Instructions For Filing Ucc-1 - Florida Department Of State printable pdf download

INSTRUCTIONS

Please type this form using black typewriter ribbon.

If the space provided for any item is inadequate, please use additional 8 1/2" x 11" sheets. Be sure to indicate the total number of

attached pages in Block 9. There is an additional fee for attached pages.

Processing fees are set by the Florida Legislature, are non-refundable and are subject to change. To verify processing fees contact

the Department of State, UCC Filing Section at (850) 487-6055. Make checks payable to the Department of State.

Send the two-part form to the Department of State at the following address:

CLASS MAIL:

OVERNIGHT COURIER SERVICE:

Florida Department of State

UCC Filing Section

P.O. Box 5588

409 E. Gaines Street

Tallahassee, FL 32314

Tallahassee, FL 32399

All fees submitted for filing UCC documents are processing fees and are non-refundable in accordance with s. 15.091, F.S.

The acknowledgement copy will be stamped with the date, time, and place of filing and show the file number assigned to the

UCC-1 document. It will be returned to the address indicated in Block 12. A self-addressed envelope may be sent for the return

of the acknowledgement copy.

Blocks 1-2: Enter Debtor business or personal name, mailing address, city state and zip code in blocks 1

and 2. This Financing Statement will be indexed in the official record according to the name(s) listed in the debtor name

Block(s). Do not enter more than one name per line. Include date of birth or FEI number in the appropriate space.

Disclosure of date of birth or FEI number is optional for filing of this statement. It will be used to identify individuals

with the same or similar names.

Block 3:

Enter Secured Party business or personal name, mailing address, city, state, and zip code in Block 3. If Secured Party

assigns its interest to an assignee, enter assignee name and address in block 4.

Block 4:

If assignment is made at the time of filing the Financing Statement, enter assignee name and address in block 4. This

party becomes the current secured party of record.

Block 5:

Enter a description of collateral by indicating the types or by describing the items covered. If additional space is needed,

attach 8 1/2" x 11" sheet(s). There is an additional charge for attached pages.

Block 6:

If products or proceeds of collateral are the covered, check the appropriate box. If the Debtor is a transmitting utility

check the appropriate box. A Financing Statement for a transmitting utility does not expire until a termination is filed.

Block 7:

Indicate by checking off the appropriate box, if Florida Documentary Stamp Tax is required and has been paid or is not

required. One of the boxes must be checked off. For information regarding Documentary Stamp Tax contact the Florida

Department of Revenue at 1-800-352-3671.

Block 8:

A UCC-1 Financing Statement is sufficient when it is signed by the Secured Party alone if it is filed in accordance with

one of the statements in Block 8. If the collateral was originally filed on a Financing Statement which has lapsed, enter

the original UCC-1 file number and date filed in the space provided.

Block 9:

Enter the number of additional pages attached to the UCC-1 form. If Secured Party wants a copy of the attached page(s)

returned with the acknowledgement copy, a duplicate set of attachments must be submitted and marked "copy."

Block 10:

Enter Debtor's signature(s) in space provided. Each Debtor listed on the Financing Statement must sign the UCC-1 form.

Signature(s) must be original and in ink.

Block 11:

If one of the statements in Block 8 is checked off, enter the Secured Party signature(s) in the space provided. Otherwise,

signature of the Secured Party is optional. Signature(s) must be original and in ink.

Block 12:

Enter the name and complete address of the party to whom the filed acknowledgment copy is to be returned.

NOTE: If using this form to file with a Florida County Clerk's office,

Check with the appropriate office for fee and filing information.

Instructions For Filing Ucc-1 - Florida Department Of State

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