME      SUFFIX

                                                                              

                                                                              

-------------------------------------------------------------------------------

7.   CHANGED (NEW) OR ADDED INFORMATION:                                      

     --------------------------------------------------------------------------

     7a. ORGANIZATION'S NAME                                                  

                                                                              

                                                                              

OR   --------------------------------------------------------------------------

     7b. INDIVIDUAL'S LAST NAME           FIRST NAME   MIDDLE NAME      SUFFIX

                                                                              

                                                                              

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7c. MAILING ADDRESS                       CITY         STATE  POSTAL    COUNTRY

                                                                CODE          

                                                                              

                                                                              

-------------------------------------------------------------------------------

7d. TAX ID. ADD'L INFO. RE 2e. TYPE OF    2f. JURISDI- 2g. ORGANIZATIONAL ID  

  NO. SSN     ORGANIZATION   ORGANIZATION   CTION OF     No., if any          

  OR EIN      DEBTOR                        ORGANIZAT-                        

                                            ION                                

                                                                       [ ] NONE

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8. AMENDMENT (COLLATERAL CHANGE): check only one box                          

  Describe collateral [ ] deleted or [ ] added, or give entire [ ] restated    

  collateral description, or describe collateral [ ] assigned.                

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

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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                                                  

                                                                              

                                                                              

OR   --------------------------------------------------------------------------

     9b. INDIVIDUAL'S LAST NAME           FIRST NAME   MIDDLE NAME      SUFFIX

                                                                              

                                                                              

-------------------------------------------------------------------------------

10. OPTIONAL FILE REFERENCE DATA                                              

                                                                              

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  FILING OFFICE COPY--NATIONAL UCC FINANCING STATEMENT AMENDMENT (FORM UCC3)  

                                (REV. 07/29/98)                                

                                [Back of form]                                

 

 UCC FINANCING STATEMENT AMENDMENT ADDENDUM                                    

FOLLOW INSTRUCTIONS (front and back) CAREFULLY.                                

-------------------------------------------------------------                  

11. INITIAL FINANCING STATEMENT FILE NO. (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                                  

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

                                                               THE ABOVE SPACE

                                                                    IS FOR    

                                                                FILING OFFICE  

                                                                   USE ONLY    

     --------------------------------------------------------                  

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

                                                                              

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 FILING OFFICE COPY--NATIONAL UCC FINANCING STATEMENT AMENDMENT ADDENDUM (FORM

                            UCC3Ad) (REV. 07/29/98)                            

-------------------------------------------------------------------------------

 

(c) A form that a filing office may not refuse to accept under subsection (a) or (b) of this section must conform to the format prescribed for the form by the National Conference of Commissioners on Uniform State Laws.

(Oct. 26, 2000, D.C. Law 13-201, § 101, 47 DCR 7576.)

HISTORICAL AND STATUTORY NOTES

UNIFORM COMMERCIAL CODE COMMENT

Source

New.

"Safe Harbor" Written Forms

Although Section 9-520 limits the bases upon which the filing office can refuse to accept records, this section provides sample written forms that must be accepted in every filing office in the country, as long as the filing office's rules permit it to accept written communications. By completing one of the forms in this section, a secured party can be certain that the filing office is obligated to accept it.

The forms in this section are based upon national financing statement forms that were in use under former Article 9. Those forms were developed over an extended period and reflect the comments and suggestions of filing officers, secured parties and their counsel, and service companies. The formatting of those forms and of the ones in this section has been designed to reduce error by both filers and filing offices.

A filing office that accepts written communications may not reject, on grounds of form or format, a filing using these forms. Although filers are not required to use the forms, they are encouraged and can be expected to do so, inasmuch as the forms are well designed and avoid the risk of rejection on the basis of form or format. As their use expands, the forms will rapidly become familiar to both filers and filing-office personnel. Filing offices may and should encourage the use of these forms by declaring them to be the "standard" (but not exclusive) forms for each jurisdiction, albeit without in any way suggesting that alternative forms are unacceptable.

The multi-purpose form in subsection (b) covers changes with respect to the debtor, the secured party, the collateral, and the status of the financing statement (termination and continuation). A single form may be used for several different types of amendments at once (e.g., both to change a debtor's name and continue the effectiveness of the financing statement).

Legislative History of Laws

For Law 13-201, see notes following § 28:9-101.