STATE OF MONTANA For Secretary of State Use Only UCC CONSUMER GOOD REFILING FORM MAIL: Brad Johnson PHONE: FAX: WEB SITE: Secretary of State P.O. Box 202801 Helena, MT 59620-2801 (406)444-2468 (406)444-3976 sos.mt.gov Note: This form is to be used to transfer Consumer Good liens filed at the County level prior to July 1, 2001 to the Montana Secretary of State in accordance with Revised Article 9. Debtor’s Legal Name/Address Secured Party’s Name /Address Financing Statement Number Filing Date and Time Secretary of State Filing Number Amendment Number(s) Filing Date and Time Secretary of State Filing Number(s) Clerk’s Certification: I hereby certify that the above listed documents are true and exact copies of documents on file in ________________ Secured Party’s Certification: I hereby certify that the above listed documents are being filed with the Montana Secretary of State. County on___________________________ _______________________________________________ Clerk and Recorder’s Signature S:\BSB Final Documents\Forms\UCC\Consumer Good Refiling Form.doc _____________________________________________ Secured Party’s Signature Revised 01/03/2005 American LegalNet, Inc. www.FormsWorkflow.com