Fillable Form Ucc1ad - Ucc Financing Statement Addendum (Page 2 of 2) in pdf

Instructions for UCC Financing Statement Addendum (Form UCC1Ad)

lease type or laser-print this form. Be sure it is completely legible. Read and follow all Instructions; use of the correct name for the Debtor is crucial.

Fill in form very carefully; mistakes may have important legal consequences. If you have questions, consult your attorney. The filing office cannot give

legal advice.

ITEM INSTRUCTIONS

Name of first Debtor. Enter name of first Debtor exactly as shown in item 1 of Financing Statement (Form UCC1) to which this Addendum relates.

The name will not be indexed as a separate debtor. The Debtor name in this section is intended to cross-reference this Addendum with the related

Financing Statement (Form UCC1).

If the box in item 1 of the Financing Statement (Form UCC1) was checked because Individual Debtor name did not fit, the box in item 9 of this

Addendum should be checked.

10.

Additional Debtor’s name. If this Addendum adds an additional Debtor, complete item 10 in accordance with Instruction 1 of Financing

Statement (Form UCC1). For additional Debtors, attach either an additional Addendum or Additional Party (Form UCC1AP) and follow Instruction

1 of Financing Statement (Form UCC1) for determining and formatting additional names.

11.

Additional Secured Party’s name or Assignor Secured Party’s name. If this Addendum adds an additional Secured Party, complete item 11

in accordance with Instruction 3 of Financing Statement (Form UCC1). For additional Secured Parties, attach either an additional Addendum

or Additional Party (Form UCC1AP) and complete applicable items in accordance with Instruction 3 of Financing Statement (Form UCC1). In

the case of a full assignment of the Secured Party’s interest before the filing of this financing statement, if filer has provided the name and mailing

address of the Assignee in item 3 of Financing Statement (Form UCC1), filer may enter Assignor Secured Party’s name and mailing address in

item 11.

12.

Additional Collateral Description. If space in item 4 of Financing Statement (Form UCC1) is insufficient or additional information must be

provided, enter additional information in item 12 or attach additional page(s) and incorporate by reference in item 12 (e.g., See Exhibit A). Do

not include social security numbers or other personally identifiable information.

13-16. Real Estate Record Information. If this Financing Statement is to be filed in the real estate records and covers timber to be cut, covers as-

extracted collateral, and/or is filed as a fixture filing, complete items 1-4 of the Financing Statement (Form UCC1), check the box in item 13, check

the appropriate box in item 14, and complete the required information in items 15 and 16. If the Debtor does not have an interest of record, enter

the name and address of the record owner in item 15. Provide a sufficient description of real estate in accordance with the applicable law of the

jurisdiction where the real estate is located in item 16. If space in items 15 or 16 is insufficient, attach additional page(s) and incorporate by

reference in items 15 or 16 (e.g., See Exhibit A), and continue the real estate record information. Do not include social security numbers or other

personally identifiable information.

17.

Miscellaneous. Under certain circumstances, additional information not provided on the Financing Statement (Form UCC1) may be required.

Also, some states have non-uniform requirements. Use this space or attach additional page(s) and incorporate by reference in item 17 (e.g., See

Exhibit A) to provide such additional information or to comply with such requirements; otherwise, leave blank. Do not include social security

numbers or other personally identifiable information.

Form Ucc1ad - Ucc Financing Statement Addendum Page 2

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