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Financing Statement - UCC-3 Form. This is a South Dakota form and can be use in Uniform Commercial Code Secretary Of State.
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Tags: Financing Statement - UCC-3, South Dakota Secretary Of State, Uniform Commercial Code
COURT
STATE
UCC
OUNTY .OF. . .OF.SOUTH. DAKOTA. FINANCING.STATEMENT – . . . .3. . . . . Fee $_________________
....... ..
. . . .APPROVED STANDARD FORM. . . . . .
. ..... ....... ...
: AccountIndex No.
Secretary of State
# _____________
500 E. Capitol Pierre, SD 57501-5070 605-773-4422
:
Calendar No.
PLEASE TYPE THE INFORMATION ON THIS FORM ACCORDING TO ALL INSTRUCTIONS PRINTED ON THE BACK OF THE UCC 3 FORM
NOTE: Type smaller than 8 point is not acceptable. This is an example of 8 point type.
:
1. SECURED PARTY NAME AND ADDRESS insert only one secured party name (1a or 1b)
Plaintiff(s)
1a. ORGANIZATION’S NAME
or
-against-
JUDICIAL SUBPOENA
FIRST NAME
1c. MAILING ADDRESS
:
MIDDLE NAME
CITY
1b. INDIVIDUAL’S LAST NAME
:
STATE
POSTAL CODE
COUNTRY
2. ASSIGNEE OF SECURED PARTY NAME AND ADDRESS insert only one assignee name (2a or 2b)
:
2a. ORGANIZATION’S NAME
or
2b. INDIVIDUAL’S LAST NAME
FIRST
Defendant(s) NAME :
. . . . . 2c..MAILING ADDRESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . CITY. . . . . .
. .........
..
MIDDLE NAME
STATE
SUFFIX
POSTAL CODE
COUNTRY
3. DEBTOR’S EXACT FULL LEGAL NAME – insert only one debtor (3a or 3b) – do not abbreviate or combine names.
3a. ORGANIZATION’S NAME
or
HE PEOPLEINDIVIDUAL’S LAST NAME OF NEW YORK
3b. OF THE STATE
O
SUFFIX
FIRST NAME
CITY
3c. MAILING ADDRESS
ADD’S INFO RE
ORGANIZATION
DEBTOR
3d. TAX ID # SSN OR EIN
MIDDLE NAME
STATE
3e. TYPE OF ORGANIZATION
SUFFIX
POSTAL CODE
3f. JURISDICTION OF ORGANIZATION
COUNTRY
3G. ORGANIZATIONAL ID#, if any
o NONE
4. ADDITIONAL DEBTOR’S EXACT FULL LEGAL NAME – insert only one debtor name (4a or 4b) – do not abbreviate or combine names.
4a. ORGANIZATION’S NAME
REETINGS:
or
4b. INDIVIDUAL’S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
WE COMMAND YOU, that all business and excuses being laid aside, you and each of youPOSTAL CODE
attend before
4c. MAILING ADDRESS
CITY
STATE
COUNTRY
,
e Honorable
at the
Court
ADD’S INFO RE
4d. TAX ID # SSN OR EIN
4e. TYPE OF ORGANIZATION
4f. JURISDICTION OF ORGANIZATION
4G. ORGANIZATIONAL ID#, if any
ounty of
ORGANIZATION located at
o NONE
DEBTOR
room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
THIS STATEMENT REFERS
adjourned date, to testify TO ORIGINALevidence STATEMENT NO._____________________________________________________________(limited to one transaction per UCC 3)
and give FINANCING as a witness in this action on the part of the
DATE___________________________________________________ FILED WITH_________________________________________________________________________________
o CONTINUATION
The financing statement bearing the above file number is
still effective.
o TERMINATION
The secured party no longer claims a security interest under
the financing statement bearing the above file number.
Must be signed by secured party for effective financing
statements.
o ASSIGNMENT
The secured party’s rights to the property described below
under the statement bearing the above file number have
been assigned to the assignee whose name and address
are listed abovet. Must be signed by secured party and
debtor for Effective Financing Statement.
o AMENDMENT
The financing statement bearing the above file number is
amended
Your failure to comply with this subpoena is punishable as a contempt of court and will make you andas set forth below. Must Financing Statement.
liable party for Effective be signed by both
to
debtor
secured
Cannot whose than six months prior to the
filed
e party on be date. more behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
expiration
sult of your failure to comply.
Fee: $20 and $2 for each additional debtor name
Fee: $20 and $2 for each additional debtor name
Fee: None
Fee: $20 and $2 for each additional debtor name
This area is for the description of collateral, release, collateral if assigned, or description of real estate, if necessary:
Witness, Honorable
ourt in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Check (X) if covered: o PROCEEDS of collateral are also covered. o PRODUCTS of collateral are also covered.
Use the following spaces only for Farm Products requiring EFFECTIVE FINANCING STATEMENT (EFS)
FARM PRODUCT
CODE
YEAR
QUANTITY
Attorney(s) for
COUNTY
CODE
LOCATION IN COUNTY OR
FURTHER DESCRIPTION
Office and P.O. Address
Pay proceeds to Debtor and Secured Party unless otherwise checked: o Secured Party only o Debtor only
Filed with the Secretary of State as o UCC o EFS o BOTH
Signature(s) of Debtor(s)
Number of
Telephone No.: Additional Sheets, if any_____________________________________
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
Signature of Secured Party
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UCC 3 FORM Revised 7/01/01
