Ucc1ad Financing Statement Addendum - Amazon Web Services

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TN FORM UCC1Ad (12/1/2016)
Business Services Division
Tre Hargett, Secretary of State
State of Tennessee
INSTRUCTIONS
UCC Financing Statement Addendum (TN Form UCC1Ad)
Filing Fee: See instructions for UCC Financing Statement (TN Form UCC1)
Pursuant to T.C.A. § 39-17-117, it is a Class E felony for any person to knowingly prepare,
sign, or file any lien or other document with the intent to encumber any real or personal
property when such person has no reasonable basis or any legal cause to place such lien or
encumbrance on such real or personal property.
A blank form follows these instructions.
The UCC1Ad Financing Statement Addendum must be filed in conjunction with the initial UCC1 Financing
Statement. Please refer to the UCC1 Financing Statement instructions for directions on how to submit
the forms.
Please type or laser-print this form. Be sure it is legible. Read all instructions, especially instruction 9;
correct Debtor name 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 upper right portion or in the right hand vertical margin of
this form. It is reserved for filing office use.
9. NAME OF FIRST DEBTOR - Insert name of first Debtor shown on UCC Financing Statement (UCC1)
to which this Addendum is related, exactly as shown in item 1 of UCC Financing Statement (UCC1).
10. ADDITIONAL DEBTOR - If this Addendum adds an additional Debtor, complete item 10 in
accordance with instruction 1 on UCC Financing Statement (UCC1). To add more than one additional
Debtor, either use an additional Addendum form for each additional Debtor or replicate for each additional
Debtor the formatting of UCC Financing Statement (UCC1) item 1 on an 8.5 x 11 inch sheet (showing at
the top of the sheet the name of the first Debtor shown on the UCC Financing Statement (UCC1)), and in
either case give complete information for each additional Debtor in accordance with instruction 1 on UCC
Financing Statement (UCC1). All additional Debtor information, especially the name, must be presented
in proper format exactly identical to the format of item 1 of UCC Financing Statement (UCC1).
11. ADDITIONAL SECURED PARTY - If this Addendum adds an additional Secured Party, complete
item 11 in accordance with instruction 3 on UCC Financing Statement (UCC1). In the case of a total
assignment of the Secured Party’s interest before the filing of this UCC Financing Statement (UCC1), if
filer has given the name and address of the Total Assignee in item 3 of the UCC Financing Statement
(UCC1), filer may give the Assignor Secured Party’s name and address in item 11.

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