Form Ucc1 - Ucc1 Financing Statement , Form Ucc1ad - Financing Statement Addendum - 2001 Page 4

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Instructions for
Mississippi UCC Financing Statement Addendum (Form MS UCC1Ad)
9.
Insert name of first Debtor shown on Financing Statement to which this Addendum is related, exactly as shown in item 1 of Financing Statement.
10.
Miscellaneous: Use this space to provide such additional information to comply with the requirements as set fourth in item 4 of these instructions;
otherwise, leave blank.
11.
If this Addendum adds an additional Debtor, complete item 11 in accordance with instruction 1 on Financing Statement. To add more than one
additional Debtor, either use an additional Addendum form for each additional Debtor the formatting of Financing Statement item 1 on an 8-1/2 X
11 inch sheet (showing at the top of the sheet the name of the first Debtor shown on the Financing Statement), and in either case give complete
information for each additional Debtor in accordance with Instruction 1 on Financing Statement. All additional Debtor information, especially the
name, must be presented in proper format exactly identical to the format of item 1 of Financing Statement.
12.
If this Addendum adds an additional Secured Party, complete item 12 in accordance with Instruction 3 on Financing Statement. In the case of a
total assignment of the Secured Party’s interest before the filing of this Financing Statement, if filer has given the name and address of the Total
Assignee in item 3 of the Financing Statement, filer may give the Assignor S/Ps name and address in item 12.
13-15. If collateral is timber to be cut or as-extracted collateral, or if this Financing Statement is filed as a fixture filing, check appropriate box in item 13;
provide description of real estate in item 14; and if Debtor is not a record owner of the described real estate, also provide, in item 15, the name
and address of a record owner. Also provide collateral description in item 4 of Financing Statement. Also check box 6 on Financing Statement.
Description of real estate must be sufficient under the applicable law of the jurisdiction where the real estate is located.
16.
Use this space to provide continued description of collateral, if you cannot complete description in item 4 of Financing Statement.
17.
If Debtor is a trust or a trustee acting with respect to property held in trust or is a decedent’s estate, check the appropriate box.
18.
If Debtor is a transmitting utility or if the Financing Statement relates to a Manufactured-Home Transaction or a Public-Finance Transition as
defined in the applicable Commercial Code, check the appropriate box.
Mississippi County Codes
County Code County
County Code County
County Code County
1
Adams
29
Itawamba
57
Pike
2
Alcorn
30
Jackson
58
Pontotoc
3
Amite
31
Jasper
59
Prentiss
4
Attala
32
Jefferson
60
Quitman
5
Benton
33
Jefferson Davis
61
Rankin
6
Bolivar
34
Jones
62
Scott
7
Calhoun
35
Kemper
63
Sharkey
8
Carroll
36
Lafayette
64
Simpson
9
Chickasaw
37
Lamar
65
Smith
10
Choctaw
38
Lauderdale
66
Stone
11
Claiborne
39
Lawrence
67
Sunflower
12
Clarke
40
Leake
68
Tallahatchie
13
Clay
41
Lee
69
Tate
14
Coahoma
42
Leflore
70
Tippah
15
Copiah
43
Lincoln
71
Tishomingo
16
Covington
44
Lowndes
72
Tunica
17
DeSoto
45
Madison
73
Union
18
Forrest
46
Marion
74
Walthall
19
Franklin
47
Marshall
75
Warren
20
George
48
Monroe
76
Washington
21
Greene
49
Montgomery
77
Wayne
22
Grenada
50
Neshoba
78
Webster
23
Hancock
51
Newton
79
Wilkinson
24
Harrison
52
Noxubee
80
Winston
25
Hinds
53
Oktibbeha
81
Yalobusha
26
Holmes
54
Panola
82
Yazoo
27
Humphreys
55
Pearl River
28
Issaquena
56
Perry

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