Correction Statement Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Correction Statement Form. This is a Colorado form and can be use in Uniform Commercial Code Secretary Of State.
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Tags: Correction Statement, UCC5, Colorado Secretary Of State, Uniform Commercial Code
CORRECTION STATEMENT
Filing Fee: $18
Follow Instructions Carefully
A. NAME & PHONE OF PERSON FILING THIS STATEMENT (optional)
B. SEND ACKNOWLEDGMENT TO: (Name and Address)
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ABOVE SPACE FOR FILING OFFICE USE ONLY
1. Identification of the RECORD to which this CORRECTION STATEMENT relates.
1a. TYPE OF RECORD
1b. FILE # OF INITIAL FINANCING STATEMENT
2a. Ƒ RECORD is inaccurate.
Provide the basis for the belief of the person identified in item 4 that the RECORD identified in item 1 is inaccurate and indicate the manner in which the person
believes the RECORD should be amended to cure the inaccuracy.
2b. Ƒ RECORD was wrongfully filed.
Provide the basis for the belief of the person identified in item 4 that the RECORD identified in item 1 was wrongfully filed.
3. If this CORRECTION STATEMENT relates to a RECORD filed [or recorded] in a filing office described in Section 9-501(a)(1) and this CORRECTION STATEMENT is filed in such a filing office,
provide the date [and time] on which the INITIAL FINANCING STATEMENT identified in item 1b above was filed [or recorded].
3a. DATE
3b. TIME
4. NAME OF PERSON AUTHORIZING THE FILING OF THIS CORRECTION STATEMENT
4a. ORGANIZATION'S NAME
OR
4b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
FILING OFFICE COPY - CORRECTION STATEMENT (FORM UCC5) (REV. 08/05/08)
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