Form Ucc-1 - State Of Idaho Financing Statement - Secretary Of State Of Idaho
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STATE OF IDAHO FINANCING STATEMENT - FORM UCC-1
Instructions:
1.
PLEASE TYPE THIS FORM IN BLACK
2.
Filing fees:
a. With Secretary of State. Except for pre-paid account users, enclose filing fee of $6.00 if form is typed, or $10.00 if
not typed. For attachments, add $1.00 per printed page. Pre-paid account users must enter Customer Number in
"Customer account number" block to right.
b. Fixture filing with County Recorder. Enclose recording fee of $3.00 per page.
3.
File only the original. Make copies for your file. The original will be returned as your acknowledgment.
4.
Enter only one debtor’s name or assumed name per debtor block exactly as it is to be indexed. If more than four names, use an attached
sheet. Enter individual debtor names: Last, First Middle Title; e.g. Smith, John Alan Jr.
5.
When the obligation has been satisfied, complete the Termination Statement and return the original to the filing officer.
Mail to: Secretary of State, UCC Division, 700 W Jefferson, PO Box 83720, Boise, ID 83720-0080. Ph 208-334-3191.
Debtor #3
Debtor #1 (Last name, first, middle, title & mailing address)
Debtor #4
Debtor #2
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Secured Party and Address
Assignee and Address
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Check If Covered
Products of collateral are also covered
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If one of the following boxes is checked, the secured party may sign the
Mailing Name and Address for acknowledgment, if not Secured Party
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financing statement. The collateral described herein is:
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Brought into this state already subject to a security interest in
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another jurisdiction.
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Subject to a security interest in another jurisdiction, and
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the debtor’s location has changed to this state.
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Proceeds of the original collateral described below in which a
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security interest was perfected.
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The subject of a financing statement which has lapsed.
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Subject to a security interest perfected under a prior name or identity of
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the debtor.
This financing statement covers the following types or items of property:
(If this is a fixture, timber or mineral filing to be recorded with the County Recorder, include legal description and name of record owner, if required.)
Signature(s) of Debtor(s)
Filing Office Use Only
Secured Party Signature
TERMINATION STATEMENT-The Secured Party no longer claims a security interest
under the financing statement.
Secured Party or Assignee of Record
Date
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