-
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
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A. NAME AND PHONE OF CONTACT AT FILER [optional]
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B. SEND ACKNOWLEDGMENT TO: (Name and Address)
____ ____
____ ____ THE ABOVE SPACE IS FOR
FILING OFFICE USE
ONLY
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1. DEBTOR'S EXACT FULL LEGAL NAME--insert only one debtor name (1a or 1b)-
Do not abbreviate or combine names
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1a. ORGANIZATION'S NAME
OR -------------------------------------------------------------------------
1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX
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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
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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)
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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
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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
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ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME--insert only one name (11a or
11b)--do not abbreviate or combine names
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11a. ORGANIZATION'S NAME
OR ----------------------------------------------------------------------------
11b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX
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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).
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12a. ORGANIZATION'S NAME
OR ----------------------------------------------------------------------------
12b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX
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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
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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:
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6a. ORGANIZATION'S NAME
OR --------------------------------------------------------------------------
6b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX
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7. CHANGED (NEW) OR ADDED INFORMATION:
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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
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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.
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9a. ORGANIZATION'S NAME
OR --------------------------------------------------------------------------
9b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX
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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)
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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)
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(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.