Form Uma-1-1.0 - Ucc-3 Financing Statement Amendment - 2010
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4SECRETARY OF THE STATE OF CONNECTICUT
MAILING ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, P.O. BOX 150470, HARTFORD, CT 06115-0470
DELIVERY ADDRESS: COMMERCIAL RECORDING DIVISION, CONNECTICUT SECRETARY OF THE STATE, 30 TRINITY STREET, HARTFORD, CT 06106
860-509-6002
PHONE:
WEBSITE:
STATE OF CONNECTICUT
UCC-3 FINANCING
STATEMENT AMENDMENT
USE INK. COMPLETE ALL SECTIONS. PRINT OR TYPE. ATTACH 81/2 X 11 SHEETS IF NECESSARY.
FILING FEE: $50
FILING PARTY
:
(CONFIRMATION WILL BE SENT TO THIS ADDRESS)
MAKE CHECKS PAYABLE TO "SECRETARY
CUSTOMER ID:
OF THE STATE"
NAME:
ADDRESS:
CITY:
STATE:
ZIP:
1.INITIAL FINANCING STATEMENT FILE #
2.
TERMINATION: EFFECTIVENESS OF THE FINANCING STATEMENT IDENTIFIED ABOVE IS
TERMINATED WITH RESPECT TO SECURITY INTEREST(S) OF THE SECURED PARTY AUTHORIZING
THIS TERMINATION STATEMENT.
3.
CONTINUATION: EFFECTIVENESS OF THE FINANCING STATEMENT IDENTIFIED ABOVE WITH RESPECT
TO SECURITY INTEREST(S) OF THE SECURED PARTY AUTHORIZING THIS CONTINUATION STATEMENT
IS CONTINUED FOR THE ADDITIONAL PERIOD PROVIDED BY APPLICABLE LAW.
4.
ASSIGNMENT (FULL OR PARTIAL): GIVE NAME OF ASSIGNEE IN ITEM 7A OR 7B AND ADDRESS OF
ASSIGNEE IN ITEM 7C; AND ALSO GIVE NAME OF ASSIGNOR IN ITEM 9.
5. AMENDMENT (PARTY INFORMATION): THIS AMENDMENT AFFECTS (
CHECK ONLY ONE OF THESE TWO BOXES).
DEBTOR
SECURED PARTY OF RECORD.
ALSO CHECK ONE OF THE FOLLOWING BOXES AND PROVIDE APPROPRIATE INFORMATION IN ITEMS 6 AND/OR 7.
CHANGE NAME AND/OR ADDRESS: GIVE CURRENT RECORD NAME IN ITEM 6A OR 6B; ALSO GIVE NEW
NAME (IF NAME CHANGE) IN ITEM 7A OR 7B AND/OR NEW ADDRESS (IF ADDRESS CHANGE) IN ITEM
7C.
DELETE NAME: GIVE RECORD NAME TO BE DELETED IN ITEM 6A OR 6B
ADD NAME: COMPLETE ITEM 7A OR 7B AND ALSO COMPLETE ITEMS 7D-7F (IF APPLICABLE).
FORM UMA-1-1.0
PAGE 1 OF 2
Rev. 7/2010
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