UCC1 Financing Statement
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UCC1 Financing Statement Form. This is a Delaware form and can be use in Uniform Commercial Code Department Of State.
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Tags: UCC1 Financing Statement, UCC1, Delaware Department Of State, Uniform Commercial Code
UCC FINANCING STATEMENT
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
A. NAME & PHONE OF CONTACT AT FILER [optional]
B. SEND ACKNOWLEDGMENT TO: (Name and Address)
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
1. DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (1a or 1b) - do not abbreviate or combine names
1a. ORGANIZATION'S NAME
OR 1b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
1c. MAILING ADDRESS
CITY
STATE
1f. JURISDICTION OF ORGANIZATION
1g. ORGANIZATIONAL ID #, if any
1d. SEE INSTRUCTIONS
ADD'L INFO RE 1e. TYPE OF ORGANIZATION
ORGANIZATION
DEBTOR
SUFFIX
POSTAL CODE
COUNTRY
NONE
2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names
2a. ORGANIZATION'S NAME
OR
FIRST NAME
2c. MAILING ADDRESS
2d. SEE INSTRUCTIONS
ADD'L INFO RE
ORGANIZATION
DEBTOR
2e. TYPE OF ORGANIZATION
MIDDLE NAME
CITY
2b. INDIVIDUAL'S LAST NAME
STATE
2f. JURISDICTION OF ORGANIZATION
2g. ORGANIZATIONAL ID #, if any
SUFFIX
POSTAL CODE
COUNTRY
NONE
3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S/P) - insert only one secured party name (3a or 3b)
3a. ORGANIZATION'S NAME
OR
3c. MAILING ADDRESS
FIRST NAME
MIDDLE NAME
SUFFIX
CITY
3b. INDIVIDUAL'S LAST NAME
STATE
COUNTRY
POSTAL CODE
4. This FINANCING STATEMENT covers the following collateral:
5. ALTERNATIVE DESIGNATION [if applicable]: LESSEE/LESSOR
CONSIGNEE/CONSIGNOR
BAILEE/BAILOR
SELLER/BUYER
This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL
6.
7. Check to REQUEST SEARCH REPORT(S) on Debtor(s)
ESTATE RECORDS.
Attach Addendum
[if applicable]
[ADDITIONAL FEE]
[optional]
AG. LIEN
All Debtors
NON-UCC FILING
Debtor 1
Debtor 2
8. OPTIONAL FILER REFERENCE DATA
FILING OFFICE COPY UCC FINANCING STATEMENT (FORM UCC1) (REV. 05/22/02)
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