Form Uma-1-1.0 - Ucc-3 Financing Statement Amendment - 2010 Page 3
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4Instructions for Connecticut UCC Financing Statement AMENDMENT (Form UCC3)
Please type or print this form. Be sure it is completely legible. Read all Instructions, especially Instruction 1a; correct file
number of initial financing statement is crucial. Follow instructions completely.
Fill in form very carefully; mistakes may have important legal consequences. If you have questions, consult your Legal
Advisor. Filing office cannot give legal advice.
Do not insert anything in the open space in the upper portion of this form; it is reserved for filing office use.
An Amendment may relate to only one financing statement. Do not enter more than one file number in item 1.
If you need to use attachments, use 8 ½ x11 inch sheets, properly formatted, and put at the top of each sheet :
“AMENDMENT” and the file number of the initial financing statement to which this Amendment relates; you are
encouraged to use Amendment Addendum (Form UCC3Ad).
Always complete item 9
1. File number: Enter file number of initial financing statement to which this Amendment relates. Enter only one file
number.
Note: Show purpose of this Amendment by checking box 2, 3, 4, 5 (in item 5 you must check two boxes) or 8; also
complete items 6, 7 and/or 8 as appropriate. Filer cannot use this Amendment form to simultaneously accomplish both
data changes (items 4, 5 and/or 8) and a Continuation (item 3.)
2. To terminate the effectiveness of the identified financing statement with respect to security interest(s) of authorizing
Secured party, check box 2. See Instruction 9 below.
3. To continue the effectiveness of the identified financing statement with respect to security interest(s) of authorizing
Secured Party, check box 3. See Instruction 9 below.
4. To assign (i) all of assignor’s interest under the identified financing statement, or (ii) a partial interest in the security
interest covered by the identified financing statement , or (iii) assignor’s full interest in some (but not all) of the
collateral covered by the identified financing statement: Check box in item 4 and enter name of assignee in item 7a. If
assignee is an organization, or in item 7b, formatted as indicated, if assignee is an individual. Complete 7a or 7b, but
not both. Enter assignee’s address in item 7c. Enter name of assignor in item 9. If partial Assignment affects only
some (but not all) of the collateral covered by the identified financing statement, filer may check appropriate box in
item 8 and indicate affected collateral in item 8.
5,6,7. To change the name and/or address of a party; Check box in item 5 to indicate whether this Amendment amends
information relating to a Debtor or a Secured Party; also check box in item 5 to indicate that this is a name and/or
address change; enter name of affected party (current record name, in case of new name (7a or 7b) and/or new
address (7c) in item 7.
5,6. To delete a party: Check box in item 5 to indicate whether deleting a Debtor or a Secured Party; also check box in
item 5 to indicate that this is a deletion of a party; also check box in item 5 to indicate that this is a deletion of a party;
and also enter name (6a or 6b) of deleted party in item 6.
5, 7. To add a party: Check box in item 5 to indicate whether adding a Debtor or Secured Party; check box in item 5 to
indicate that this is an addition of a party; enter all required information in item 7.
FORM UMA1-1.0
DO NOT SCAN THIS PAGE
INSTRUCTIONS
Rev. 7/2010
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