Ucc Financing Statement - State Of Tennessee (Page 2 of 4) in pdf

If you need to provide additional information, you must use a UCC Financing Statement Addendum form (TN

Form UCC1Ad) or a UCC Financing Statement Additional Party form (TN Form UCC1Ap).

To assist the filing office in communicating with the filer to resolve any issues, the filer may provide information in

items A and B.

Complete item C if you want an acknowledgment sent to you and your original documents returned.

DEBTOR’S NAME - Enter only one Debtor name in item 1: either an organization's name (1a) or an

individual’s name (1b). Enter Debtor’s exact full legal name. Do not abbreviate. Name fields are a maximum

of 256 characters in length.

ORGANIZATION DEBTOR - “Organization” means an entity having a legal identity separate from its owner.

A partnership is an organization; a sole proprietorship is not an organization, even if it does business under a

trade name. If Debtor is a partnership, enter the exact full legal name of the partnership. You need not enter

names of partners as additional Debtors. If Debtor is a registered organization (e.g., corporation, limited

partnership, limited liability company), it is advisable to examine the Debtor’s current filed formation

documents to determine the exact legal name of the Debtor.

1b. INDIVIDUAL DEBTOR - “Individual” means a natural person; this includes a sole proprietorship, whether or

not operating under a trade name. Do not use prefixes (Mr., Mrs., Ms.). Use suffix box only for titles of

lineage (Jr., Sr., III) and not for other suffixes or titles (e.g., M.D.). Use a married woman’s personal name

(Mary Smith, not Mrs. John Smith). Enter individual Debtor’s family name in INDIVIDUAL’S SURNAME box,

first given name in FIRST PERSONAL NAME box, and all additional given names in ADDITIONAL NAME(S)

INITIAL(S) box. Individual Debtor’s name should be the same as the name on the driver’s license or photo

identification license, if applicable.

For both organization and individual Debtors: do not use Debtor’s aliases (e.g. trade name, DBA, AKA, FKA,

division name) in place of or combined with Debtor’s legal name; you may add such other names as

additional Debtors if you wish (this is neither required nor recommended).

1c. MAILING ADDRESS - A complete address is always required for the Debtor named in 1a or 1b. Our system

will standardize the address in USPS format.

2. DEBTOR’S NAME - If an additional Debtor is included, complete item 2, determined and formatted per

instruction 1. To include further additional Debtors, or one or more additional Secured Parties, attach a UCC

Financing Statement Addendum form (TN Form UCC1Ad) using correct name format. Follow instruction 1 for

determining and formatting additional names.

3. SECURED PARTY’S NAME - Enter information for Secured Party or Total Assignee, determined and

formatted per instruction 1. To include further additional Secured Parties, attach either a UCC Financing

Statement Addendum form (TN Form UCC1Ad) or a UCC Financing Statement Additional Party form (TN

Form UCC1Ap) using correct name format. Follow instruction 1 for determining and formatting additional

names. If there has been a total assignment of the Secured Party’s interest prior to filing this form, you may

either (1) enter Assignor Secured Party‘s name and address in item 3 and file an Amendment (Form UCC3)

[see item 5 of that form]; or (2) enter Total Assignee’s name and address in item 3 and, if you wish, also

attach Addendum (Form UCC1Ad) giving Assignor Secured Party’s name and address in item 12.

4. COLLATERAL - Use item 4 to indicate the collateral covered by this Financing Statement. If space in item 4

is insufficient, put the entire collateral description or continuation of the collateral description on UCC1

Addendum (Form UCC1Ad). Pursuant to T.C.A. § 67-4-409(b) every recorded instrument evidencing an

indebtedness must contain, either on the face of the instrument or in an attached sworn statement, the

following language: "Maximum principal indebtedness for Tennessee recording tax purposes is $_____."

5. If the collateral is held in Trust or being administered by a Decedent’s Personal Representative, check the

appropriate box in item 5.

6a. If the filing is a Public-Finance Transaction, a Manufactured-Home Transaction, or if the Debtor is a

Transmitting Utility, select the appropriate box in 6a.

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Ucc Financing Statement - State Of Tennessee Page 2

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