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UCC1AD Financing Statement Addendum Form. This is a Mississippi form and can be use in Uniform Commercial Code Secretary Of State.
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Tags: UCC1AD Financing Statement Addendum, Mississippi Secretary Of State, Uniform Commercial Code
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Calendar No.
Mississippi - UCC1AD FINANCING STATEMENT ADDENDUM
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
at the
Court
11g. ORGANIZATIONAL ID #, if any
11f. JURISDICTION OF ORGANIZATION
11d. TAX ID #: HonorableADD'L INFO RE 11e. TYPE OF ORGANIZATION
ORGANIZATION
located at
County of
DEBTOR
NONE
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
12.
ADDITIONAL SECURED PARTY'S or
ASSIGNOR S/P'S NAME - insert only one name (12a or 12b)
12a. or adjourned date, to testify and give evidence as a witness in this action on the part of the
ORGANIZATION'S NAME
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 and CODE 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)
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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: Under certain circumstances, additional information not provided on a Financing Statement may be required. Use this space to
provide such additional information-against- with such requirements; otherwise,: leave blank.
or to comply
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 or replicate 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.
. . . . . . . . . . adds . . . . . . . . . . . . Party, . . . . . . . . . . . . . . . . . .
If this. Addendum . . . . an. additional .Secured . . . . .complete. item 12 in.accordance with Instruction 3 on Financing Statement. In the case of a
total assignment of the Secured Party’s interest before the filing of this Financing Statement, if filer has given the name and address of the Total
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)
Defendant(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;
providePEOPLE OF THE STATE14; and if Debtor is not a record owner of the described real estate, also provide, in item 15, the name
THE description of real estate in item OF NEW YORK
and address of a record owner. Also provide collateral description in item 4 of Financing Statement. Also check box 6 on Financing Statement.
Description of real estate must be sufficient under the applicable law of the jurisdiction where the real estate is located.
TO
16.
Use this space to provide continued description of collateral, if you cannot complete description in item 4 of Financing Statement.
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
GREETINGS:
defined in the applicable Commercial Code, check the appropriate box.
Mississippi and excuses being
WE COMMAND YOU, that all business County Numbers (#) laid aside, you and each of you attend before
,
the Honorable
at the
Court
County #
County
County #
County
County #
County
located at 29
County of Adams
1
Itawamba
57
Pike
in room Alcorn , on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
2
30
Jackson
58
Pontotoc
or adjourned date, to testify and give evidence31 a witness in this action on the part of the59
as
3
Amite
Jasper
Prentiss
4
5
6
Attala
32
Jefferson
60
Quitman
Benton
33
Jefferson Davis
61
Rankin
Bolivar
Your failure
34
subpoena
isJones
punishable
62
and
to comply with this
as a contempt of court
willScott you liable to
make
35
Kemper
63 damages sustained as a
Sharkey
behalf this subpoena was issued for a maximum penalty of $50 and all
8
Carroll
36
Lafayette
64
Simpson
result of your failure to comply.
Calhoun
the 7
party on whose
9
Chickasaw
37
Lamar
10
Choctaw
Witness,
38
Lauderdale
11
Claiborne
39
Lawrence
67
Sunflower
12
Clarke
40
Leake
68
Tallahatchie
13
Clay
41
Lee
69
Tate
14
Coahoma
42
Leflore
70
Tippah
15
Copiah
43
Lincoln
16
Covington
44
Lowndes
17
DeSoto
45
Madison
18
Forrest
46
Marion
19
Franklin
47
20
George
21
Greene
22
Court in
Honorable
County,
day of
65
, one of the
, 20
Smith
66
Stone
Justices of the
(Attorney must sign above and type nameTishomingo
below)
71
72
73
Attorney(s) for
Tunica
Union
74
Walthall
Marshall
75
Warren
48
Monroe
76
Washington
49
Montgomery
77
Wayne
Grenada
50
Neshoba
78
Webster
23
Hancock
51
Newton
79
Wilkinson
24
Harrison
52
Noxubee
80
Winston
25
Hinds
53
Oktibbeha
26
Holmes
54
Panola
27
Humphreys
55
Pearl River
28
Issaquena
56
Perry
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
81
Yalobusha
82
Yazoo
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