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UCC3Ap Financing Statement Additional Party Form. This is a Pennsylvania form and can be use in Uniform Commercial Code Department Of State.
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Tags: UCC3Ap Financing Statement Additional Party, UCC3Ap, Pennsylvania Department Of State, Uniform Commercial Code
UCC FINANCING STATEMENT AMENDMENT ADDITIONAL PARTY
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
14. INITIAL FINANCING STATEMENT FILE # (same as item 1a on Amendment form)
15. NAME OF PARTY AUTHORIZING THIS AMENDMENT (same as item 9 on Amendment form)
15a. ORGANIZATION'S NAME
OR
15b. INDIVIDUAL'S LAST NAME
MIDDLE NAME,SUFFIX
FIRST NAME
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
17c. MAILING ADDRESS
17d. SEE INSTRUCTIONS
ADD'L INFO RE 17e. TYPE OF ORGANIZATION
ORGANIZATION
DEBTOR
FIRST NAME
MIDDLE NAME
CITY
17b. INDIVIDUAL'S LAST NAME
SUFFIX
STATE
17f. JURISDICTION OF ORGANIZATION
17g. ORGANIZATIONAL ID #, if any
POSTAL CODE
COUNTRY
NONE
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
18c. MAILING ADDRESS
18d. SEE INSTRUCTIONS
ADD'L INFO RE 18e. TYPE OF ORGANIZATION
ORGANIZATION
DEBTOR
FIRST NAME
MIDDLE NAME
SUFFIX
CITY
18b. INDIVIDUAL'S LAST NAME
STATE
COUNTRY
18f. JURISDICTION OF ORGANIZATION
18g. ORGANIZATIONAL ID #, if any
POSTAL CODE
NONE
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
MIDDLE NAME
SUFFIX
19c. MAILING ADDRESS
CITY
STATE
COUNTRY
19f. JURISDICTION OF ORGANIZATION
19g. ORGANIZATIONAL ID #, if any
19d. SEE INSTRUCTIONS
ADD'L INFO RE 19e. TYPE OF ORGANIZATION
ORGANIZATION
DEBTOR
POSTAL CODE
NONE
20. ADDITIONAL SECURED PARTYS NAME (or Name of TOTAL ASSIGNEE) - insert only one name (20a or 20b)
20a. ORGANIZATION'S NAME
OR
20b. INDIVIDUAL'S LAST NAME
20c. MAILING ADDRESS
FIRST NAME
MIDDLE NAME
SUFFIX
CITY
STATE
COUNTRY
POSTAL CODE
21. ADDITIONAL SECURED PARTYS NAME (or Name of TOTAL ASSIGNEE) - insert only one name (21a or 21b)
21a. ORGANIZATION'S NAME
OR
21b. INDIVIDUAL'S LAST NAME
21c. MAILING ADDRESS
FIRST NAME
MIDDLE NAME
SUFFIX
CITY
STATE
COUNTRY
POSTAL CODE
FILING OFFICE COPY UCC FINANCING STATEMENT AMENDMENT ADDITIONAL PARTY (FORM UCC3AP) (REV. 05/22/02)
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Instructions for UCC Financing Statement Amendment Additional Party (Form UCC3AP)
Use this form to continue adding additional Debtor or Secured Party names as needed when filing a UCC Financing Statement Amendment (Form UCC3).
14.
Enter file number of Financing Statement as shown on the Amendment to which this Amendment Additional Party relates, exactly as shown
in item 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. Also, some states have
non-uniform requirements. Use this space to provide such additional information or to comply with such requirements; 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 organizations name or individuals name items.
20-21. If this Amendment Additional Party adds additional Secured Parties, complete items 20 and 21 in accordance with Instruction 3 of Financing
Statement and give complete information for each additional Secured Party.
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