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UCC3 Financing Statement Amendment Form. This is a Ohio form and can be use in Unified Commercial Code Secretary Of State.
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Tags: UCC3 Financing Statement Amendment, UCC3, Ohio Secretary Of State, Unified Commercial Code
UCC FINANCING STATEMENT AMENDMENT
FOLLOW INSTRUCTIONS 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
1b.
1a. INITIAL FINANCING STATEMENT FILE #
This FINANCING STATEMENT AMENDMENT is
to be filed [for record] (or recorded) in the
REAL ESTATE RECORDS.
2.
TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to security interest(s) of the Secured Party authorizing this Termination Statement.
3.
CONTINUATION: Effectiveness of the Financing Statement identified above with respect to security interest(s) of the Secured Party authorizing this Continuation Statement is
4.
ASSIGNMENT (full or partial): Give name of assignee in item 7a or 7b and address of assignee in item 7c; and also give name of assignor in item 9.
continued for the additional period provided by applicable law.
Debtor or
5. AMENDMENT (PARTY INFORMATION): This Amendment affects
Secured Party of record. Check only one of these two boxes
Also check one of the following three boxes and provide appropriate information in items 6 and/or 7.
CHANGE name and/or address: Please refer to the detailed instructions
DELETE name: Give record name
ADD name: Complete item 7a or 7b, and also
in regards to changing the name/address of a party.
to be deleted in item 6a or 6b.
item 7c; also complete items 7d-7g (if applicable).
FIRST NAME
MIDDLE NAME
SUFFIX
FIRST NAME
MIDDLE NAME
SUFFIX
CITY
STATE
6. CURRENT RECORD INFORMATION:
6a. ORGANIZATION'S NAME
OR
6b. INDIVIDUAL'S LAST NAME
7. CHANGED (NEW) OR ADDED INFORMATION:
7a. ORGANIZATION'S NAME
OR
7b. INDIVIDUAL'S LAST NAME
7c. MAILING ADDRESS
ADD'L INFO RE
7d. TYPE OF ORGANIZATION
POSTAL CODE COUNTRY
7e. JURISDICTION OF ORGANIZATION
ORGANIZATION
DEBTOR
8. AMENDMENT (COLLATERAL CHANGE): check only one box.
Describe collateral
deleted or
added, or give entire
restated collateral description, or describe collateral
assigned
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT (name of assignor, if this is an Assignment). If this is an Amendment authorized
by a Debtor which adds collateral or adds the authorizing Debtor, or if this is a Termination authorized by a Debtor, check here
and enter name of DEBTOR authorizing
this Amendment.
9a. ORGANIZATION'S NAME
OR
9b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
10. OPTIONAL FILER REFERENCE DATA
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FOLLOW INSTRUCTIONS CAREFULLY
11. INITIAL FINANCING STATEMENT FILE # (same as item 1a on Amendment form)
12, NAME OF PARTY AUTHORIZING THIS AMENDMENT (same as item 9 on Amendment form)
12a. ORGANIZATION'S NAME
12b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME, SUFFIX
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
13. Use this space for additional information
FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT AMENDMENT ADDENDUM (FORM UCC3Ad) (REV. 05/22/02)
FOLLOW INSTRUCTIONS CAREFULLY
14. INITIAL FINANCING STATEMENT FILE # (same as item 1a on Amendment form)
15. NAME OF PARTY AUTHORIZING THIS AMENDMENT (name as item 9 Amendment form)
15a. ORGANIZATION'S NAME
OR
15b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME SUFFIX
16. MISCELLANEOUS
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
17. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (17a or 17b) - do not abbreviate or combine names
17a. ORGANIZATION'S NAME
OR
FIRST NAME
17c. MAILING ADDRESS
ADD'L INFO RE
17d. TYPE OF ORGANIZATION
MIDDLE NAME
CITY
17b. INDIVIDUAL'S LAST NAME
STATE
SUFFIX
POSTAL CODE COUNTRY
17e. JURISDICTION OF ORGANIZATION
ORGANIZATION
DEBTOR
18. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (18a or 18b) - do not abbreviate or combine names
18a. ORGANIZATION'S NAME
OR
FIRST NAME
18c. MAILING ADDRESS
ADD'L INFO RE
18d. TYPE OF ORGANIZATION
MIDDLE NAME
CITY
18b. INDIVIDUAL'S LAST NAME
STATE
SUFFIX
POSTAL CODE COUNTRY
18e. JURISDICTION OF ORGANIZATION
ORGANIZATION
DEBTOR
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19. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (19a or 19b) - do not abbreviate or combine names
19a. ORGANIZATION'S NAME
OR
19b. INDIVIDUAL'S LAST NAME
FIRST NAME
CITY
19c. MAILING ADDRESS
ADD'L INFO RE
19e. TYPE OF ORGANIZATION
MIDDLE NAME
STATE
SUFFIX
POSTAL CODE COUNTRY
