Fillable Form Ucc5 - Correction Statement printable pdf download

Form Ucc5 - Correction Statement

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UCC-5

STATE OF SOUTH CAROLINA FILING FEES:

$ 8.00 - For the FIRST TWO pages

$20.00 - Public Finance Transaction

$ 2.00 - For the THIRD page

$20.00 - Manufactured Home Transaction

$ 1.00 - For each ADDITIONAL page after the THIRD page.

CORRECTION STATEMENT

For each additional Debtor more than two (2), add $2.00

for each additional debtor.

FOLLOW INSTRUCTIONS CAREFULLY

A. NAME & PHONE OF PERSON FILING THIS STATEMENT [optional]

B. SEND ACKNOWLEDGMENT TO: (Name and Address)

THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY

RECORD

CORRECTION STATEMENT

Identification of the

to which this

relates.

1a. TYPE OF RECORD

1b. FILE # OF INITIAL FINANCING STATEMENT

RECORD is inaccurate.

2a.

Provide the basis for the belief of the person identified in item 4 that the RECORD identified in item 1 is inaccurate and indicate the manner in which the person

believes the RECORD should be amended to cure the inaccuracy.

RECORD was wrongfully filed.

2b.

Provide the basis for the belief of the person identified in item 4 that the RECORD identified in item 1 was wrongfully filed.

If this CORRECTION STATEMENT relates to a RECORD filed [or recorded] in a filing office described in Section 9-501(a)(1) and this CORRECTION STATEMENT is filed in such a filing office,

provide the date [and time] on which the INITIAL FINANCING STATEMENT identified in item 1b above was filed [or recorded].

3a. DATE

3b. TIME

PERSON

4. NAME

AUTHORIZING THE FILING OF THIS CORRECTION STATEMENT —

The RECORD identified in item 1 must be indexed under this name.

4a. ORGANIZATION'S NAME

FIRST NAME

MIDDLE NAME

SUFFIX

4b. INDIVIDUAL'S LAST NAME