Form Ucc3ad - Ucc Financing Statement Amendment Addendum Template

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UCC- 3
AMENDMENT ADDENDUM
UCC FINANCING STATEMENT
FOLLOW INSTRUCTIONS
11. INITIAL FINANCING STATEMENT FILE NUMBER:
Same as item 1a on Amendment form
12. NAME
PARTY AUTHORIZING THIS AMENDMENT:
OF
Same as item 9 on Amendment form
12a. ORGANIZATION'S NAME
OR
12b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
ADDITIONAL NAME(S)/INITIAL(S)
SUFFIX
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
13. Name of DEBTOR on related financing statement
(Name of a current Debtor of record required for indexing purposes only in some filing offices - see Instruction item 13): Provide only
one Debtor name (13a or 13b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name); see Instructions if name does not fit
13a. ORGANIZATION'S NAME
OR
13b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
ADDITIONAL NAME(S)/INITIAL(S)
SUFFIX
14. ADDITIONAL SPACE FOR ITEM 8 (Collateral)
:
15.
17.
This FINANCING STATEMENT AMENDMENT:
Description of real estate:
covers timber to be cut
covers as-extracted collateral
is filed as a fixture filing
16.
Name and address of a RECORD OWNER of real estate described in item 17
(if Debtor does not have a record interest):
18. MISCELLANEOUS:
SOUTH CAROLINA SECRETARY OF STATE'S OFFICE, 1205 Pendleton Street Suite 525 Columbia, SC 29201
(Rev. 07/01/13)

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