Form Ucc1 - Ucc1 Financing Statement , Form Ucc1ad - Financing Statement Addendum - 2001 Page 3

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Instructions for
Mississippi UCC Financing Statement In Lieu Filing (Form MS UCC1-In Lieu)
Please type or laser-print this form. Be sure it is completely legible. Read all instructions, especially instruction 1; the correct Debtor name is crucial.
Follow the instructions completely.
Fill in the form very carefully; mistakes may have important legal consequences. If you have questions, consult your attorney. The 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 the original copy only, with required fee, to the filing office. If you want an acknowledgment, complete item B. If you
want to make a search request, complete item 7 (after reading instruction 7).
If you need to use attachments, use 8-1/2 X 11 inch sheets and put at the top of each sheet the name of the first Debtor, formatted exactly as it appears
in item 1 of this form; you are encouraged to use Addendum (Form MS UCC1Ad).
Note: Because Mississippi law does not require the social security number, that field has been blocked out.
A. To assist filing offices that might wish to communicate with filer, filer may provide information in item A.
B. Complete item B if you want an acknowledgment sent to you.
1. Debtor name: Enter only one debtor name in item 1, an
applicable Commercial Code, attach Addendum (Form MS
organization’s name (1a) or an individual’s name (1b).
Enter
UCC1Ad) and check appropriate box in item 18.
Debtor’s exact full legal name. Don’t abbreviate.
2. If an additional Debtor is included, complete item 2, determined
1a. Organization Debtor.
“Organization” means an entity having a
and formatted per instruction 1.
To include further additional
legal identity separate from its owner.
A partnership is an
Debtors, or one or more additional Secured Parties, attach either
organization; a sole proprietorship is not an organization, even if it
Addendum (Form MS UCC1Ad) or other additional pages(s), using
does business under a trade name. If Debtor is a partnership,
correct name format.
Follow instruction 1 for determining and
enter exact full legal name of partnership; you need not enter
formatting additional names.
names of partners as additional Debtors. If Debtor is a registered
3. Enter information for Secured Party or Total Assignee, determined
organization (e.g., corporation, limited partnership, limited liability
and formatted per instruction 1. If there is more than one Secured
company), it is advisable to examine Debtor’s current filed charter
Party, see Instruction 2. If there has been a total assignment of the
documents to determine Debtor’s correct name, organization type,
Secured Party’s interest prior to filing this form, you may either (1)
and jurisdiction of organization.
enter Assignor S/P’s name and address in item 3 and file an
1b. Individual Debtor.
“Individual” means a natural person; this
Amendment (Form UCC3) [see item 5 of that form]; or (2) enter
includes a sole proprietorship, whether or not operating under a
Total Assignee’s name and address in item 3 and, if you wish, also
trade name. Don’t use prefixes (Mr, Mrs, Ms). Use suffix box only
attaching Addendum (Form MS UCC1Ad) giving Assignor S/P’s
for titles of lineage (Jr, Sr, III) and not for other suffixes or titles
name and address in item 12.
(e.g., M.D.). Use a married woman’s personal name (Mary Smith,
4. Use item 4 to indicate the filing information of the original Financing
not Mrs. John Smith).
Enter individual Debtor’s family name
Statement filed in another jurisdiction, A continuation statement
(surname) in Last Name Box, first given name in First Name Box,
cannot be used when the original filing is outside the state of
and all additional given names in Middle Name box.
Mississippi. For the “In Lieu of Continuation” to be effective the file
For both organization and individual Debtors: Don’t use Debtor’s
date, file number, and original filing office must be listed.
trade name, DBA, AKA, FKA, Division name, etc, in place of or
5. If filer desires (at filer’s option) to use titles of lessee and lessor, or
combined with Debtor’s legal name; you may add such other
consignee and consignor, or seller and buyer (in the case of
names as additional Debtors if you wish (but this is neither required
accounts or chattel paper), or bailee and bailor instead of Debtor
nor recommended).
and Secured Party, check the appropriate box in item 5. Note:
1c. An address is always required for the Debtor named in 1a or 1b.
Filing of an agricultural lien on a UCC-1 in Mississippi may not
secure a party in the collateral. The Mississippi UCC-1F is the
1d. County
#
“County #” means the
county identification
appropriate form for secured transactions where the collateral is
number assigned to the Mississippi County in which the debtor is
farm products.
located. See the county code information at the end of these
Instructions.
6. If this Financing Statement is filed as a fixture filing or if the
collateral consists of timber to be cut or as-extracted collateral,
1e,f,g.
“Additional information re organization Debtor” is always
complete items 1-5, check the box in item 6, and complete the
required.
Type of organization as well as Debtor’s exact legal
required information (items 13, 14 and/or 15) on Addendum (Form
name can be determined from Debtor’s current filed charter
MS UCC1Ad). *THESE TYPES OF FILINGS ARE TO BE FILED IN
document.
In Mississippi, this information may be obtained by
THE CHANCERY CLERK’S OFFICE IN THE COUNTY WHERE
going to the Mississippi Secretary of State
web site
THE RELATED REAL ESTATE IS LOCATED.
and using “Corpsnap,” or calling
7. This item is optional. Check appropriate box in item 7 to request
601-359-1633. Organizational ID#, (ID # found in “Corpsnap,” on
Search Report (s) on all or some of the Debtors named in this
SOS website) is assigned by the Secretary of State at the time the
Financing Statement. The Report will list all Financing Statements
entity is formed; this is different from tax ID#. if agency does not
on file against the designated Debtor on the date of the Report,
assign organizational ID#, check box in item 1g indicating “none”.
including this Financing Statement. There is an additional $5.00
fee per debtor if a search is requested.
Note: If Debtor is a trust or a trustee acting with respect to property
held in trust, enter Debtor’s name in item1 and attach Addendum
8. This item is optional and is for filer’s use only.
For filer’s
(Form MS UCC1Ad) and check appropriate box in item 17. If
convenience of reference, filer may enter in item 8 any identifying
Debtor is a decedent’s estate, enter name of deceased individual in
information (e.g. Secured Party’s loan number, law firm file
item 1b and attach Addendum (Form MS UCC1Ad) and check
number, Debtor’s name or other identification, state in which form
appropriate box in item 17. If Debtor is a transmitting utility or this
is being filed, etc.) that filer may find useful.
Financing Statement is filed in connection with a Manufactured-
Home Transaction or a Public-Finance Transaction as defined in

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