Ucc Financing Statement Additional Party
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1
2ADDITIONAL PARTY
UCC FINANCING STATEMENT
FOLLOW INSTRUCTIONS
18. NAME OF FIRST DEBTOR:
Same as line 1a or 1b on Financing Statement; if line 1b was left blank
because Individual Debtor name did not fit, check here
18a. ORGANIZATION'S NAME
OR
18b. INDIVIDUAL'S SURNAME
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FIRST PERSONAL NAME
ADDITIONAL NAME(S)/INITIAL(S)
SUFFIX
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
DEBTOR'S
19. ADDITIONAL
NAME
: Provide only one Debtor name (19a or 19b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name)
19a. ORGANIZATION'S NAME
OR
19b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
ADDITIONAL NAME(S)/INITIAL(S)
SUFFIX
19c. MAILING ADDRESS
CITY
STATE
POSTAL CODE
COUNTRY
DEBTOR'S
20. ADDITIONAL
NAME
: Provide only one Debtor name (20a or 20b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name)
20a. ORGANIZATION'S NAME
OR
FIRST PERSONAL NAME
ADDITIONAL NAME(S)/INITIAL(S)
SUFFIX
20b. INDIVIDUAL'S SURNAME
20c. MAILING ADDRESS
CITY
STATE
POSTAL CODE
COUNTRY
DEBTOR'S
21. ADDITIONAL
NAME
: Provide only one Debtor name (21a or 21b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name)
21a. ORGANIZATION'S NAME
OR
21b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
ADDITIONAL NAME(S)/INITIAL(S)
SUFFIX
21c. MAILING ADDRESS
CITY
STATE
POSTAL CODE
COUNTRY
SECURED PARTY'S
ASSIGNOR SECURED PARTY'S
22.
ADDITIONAL
NAME or
NAME:
Provide only one name (22a or 22b)
22a. ORGANIZATION'S NAME
OR
22b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
ADDITIONAL NAME(S)/INITIAL(S)
SUFFIX
22c. MAILING ADDRESS
CITY
STATE
POSTAL CODE
COUNTRY
SECURED PARTY'S
ASSIGNOR SECURED PARTY'S
23.
ADDITIONAL
NAME or
NAME:
Provide only one name (23a or 23b)
23a. ORGANIZATION'S NAME
OR
23b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
ADDITIONAL NAME(S)/INITIAL(S)
SUFFIX
23c. MAILING ADDRESS
CITY
STATE
POSTAL CODE
COUNTRY
24. MISCELLANEOUS:
International Association of Commercial Administrators (IACA)
FILING OFFICE COPY — UCC FINANCING STATEMENT ADDITIONAL PARTY (Form UCC1AP) (Rev. 08/22/11)
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