19f. JURISDICTION OF ORGANIZATION
ORGANIZATION
DEBTOR
20. ADDITIONAL SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE) - insert only one name (20a or 20b)
20a. ORGANIZATION'S NAME
OR
20b. INDIVIDUAL'S LAST NAME
FIRST NAME
CITY
20c. MAILING ADDRESS
MIDDLE NAME
STATE
SUFFIX
POSTAL CODE COUNTRY
21. ADDITIONAL SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE) - insert only one name (21a or 21b)
21a. ORGANIZATION'S NAME
OR
21b. INDIVIDUAL'S LAST NAME
FIRST NAME
CITY
21c. MAILING ADDRESS
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MIDDLE NAME
STATE
SUFFIX
POSTAL CODE COUNTRY
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Instructions for UCC Financing Statement Amendment (Form UCC3)
Pursuant to Ohio Law, our office cannot file or record a document which contains a social
security number or tax identification number.
Please DO NOT provide a social security number, employee identification number, or tax
identification number, in any format, on this form.
Please type or laser-print this form. Be sure it is completely legible. Read all instructions, especially instruction 1a.
Correct file number of initial Financing Statement is crucial. Follow instructions completely. Fill in form very carefully;
mistakes may have important legal consequences. 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 the filing office copy of the form, with required fee, to filing office. If you 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.
If you need to use attachments, you are encouraged to use either Amendment Addendum (Form UCC3AD) or
Amendment Additional Party (Form UCC3AP).
Always Complete Items 1a and 9
A.
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.
Present with this form a carbon or other copy of this form for use as an Acknowledgment Copy. File number: Enter
the file number of initial Financing Statement to which this Amendment relates. Enter only one file number. In
some states, the file number is not unique; in those states also, enter in item 1a, after the file number,
the date that the initial Financing Statement was filed.
1b.
Note:
If this Amendment is to be filed or recorded in the real estate records, check box 1b and also item 13 of
Amendment Addendum. Enter Debtor's name in the proper format exactly identical to the format of item 1
of the Financing Statement and name of record owner if the Debtor does not have a record interest.
Show purpose of this Amendment by checking box 2, 3, 4, 5 (in item 5 you must check two boxes) or 8. Complete items
6, 7, and/or 8 as appropriate. Filer may use this Amendment form to simultaneously accomplish both data changes
(items 4, 5, and/or 8) and a continuation (item 3).
2.
To terminate the effectiveness of the identified Financing Statement with respect to security interest(s) of authorizing
Secured Party, check box 2. (See instruction 9 on page 2)
3.
To continue the effectiveness of the identified Financing Statement with respect to security interest(s) of authorizing
Secured Party, check box 3. (See instruction 9 on page 2)
4.
To assign (i) all of assignor's interest under the identified Financing Statement or (ii) a partial interest in the
security interest covered by the identified Financing Statement or (iii) assignor's full interest in some (but not all)
of the collateral covered by the identified Financing Statement. Check box in item 4 and enter name of'
assignee in item 7a if assignee is an organization, or in item 7b, if assignee is an individual. Complete 7a or 7b
(but not both). Enter assignee's address in item 7c. Enter name of assignor in item 9. If partial assignment affects
only some (but not all) of the collateral covered by the identified Financing Statement, filer may check appropriate
box in item 8 and indicate affected collateral in item 8.
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To Add a Party: Check box in item 5 to indicate whether adding a Debtor or Secured Party, check box in item 5
to indicate that this is an addition of a party and enter the new name (7a or 7b). If the new name refers to a Debtor
complete item 7c. Complete 7d-7e if 7a was completed. To include additional Debtors or Secured Parties
attach Amendment Additional Party (Form UCC3AP), using correct name format.
5.
Note:
5, 6
The preferred method for filing against a new Debtor (an individual or organization not previously of record as a Debtor
under this file number) is to file a new Financing Statement (UCC1) and not an Amendment (UCC3).
