State Of Louisiana Uniform Commercial Code - Financing Statement Ucc-1 Page 2

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F
INSTRUCTIONS FOR LOUISIANA UCC FINANCING STATEMENT (
UCC 1)
ORM
Please type or laser 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 attorney. Filing office cannot give
legal advice.
If you need to use attachments, use 8-1/2 x 11 inch sheets of paper 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.
If an Acknowledgment copy is to be returned to other than the Secured Party, please indicate the name and mailing address of the person or firm to
whom the copy is to be returned in Item No. 9.
If filer desires (at filer’s option), check appropriate box in Item No. 11 to request Search Reports(s) on all or some of the Debtors named in this
Financing Statement. The report will list all Financing Statements on file against the designated Debtor on the date of the Report: including this
Financing Statement. There is an additional fee for each Report. If you have checked a box in Item No. 11, file Search Request Copy together with
the Filing Officer Copy (and Acknowledgment Copy).
1.
Debtor Name - Enter only one Debtor name in Item 1, (organization’s name (1a) or individual’s name (1b)). Enter Debtor’s exact full legal name. Do not
abbreviate.
1a.
Organization Debtor - “Organization” means an identity having 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 partner
ship; 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.)
1b.
Individual Debtor - “Individual” means a natural person; this includes a sole proprietorship, whether or not operating under a trade name. Don’t use
refixes (Mr., Mrs.) or titles (e.g., M.D.) Titles of lineage (e.g., Jr., Sr., III) are included in the last name field following the family name and preceded by a
comma (Smith, Jr.). Use married woman’s personal name (Mary Smith, not Mrs. John Smith). Enter individual Debtor’s family name in the Last Name
box (followed by a title of lineage, if applicable), first given name in First Name box and all additional given names in Middle Name box. Do not use
Debtor’s trade name, DBA, AKA, PKA, division names, etc. in place of 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(s) named in 1a or 1b.
1d.
Louisiana law does not require Debtor’s taxpayer identification number-social security or employer identification number, however; it may be required
in some states.
1e,f,g.
“Additional information re organization Debtor” is always required. 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. Organization ID#, if any, is assigned by the agency where the charter
document was filed; this is different from tax ID#. This should be entered preceded by the 2-charter U.S. Postal identification of state of organization
if one of the United States (e.g.. CA 12345, for California Corporation whose organization ID# is 12345. If agency does not assign organizational #,
check box in Item 1g indicating “none”.
2.
If an additional Debtor is included, complete Item 2, determined and formatted per instruction 1. To include further additional Debtors, or one or more
additional Secured Parties, attach a 8-1/2 x 11 inch sheet of paper. Head each additional sheet with the Debtor’s name. Follow instruction 1 for
determining and formatting additional names or use of the National UCC Financing Statement Addendum (UCC1ad) is also acceptable.
3.
Enter information for Secured Party or Total Assignee, determined and formatted per instruction 1. If there is more than one Secured Party, see
instruction 2. If there has been a total assignment of the Secured Party‘s interest: prior to filing this form, you may enter Total Assignee’s name and address
in Item 3.
4.
Use Item 4 to indicate the collateral covered by the Financing Statement. If space in Item 4 is insufficient, attach a 8 1/2 x 11 additional sheet of paper.
5.
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 5; attach
a description of the real estate; and if Debtor is not a record owner of the described real estate, also provide in Item 5b, the name of the record
owner.
Note: Louisiana law does not require these financing statements to be filed in the real estate records even though the immovable property
legal description is required to be attached; instead they are filed in the UCC records of any Louisiana filing office (see below).
6a.
This applies if Debtor is a Transmitting Utility or if the Financing Statement relates to a Public Finance Transaction. Check only if applicable and check
only one box.
6b.
This applies if Debtor is a trust or Trustee acting with respect to property held in trust or is a decedent’s estate. Check if applicable and check only
one box.
7.
If filer desires (at filer’s option) to use titles of lessee and lessor, or consignee and consignor, or seller and buyer (in case of accounts or chattel
paper) or bailee and bailor instead of Debtor and Secured Party, check appropriate box in Item 7. If this is an agricultural lien (as defined in applicable
Commercial Code) filing or is otherwise not a UCC security interest filing (e.g., a tax lien, etc.) check appropriate box in Item 7.
8.
PROPER PLACE TO FILE: UCC-1 Financing Statement and attachments may be filed with any Louisiana Parish Clerk of Court or with the Recorder of
Mortgages in Orleans Parish (without regard to the debtor’s address or the location of the collateral or of any related immovable).
DO NOT FILE WITH THE SECRETARY OF STATE.
LOUISIANA SECRETARY OF STATE 11/22/2010

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