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National Correction Statement Form. This is a Florida form and can be use in Uniform Commercial Code Secretary Of State.
Tags: National Correction Statement, UCC5, Florida Secretary Of State, Uniform Commercial Code
COURT A debtor may file a Correction Statement to
debtor
COUNTY .OF. . . . . . . . . . . . notify. the.public.that.the . . . .believes.the . . . . . . . . . .
......... ..
.. . . .
... .
information.on record.is inaccurate or that
the record was wrongfully filed. The filing
:
of a Correction Statement does not affect
CORRECTION STATEMENT
the status of any UCC filing, nor does the
filing officer effect changes on the record as
a result of a Correction Statement. A secured
party may file an Amendment (Form UCC3)
if the secured party wants to change or
correct an existing filing.
:
A. NAME & PHONE OF PERSON FILING THIS STATEMENT [optional]
-against-
Calendar No.
:
Plaintiff(s)
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
Index No.
JUDICIAL SUBPOENA
:
B. SEND ACKNOWLEDGMENT TO: (Name and Address)
:
:
Defendant(s)
:
......................................................
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
1. Identification of the RECORD to which this CORRECTION STATEMENT relates.
THE PEOPLE OF THE STATE OF NEW YORK
1a. TYPE OF RECORD
2a.
1b. FILE # OF INITIAL FINANCING STATEMENT
TO
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.
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
2b.
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
and all damages sustained as a
result of your failure to comply.
the party on whose behalf this subpoena was issued for a maximum penalty of $50
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.
Court in
Witness, Honorable
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
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].
3b. TIME
3a. DATE
Office and P.O. Address
4. NAME OF PERSON AUTHORIZING THE FILING OF THIS CORRECTION STATEMENT The RECORD identified in item 1 must be indexed under this name.
4a. ORGANIZATION'S NAME
OR
4b. INDIVIDUAL'S LAST NAME
FIRST NAME
Telephone No.:
Facsimile No.: NAME
MIDDLE
E-Mail Address:
Mobile Tel. No.:
FILING OFFICE COPY NATIONAL CORRECTION STATEMENT (FORM UCC5) (REV. 05/22/02)
SUFFIX
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
Instructions for National Correction Statement (Form UCC5)
:
Index No.
Please type or laser-print this form. Be sure it is completely legible. Read all Instructions, especially Instructions 1a and 1b; correct identification of the initial
:
Calendar No.
Record to which this Correction Statement relates is crucial. Follow Instructions completely.
Fill in form very carefully. If you have questions, consult your attorney. Filing office cannot give legal advice.
Do not insert anything in the open space in the upper portion of this form; it is reserved for filing office use.
:
When properly completed, send Filing Office Copy to filing office. If youPlaintiff(s)
want an acknowledgment, complete item B and, if filing in a filing office that returns
an acknowledgment copy furnished by filer, you may also send Acknowledgment Copy; otherwise detach. Always detach Debtor and Secured Party Copies.
-againstA. To assist filing offices that might wish to communicate with filer, filer may provide information in:item A. This item is optional.
B. Complete item B if you want an acknowledgment sent to you. If filing in a filing office that returns an acknowledgment copy furnished by filer, present
simultaneously with this form a carbon or other copy of this form for use as an acknowledgment copy.
JUDICIAL SUBPOENA
:
:
General You must always complete items 1 and 4 and either 2a or 2b. You
3. If this Correction Statement relates to a Record filed [or recorded] in a
filing
may also be required to complete item 3.
Defendant(s) 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
... ....
1a. Indicate type of Record to which this Correction Statement relates (e.g.,
Financing Statement identified in item 1b above was filed [or recorded].
Financing Statement or Amendment). You may also insert additional
information that you believe will assist in identifying the Record (e.g., the
4. Always enter name of the person who authorized the filing of this
Correction Statement. This name must be the same as the name under
filing date and/or record number of the Record).
which the Record is indexed.
THE PEOPLE OF THEfinancing statement to which the
STATE OF NEW YORK
1b. File number: Enter file number of initial
Record that is the object of this Correction Statement relates. Enter only
one file number.
TO
2.
If this Correction Statement is filed based on the filer's belief that the
Record identified in item 1 is inaccurate, check box 2a, provide the basis
for that belief, and indicate the manner in which the Record should be
amended to cure the inaccuracy.
GREETINGS:
If this Correction Statement is filed based on the filer's belief that the
Record identified in item 1 was wrongfully filed, check box 2ball business
WE COMMAND YOU, that and provide
the basis for that belief.
and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Court in
Witness, Honorable
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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