To Delete a Party: Check the box in item 5 to indicate whether deleting a Debtor or a Secured Party. Check the
box in item 5 to indicate that this is a deletion of a party. Enter name (6a or 6b) of the deleted party in item 6.
5, 6, 7 To Change the Name of a Party: Check the box in item 5 to indicate whether this Amendment amends
information relating to a Debtor or a Secured Party. Check the box in item 5 to indicate that this is a name change.
Enter the name of the affected party (current record name) in item 6a or 6b as appropriate, then enter new name
(7a or 7b) if the new name refers to a Debtor complete (7c). Complete 7d-7e if 7a was completed.
5, 6, 7 To Change the Address of a Party: Check box in item 5 to indicate whether this Amendment amends information
relating to a Debtor or a Secured Party. Check box in item 5 to indicate that this is an address change. Enter
name of affected party (current record name) in item 6a or 6b as appropriate. Enter new address (7c) in item 7.
5, 6, 7 To Change the Name and Address of a Party: Check box in item 5 to indicate whether this Amendment
amends information relating to a Debtor or a Secured Party. Check box in item 5 to indicate that this is a
name/address change. Enter name of affected party (current record name) in items 6a or 6b as appropriate.
Enter new name (7a or 7b). If new name refers to a Debtor, complete item 7c. Complete 7d-7e if 7a was completed.
8.
8
Collateral Change: To change the collateral covered by the identified Financing Statement describe the change
Statement,
in item 8. This may be accomplished either by describing the collateral to be added or deleted, or by setting forth
in full the collateral description as it is to be effective after the filing of this amendment, indicating clearly the
method chosen (check the appropriate box). If the space in item 8 is insufficient, use item 13 of the Amendment
Addendum (Form UCC3AD). A partial release of collateral is a deletion. If, due to a full release of all collateral,
filer no longer claims a security interest under the identified Financing Statement, check box 2 (Termination) and not
box 8 (Collateral Change). If a partial assignment consists of the assignment of some (but not all) of the Amendment
collateral covered by the identified Financing Statement, filer may indicate the assigned collateral in item 8. Check
the appropriate box in item 8 and comply with item 4 above.
9.
Always enter name of party of record authorizing this Amendment. In most cases, this will be a Secured Party of
record. If more than one authorizing Secured Party, give additional name(s) in item 13 of Amendment Addendum
(Form UCC3AD). If the indicated Financing Statement refers to the parties as lessee and lessor, or consignee
and consignor, or seller and buyer, instead of Debtor and Secured Party, references in this Amendment shall be
deemed likewise so to refer to the parties. If this is an assignment, enter assignor's name. If this is an Amendment
authorized by a Debtor that adds collateral or adds a Debtor, or if this is a Termination authorized by a Debtor,
check the box in item 9 and enter the name, of the Debtor authorizing this Amendment. If this Amendment or
Termination is to be filed or recorded in the real estate records, also enter in item 13 of Amendment Addendum,
name of Secured Party of record.
10.
This item is optional and is for filer's use only. For filer's convenience of reference, filer may enter in item 10 any
identifying information (e.g., Secured Party's loan number, law firm file number, Debtor's name or other
identification; state which form is being filed, etc.) that filer may find useful. DO NOT enter a social security number,
employee identification number, or tax identification number, in any format, in box 13.
11.
Enter information exactly as given in item 1a on Amendment form.
12.
Enter information exactly as given in item 9 on Amendment form.
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13.
If space on Amendment form is insufficient or you must provide additional information, enter additional
information in item 13.
14.
Enter file number of Financing Statement as shown on the Amendment to which this Amendment Additional
Party relates, exactly as shown initem 1a of Amendment.
15.
Enter information exactly as shown in item 9 of Amendment.
16.
Miscellaneous: Under certain circumstances, additional information not provided on Amendment may be required.
Use this space to provide such additional information, otherwise, leave blank.
17-19
If this Amendment Additional Party adds additional Debtors, complete items 17, 18 and 19 in accordance with
Instruction 1 of Financing Statement and give complete information for each additional Debtor. Be sure to complete
either the organization's name or individual's name items.
20-21. If the Amendment Additional Party adds additional Secured Parties, complete item 20 and 21 in accordance
with Instruction 3 of Financing Statement and give complete information for each additional Secured Party.
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