Instruction For Completing The Ucc-4 Notice Of Lien Filing

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Instruction for completing the
UCC-4 Notice of Lien Filing
Please type or print form information. Read all instructions. Follow instructions completely. Enclose proper fee
amount. Filings will not be recorded until receipt of the correct filing fee amount.
Complete form clearly; mistakes may result in legal consequences. If you have questions, consult an attorney.
Filing officers cannot give legal advice.
Item Instructions
Box Numbers
Enter the full legal name and mailing address of the
1. Lien Debtor(s)
business or individual debtor. Identify the debtor as
a business or individual by checking the Personal
or Business box. Both boxes may be checked if the
individual debtor name and the business name are
identical.
Filings should be made under the full legal name of
the individual or business. Enter personal names on
the form as Last, First, Middle. Do not abbreviate
name(s). Be sure that the debtor name information
is completely legible. Keep in mind that a searcher
may later have difficulty finding a filing that has
been submitted under an incorrect or improper
name.
Additional Trade names, DBA's. or AKA's may be
included in box 1 for entry on the data base.
2. Office Use Only
Do not write in this box. This is for Filing Officer
use only.
3. Lien Holder/Claimant
Enter the legal name and mailing address of the
lien holder/claimant. Lien holder/claimant could be
Landlord; Supplier; Handler; Preparer; Processor;
Conditioner; or Commercial Fisherman.
Enter the legal name and mailing address of the
4. Assignee(s)
assignee(s). Complete this box when there has
been a total assignment of the security interest.
5. Landlord/Supplier
Type or print the date of commencement of
performance or delivery of supplies for which the
lien is claimed. (Authority RCW 60.11.040)
6. Type of Lien
Check the box for your lien type.
Landlord and Supplier liens. (Authority RCW 60.11)
Processor, Preparer, and Conditioner liens.
(Authority RCW 60.13)
7. Contact Person
To assist filing officers who might wish to
communicate with the filer, please include a contact
person's name and daytime phone number.
UCC-740-004 UCC-4 Notice of Lien (R/2/00) M/WPage 1 of 3

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