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UCC-1AP Financing Statement Additional Party Form. This is a Oregon form and can be use in Uniform Commercial Code Secretary Of State.
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Tags: UCC-1AP Financing Statement Additional Party, UCC-1AP 403, Oregon Secretary Of State, Uniform Commercial Code
USE THIS FORM TO ADD NAMES ONLY
(DO NOT USE FOR CHANGES, DELETIONS, OR ASSIGNMENTS)
UCC FINANCING STATEMENT ADDITIONAL PARTY
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
19. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT
19a. ORGANIZATION’S NAME
OR
19b. INDIVIDUAL’S LAST NAME
FIRST NAME
MIDDLE NAME, SUFFIX
20. MISCELLANEOUS:
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
21. ADDITIONAL DEBTOR’S EXACT FULL LEGAL NAME - insert only one name (21a or 21b) - do not abbreviate or combine names
21a. ORGANIZATION’S NAME
OR
21b. INDIVIDUAL’S LAST NAME
FIRST NAME
21d. SEE INSTRUCTIONS
ADD’L INFO RE
ORGANIZATION
DEBTOR
21e. TYPE OF ORGANIZATION
SUFFIX
CITY
21c. MAILING ADDRESS
MIDDLE NAME
STATE
COUNTRY
21f. JURISDICTION OF ORGANIZATION
21g. ORGANIZATIONAL ID #, if any
POSTAL CODE
NONE
22. ADDITIONAL DEBTOR’S EXACT FULL LEGAL NAME - insert only one name (22a or 22b) - do not abbreviate or combine names
22a. ORGANIZATION’S NAME
OR
22b. INDIVIDUAL’S LAST NAME
FIRST NAME
22d. SEE INSTRUCTIONS
ADD’L INFO RE
ORGANIZATION
DEBTOR
22e. TYPE OF ORGANIZATION
SUFFIX
CITY
22c. MAILING ADDRESS
MIDDLE NAME
STATE
COUNTRY
22f. JURISDICTION OF ORGANIZATION
22g. ORGANIZATIONAL ID #, if any
POSTAL CODE
NONE
23. ADDITIONAL DEBTOR’S EXACT FULL LEGAL NAME - insert only one name (23a or 23b) - do not abbreviate or combine names
23a. ORGANIZATION’S NAME
OR
23b. INDIVIDUAL’S LAST NAME
FIRST NAME
23d. SEE INSTRUCTIONS
ADD’L INFO RE
ORGANIZATION
DEBTOR
23e. TYPE OF ORGANIZATION
SUFFIX
CITY
23c. MAILING ADDRESS
MIDDLE NAME
STATE
COUNTRY
23f. JURISDICTION OF ORGANIZATION
23g. ORGANIZATIONAL ID #, if any
POSTAL CODE
NONE
24. ADDITIONAL SECURED PARTY’S NAME (or Name of TOTAL ASSIGNEE) - insert only one name (24a or 24b)
24a. ORGANIZATION’S NAME
OR
24b. INDIVIDUAL’S LAST NAME
24c. MAILING ADDRESS
FIRST NAME
MIDDLE NAME
SUFFIX
CITY
STATE
COUNTRY
POSTAL CODE
25. ADDITIONAL SECURED PARTY’S NAME (or Name of TOTAL ASSIGNEE) - insert only one name (25a or 25b)
25a. ORGANIZATION’S NAME
OR
25b. INDIVIDUAL’S LAST NAME
25c. MAILING ADDRESS
FIRST NAME
MIDDLE NAME
SUFFIX
CITY
STATE
COUNTRY
POSTAL CODE
403 FILING OFFICE COPY — UCC NATIONAL STATEMENT ADDITIONAL PARTY (FORM UCC1AP) (REV. 05/22/02)
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Instructions for UCC Financing Statement Additional Party (Form UCC1AP)
Use this form to continue adding additional Debtor or Secured Party names as needed when filing a UCC Financing Statement (Form UCC1).
19.
Insert name of first Debtor shown on Financing Statement to which this Additional Party relates, exactly as shown in item 1 of Financing
Statement.
20.
Miscellaneous: Under certain circumstances, additional information not provided on Financing Statement may be required. Also, some states
have non-uniform requirements. Use this space to provide such additional information or to comply with such requirements; otherwise, leave
blank.
20-23. If this Additional Party adds additional Debtors, complete item 21, 22, and 23 in accordance with Instruction 1 of Financing Statement and give
complete information for each additional Debtor. Be sure to complete either the organization’s name or individual’s name items.
24-25. If this Additional Party adds additional Secured Parties, complete items 24 and 25 in accordance with Instruction 3 of Financing Statement and
give complete information for each additional Secured Party.
Send completed form and fee to:
Secretary of State Corporation Division UCC Section 255 Capitol St. NE, Suite 151 Salem, OR 97310-1327
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