Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Notice Of Other Lien Filing Form. This is a New Hampshire form and can be use in Uniform Commercial Code Secretary Of State.
Loading PDF...
Tags: Notice Of Other Lien Filing, 9, New Hampshire Secretary Of State, Uniform Commercial Code
State of New Hampshire
Department of State, UCC Division
Form 9 - Notice of Other Lien Filing
Name and telephone number of filer or contact (optional)
For Secretary of State Use Only
Return copy to: (name and mailing address)
Check one only:
Notice of filing of lien
Notice of full release or discharge of lien
Notice of change of lien
1. Debtor Name: Insert only one debtor in 1a or 1b.
1a. Business Name
1c. Mailing Address
OR
1b. Individual’s Last Name
First
M.I.
Suffix
City
State
Country
Postal Code
State
Country
Postal Code
State
Country
Postal Code
2. Additional Debtor Name: Insert only one debtor in 2a or 2b.
2a. Business Name
2c. Mailing Address
OR
2b. Individual’s Last Name
First
M.I.
Suffix
City
3. Lienor’s Name: Insert only one lienor in 3a or 3b.
3a. Business Name
3c. Mailing Address
OR
3b. Individual’s Last Name
First
M.I.
Suffix
City
4. Type of lien/statutory authority (check one only):
Federal Tax lien
State Tax lien
Aircraft Registration lien
Employment Security lien
Child Support lien
Hazardous Waste lien
Housing Finance Auth. lien
Department of Labor lien
Road Toll lien
Writ of Attachment
State Food Security Act lien
5. Complete if filing is a release, discharge or change.
Filing Location of initial lien:
Filing Date of initial lien:
File Number assigned to initial lien:
Other Lien Form 9, Pg 1
8/2008
American LegalNet, Inc.
www.FormsWorkFlow.com
Form 9 Addendum
1. Additional Debtor Name: Insert only one debtor in 1a or 1b.
1a. Business Name
1c. Mailing Address
OR
1b. Individual’s Last Name
First
M.I.
Suffix
City
State
Country
Postal Code
State
Country
Postal Code
State
Country
Postal Code
State
Country
Postal Code
2. Additional Debtor Name: Insert only one debtor in 2a or 2b.
2a. Business Name
2c. Mailing Address
OR
2b. Individual’s Last Name
First
M.I.
Suffix
City
3. Additional Debtor’s Name: Insert only one debtor in 3a or 3b.
3a. Business Name
3c. Mailing Address
OR
3b. Individual’s Last Name
First
M.I.
Suffix
City
4. Additional Lienor’s Name: Insert only one lienor in 4a or 4b.
4a. Business Name
4c. Mailing Address
OR
4b. Individual’s Last Name
First
M.I.
Suffix
City
Use the space below for additional information.
Other Lien Form 9, Pg 2
8/2008
American LegalNet, Inc.
www.FormsWorkFlow.com
