Form Uo-1-1.0 - Ucc-1 Financing Statement - Connecticut Secretary Of State - 2010 Page 3
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4Instructions for Connecticut UCC Financing Statement (Form UCC-1)
Please type or print this form. Be sure it is completely legible. Read all Instructions, especially Instruction 1; correct
Debtor name 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.
When properly completed, send Filing Office Copy, with required fee, to filing office.
If you need to use attachments, use 81/2 x 11 inch sheets and put at the tope of each sheet the name of the first
Debtor, formatted exactly as it appears in item 2 of this form; you are encouraged to use the UCC Financing
Statement Addendum.
1. Debtor name: Enter only one Debtor name in item 1, an organization’s name (1a) or an individual’s name (1b). Enter
Debtor’s exact full legal name. Do not abbreviate.
1a. Organization Debtor. “Organization” means an entity having a legal identity separate from its owner. A partnership
is an organization; a sole proprietorship is not an organization, even if it does business under a trade name. If
Debtor is a partnership, enter exact full legal name of partnership; you need not enter names of partners as
additional Debtors. If Debtor is a registered organization (e.g., corporation, limited partnership, limited liability
company), it is advisable to examine Debtor’s current filed charter documents to determine Debtor’s correct name,
organization type, and jurisdiction of organization.
1b. Individual Debtor. “Individual” means a natural person; this includes a sole proprietorship, whether or not operating
under a trade name. Don’t use prefixes (Mr., Mrs., Ms.). Use suffix box for titles or lineage (Jr., Sr., III) and not for
other suffixes or titles (e.g., M.D.). Use married woman’s personal name (Mary Smith, not Mrs. John Smith). enter
individual Debtor’s family name (surname) in Last Name box, first given name in First Name box, and all additional
given names in Middle Name box. For both organization and individual Debtors: Don’t use Debtors trade name, DBA,
AKA, FKA, Division name etc. in place or combined with Debtor’s legal name; you may add such other names
as additional Debtors if you wish (but this is neither required nor recommended.)
1c. An address is always required for the Debtor named in 1a or 1b.
1d,e,f. Type of organization and jurisdiction of organization as well as Debtor ‘s exact legal name can be determined
from Debtor’s current filed charter document.
Note: If Debtor is a trust or a trustee acting with respect to property held in trust, enter Debtor’s name in item 1 and
attach Addendum (Form UCC1Ad) and check appropriate box in item 11. If Debtor is a decedent’s estate, enter
name of deceased individual in item 1b and attach Addendum (Form UCC1Ad) and check appropriate box in item
11. If Debtor is a transmitting utility as defined in applicable Commercial Code, attach Addendum (Form UCC1Ad)
and check appropriate box in item 12.
2. If an additional Debtor is included, complete item 2. To include further additional Debtors, or one or more additional
Secured Parties, attach either Addendum (Form UCC1Ad) of other additional page(s), using correct name format.
Follow Instruction 1 for determining and formatting additional names.
3. Enter information for Secured Party or Total Assignee. If there is more than one Secured Party, see Instruction 2.
FORM UO-1-1.0
DO NOT SCAN THIS PAGE
INSTRUCTIONS
Rev. 7/2010
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