Ucc Financing Statement Amendment
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1
2AMENDMENT
UCC FINANCING STATEMENT
FOLLOW INSTRUCTIONS
A. NAME & PHONE OF CONTACT AT FILER (optional)
B. E-MAIL CONTACT AT FILER (optional)
C. SEND ACKNOWLEDGMENT TO: (Name and Address)
Print
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THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
1b.
1a.
This FINANCING STATEMENT AMENDMENT is to be filed [for record]
INITIAL FINANCING STATEMENT FILE NUMBER
(or recorded) in the REAL ESTATE RECORDS
Filer: attach Amendment Addendum (Form UCC3Ad) and provide Debtor’s name in item 13
2.
TERMINATION:
Effectiveness of the Financing Statement identified above is terminated
with respect to the security interest(s) of Secured Party authorizing this Termination
Statement
3.
ASSIGNMENT
(full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8
4.
CONTINUATION:
Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is
continued for the additional period provided by applicable law
5.
PARTY INFORMATION CHANGE:
Check one of these three boxes to:
AND
Check one of these two boxes:
ADD name: Complete item
CHANGE name and/or address: Complete
DELETE name: Give record name
This Change affects
Debtor or
Secured Party of record
item 6a or 6b; and item 7a or 7b and item 7c
7a or 7b, and item 7c
to be deleted in item 6a or 6b
6. CURRENT RECORD INFORMATION:
Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION'S NAME
OR
6b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
ADDITIONAL NAME(S)/INITIAL(S)
SUFFIX
7.
CHANGED OR ADDED INFORMATION:
Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name)
7a. ORGANIZATION'S NAME
OR
7b. INDIVIDUAL'S SURNAME
INDIVIDUAL'S FIRST PERSONAL NAME
INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S)
SUFFIX
7c. MAILING ADDRESS
CITY
STATE
POSTAL CODE
COUNTRY
8.
COLLATERAL CHANGE:
ADD collateral
DELETE collateral
RESTATE covered collateral
ASSIGN collateral
Also check one of these four boxes:
Indicate collateral:
SECURED PARTY
RECORD
9. NAME
AUTHORIZING THIS AMENDMENT:
OF
OF
Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
DEBTOR
If this is an Amendment authorized by a
, check here
and provide name of authorizing Debtor
9a. ORGANIZATION'S NAME
OR
9b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
ADDITIONAL NAME(S)/INITIAL(S)
SUFFIX
10. OPTIONAL FILER REFERENCE DATA:
International Association of Commercial Administrators (IACA)
FILING OFFICE COPY — UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04/20/11)
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