Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
UCC1 Financing Statement Addendum (In Lieu) Form. This is a Mississippi form and can be use in Uniform Commercial Code Secretary Of State.
Loading PDF...
Tags: UCC1 Financing Statement Addendum (In Lieu), Mississippi Secretary Of State, Uniform Commercial Code
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Calendar No.
Mississippi - UCC1 FINANCING STATEMENT ADDENDUM (In Lieu)
Plaintiff(s)
:
JUDICIAL SUBPOENA
9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT
-against-
:
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
9a. ORGANIZATION'S NAME
:
OR
9b. INDIVIDUAL'S LAST NAME
MIDDLE NAME,SUFFIX
FIRST NAME
:
10. MISCELLANEOUS:
Defendant(s)
:
......................................................
THE PEOPLE OF THE STATE OF NEW YORK
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
TO
11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (11a or 11b) - do not abbreviate or combine names
11a. ORGANIZATION'S NAME
OR
11b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
CITY
STATE
11D. COUNTY #
GREETINGS:
11c. MAILING ADDRESS
POSTAL CODE
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the SSN OR EIN ADD'L INFO RE 11e. TYPE OF ORGANIZATION 11f. JURISDICTION OF ORGANIZATION
at the
Court
11g. ORGANIZATIONAL ID #, if any
11d. TAX ID #: Honorable
ORGANIZATION
located at
County of
DEBTOR
NONE
in room
, on the
day of
, - insert , at
o'clock in the
noon, and at any recessed
12.
ADDITIONAL SECURED PARTY'S or
ASSIGNOR S/P'S NAME20 only one name (12a or 12b)
12a. ORGANIZATION'S NAME
or adjourned date, to testify and give evidence as a witness in this action on the part of the
OR
12b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
COUNTRY
STATE POSTAL will
CITY
Your failure to comply with this subpoena is punishable as a contempt of court andCODE 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
13. This FINANCING STATEMENT covers to timber to be cut or
as-extracted
16. Additional collateral description:
result of your failure comply.
12c. MAILING ADDRESS
collateral, or is filed as a
fixture filing.
14. Description of real estate:
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
15. Name and address of a RECORD OWNER of above-described real estate
(if Debtor does not have a record interest):
Office and P.O. Address
17. Check only if applicable and check only one box.
Debtor is a
Trust or
Trustee acting with respect to property held in trust or
Telephone No.:
Facsimile No.:
Debtor is a TRANSMITTING UTILITY
E-Mail Address:
Filed in connection with a Manufactured-Home Transaction — effective 30 years
Mobile Tel. No.:
Filed in connection with a Public-Finance Transaction — effective 30 years
Decedent's Estate
18. Check only if applicable and check only one box.
FILING OFFICE COPY — Mississippi UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 10/01)
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
Instructions for
Mississippi UCC Financing Statement Addendum (Form MS UCC1Ad)
:
Calendar No.
9.
Insert name of first Debtor shown on Financing Statement to which this Addendum : related, exactly as shown in item 1 of Financing Statement.
is
10.
Miscellaneous: Use this space to provide such additional information to comply with the requirements as set fourth in item 4 of these instructions;
-against:
otherwise, leave blank.
11.
If this Addendum adds an additional Debtor, complete item 11 in accordance with instruction 1 on Financing Statement. To add more than one
:
additional Debtor, either use an additional Addendum form for each additional Debtor the formatting of Financing Statement item 1 on an 8-1/2 X
11 inch sheet (showing at the top of the sheet the name of the first Debtor shown on the Financing Statement), and in either case give complete
information for each additional Debtor in accordance with Instruction 1 on Financing Statement. All additional Debtor information, especially the
:
name, must be presented in proper format exactly identical to the format of item 1 of Financing Statement.
12.
Defendant(s)
If this Addendum adds an additional Secured Party, complete item 12 in accordance with Instruction 3 on Financing Statement. In the case of a
:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . the . . . of . . . . . . . . Statement, if filer has given the name and address of the Total
total assignment of.the Secured. Party’s.interest. before . . . filing . . this .Financing . .
Assignee in item 3 of the Financing Statement, filer may give the Assignor S/Ps name and address in item 12.
JUDICIAL SUBPOENA
Plaintiff(s)
13-15. If collateral is timber to be cut or as-extracted collateral, or if this Financing Statement is filed as a fixture filing, check appropriate box in item 13;
provide description of real estate in item 14; and if Debtor is not a record owner of the described real estate, also provide, in item 15, the name
and address of a record THE STATE OF collateral description in item 4 of Financing Statement. Also check box 6 on Financing Statement.
THE PEOPLE OF owner. Also provide NEW YORK
Description of real estate must be sufficient under the applicable law of the jurisdiction where the real estate is located.
16.
Use this space to provide continued description of collateral, if you cannot complete description in item 4 of Financing Statement.
TO
17.
If Debtor is a trust or a trustee acting with respect to property held in trust or is a decedent’s estate, check the appropriate box.
18.
If Debtor is a transmitting utility or if the Financing Statement relates to a Manufactured-Home Transaction or a Public-Finance Transition as
defined in the applicable Commercial Code, check the appropriate box.
GREETINGS:
Mississippi County Codes
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
County Code County
County Code County
County Code County
,
the Honorable
at the
Court
1
Adams
29
Itawamba
57
Pike
located at
County of
2
30
Jackson
58
Pontotoc
in room Alcorn , on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
3
Amite
Jasper
Prentiss
or adjourned date, to testify and give evidence31 a witness in this action on the part of the59
as
4
Attala
32
Jefferson
60
Quitman
5
Benton
33
Jefferson Davis
61
Rankin
6
Bolivar
34
Jones
62
Scott
Your failure to comply with this subpoena isKemper
punishable as a contempt of court and willSharkeyyou liable to
make
Calhoun
35
63
the 8
party on whose behalf this subpoena was 36
issued for a maximum penalty of $50 and all damages sustained as a
Carroll
Lafayette
64
Simpson
result of your failure to comply.
9
Chickasaw
37
Lamar
65
Smith
7
10
Choctaw
Witness, Honorable
Claiborne
12
Court in Clarke
County,
38
Lauderdale
66
39
11
Lawrence
, one of the Justices of the
67
Sunflower
Stone
40
Leake
, 20
68
Tallahatchie
13
Clay
41
Lee
69
Tate
14
Coahoma
42
Leflore
70
Tippah
15
Copiah
43
Lincoln
71
Tishomingo
16
Covington
44
Lowndes
17
DeSoto
45
Madison
18
Forrest
46
Marion
19
Franklin
47
Marshall
20
George
48
Monroe
76
Washington
21
Greene
49
Montgomery
77
Wayne
22
Grenada
50
Neshoba
78
Webster
23
Hancock
51
Newton
79
Wilkinson
24
Harrison
52
Noxubee
80
Winston
25
Hinds
53
Oktibbeha
81
Yalobusha
26
Holmes
54
Panola
82
Yazoo
27
Humphreys
55
Pearl River
28
Issaquena
56
Perry
day of
(Attorney must sign above and type name below)
72
Tunica
73
Union
74
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
Walthall
75
Warren
American LegalNet, Inc.
www.USCourtForms.com