Central Filing System Statement Of Continuation, Termination Or Amendment C.f.s. - 3 Form
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State of Utah
Clear Form
DEPARTMENT OF COMMERCE
Division of Corporations & Commercial Code
Central Filing System
Statement of Continuation, Termination or Amendment
C.F.S. – 3
1. Check One
2.Original File Number
______________________________
[ ] Continuation
[ ] Termination
[ ] Partial Release
[ ] Assignment
[ ] Amendment
3.
4. ____________________________________________
Debtor Name
Debtor Name
____________________________________________
Address
City/State/Zip
Address
City/State/Zip
___ ___ ___ - ___ ___ - ___ ___ ___ ___
___ ___ ___ - ___ ___ - ___ ___ ___ ___
Social Security Number
Social Security Number
___ ___ - ___ ___ ___ ___ ___ ___ ___
___ ___ - ___ ___ ___ ___ ___ ___ ___
IRS Tax I.D. No.
IRS Tax I.D. No.
5. ______________________________________________
Secured Party
________________________________________________________
Address
City/State/Zip
___ ___ ___ - ___ ___ - ___ ___ ___ ___
Social Security Number
___ ___ - ___ ___ ___ ___ ___ ___ ___
IRS Tax I.D. No.
6. Original Date of Filing
____________
Month
Day
Year
7. Instructions
Debtor Signature
Debtor Signature
Secured Party Signature
8. Name and address to whom the stamped copy should be returned (lawyer, assignee, etc.)
______________________________________________________________
Name
_________________________________________________________________________________________________________________________
Address
City
State
Zip
Mail In: PO Box 146705
Salt Lake City, UT 84114-6705
Walk In: 160 East 300 South, Main Floor
Information Center: (801) 530-4849
Toll Free: (877) 526-3994 (within Utah)
Fax: (801) 530-6438
Web Site:
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