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Instructions For Completion Of Form

INSTRUCTIONS

FOR COMPLETION

OF FORM UCC-1

Please read and comply with the following itemized instructions.

SPECIAL

DEBTOR/COLLATERAL

INFORMATION:

Read each statement

carefully and place a check mark next to any applicable statements.

DEBTOR INFORMATION:

Please provide full legal name(s) and distinguish between

debtors who are individuals and debtors which are businesses by completing the

appropriate blocks. Records in the Office of the Secretary of the State will reflect the

distinction of debtor type made by the filer. Note that the address blocks apply to both

individuals and businesses.

SECURED PARTY INFORMATION:

Please provide full legal name(s) and

distinguish between secured parties who are individuals and secured parties which are

businesses by completing the appropriate blocks. Records in the Office of the Secretary

of the State will reflect the distinction of secured party type made by the filer. Note that

the address blocks apply to both individuals and businesses.

ASSIGNEE

INFORMATION:

Complete only to reflect an assignment in the original

financing statement. Please provide full legal name(s) and distinguish between assignees

who are individuals and assignees which are businesses by completing the appropriate

blocks. Records in the Office of the Secretary of the State will reflect the distinction of

assignee type made by the filer. Note that the address blocks apply to both individuals

and businesses.

STATEMENT

OF COLLATERAL:

Please provide a description of the property used

as collateral for the debt. A statement of the total number of attached sheets must be

made under this heading.

GENERAL

INFORMATION

Please note the following:

a. Pertinent signatures should be provided at the bottom of the form.

b. If additional space is needed please attach an 8 l//2 x 11 piece of paper and make the

appropriate reference on the form.

c. The UCC-1 form has two parts, an original and a copy. The original is

will be filed and the copy returned to the filer. Please do not detach the copy.

Instructions For Completion Of Form