Form Ucc1- Uniform Commercial Code Financing Statement

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Approved by the Secretary of State of Arizona, Rev. 5/98
When Recorded, mail to:
Space above is for Recorder's use
UNIFORM COMMERCIAL CODE
FINANCING STATEMENT – UCC1
This FINANCING STATEMENT is presented for filing(recording)
Pursuant to the Arizona Uniform Commercial Code
.
1. Debtor (s) (last name first and address):
2. Secured Party(ies) and address:
3. Name and Address of Assignee of Secured
.
4.
If checked, products of collateral are also
Party(ies):
covered.
5. This Financing Statement covers the following
types (or items) of property:
6. If the collateral is crops, the crops are growing or to be grown on the following described real estate:
7. If the collateral is: (a) goods which are to become fixtures; (b) timber to be cut; or (c) minerals or the
like (including oil and gas), or accounts resulting from the sale thereof at the wellhead or minehead to
which the security interest attaches upon extraction, the legal description of real estate concerned is:
And, this Financing Statement is to be recorded in the office where a mortgage on such real estate would
be recorded. If the Debtor does not have an interest of record, the name of a record owner is:
8. This Financing Statement is signed by the Secured Party instead of the debtor to perfect or continue
perfection of a security interest in:
.
.
collateral already subject to a security interest in
collateral as to which the filing has
jurisdiction when it was brought into this state.
lapsed or will lapse.
.
.
proceeds of collateral because of a change in type
collateral acquired after a change of
or use.
name, identity or corporate structure
of the debtor.
Use whichever is Applicable
Dated
___________________________________
:__________________________________
___________________________________
_________________________________________
___________________________________
_________________________________________
Signature(s) of Debtor(s) or Assignor
Signature(s) of Secured Party(ies) or Assignee

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