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UCC5 Correction Statement (National) Form. This is a Pennsylvania form and can be use in Uniform Commercial Code Department Of State.
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Tags: UCC5 Correction Statement (National), UCC5, Pennsylvania Department Of State, Uniform Commercial Code
CAUTION: This is not an amendment. INFORMATION STATEMENT FOLLOW INSTRUCTIONS A. NAME & PHONE OF CONTACT AT FILER (optional) B. E-MAIL CONTACT AT FILER (optional) C. SEND ACKNOWLEDGMENT TO: (Name and Address) THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1. Identification of the RECORD to which this INFORMATION STATEMENT relates 1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. RECORD INFORMATION TO WHICH THIS INFORMATION STATEMENT RELATES 2. Check one of these three boxes to indicate the claim made by this INFORMATION STATEMENT 2a. 2b. RECORD IS INACCURATE. Enter in item 3 the basis for the belief by the Debtor of Record identified in item 5 that the RECORD identified in item 1 is inaccurate and indicate the manner in which the person believes the RECORD should be amended to cure the inaccuracy RECORD WAS WRONGFULLY FILED. Enter in item 3 the basis for the belief by the Debtor of Record identified in item 5 that the RECORD identified in item 1 was wrongfully filed 2c. RECORD FILED BY PERSON NOT ENTITLED TO DO SO. Enter in item 3 the basis for the belief by the Secured Party of Record that the person that filed the RECORD identified in item 1 was not entitled to do so under UCC Section 9-509 3. Basis for claim of box checked in item 2 4. If this INFORMATION STATEMENT relates to a RECORD filed [or recorded] in a filing office described in Section 9-501(a)(1) and this INFORMATION STATEMENT is filed in such a filing office, provide the date [and time] on which the INITIAL FINANCING STATEMENT identified in item 1a above was filed [or recorded] 4a. DATE 4b. TIME 5. NAME of PERSON filing this INFORMATION STATEMENT 5a. ORGANIZATION'S NAME OR 5b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX FILING OFFICE COPY -- INFORMATION STATEMENT (Form UCC5) (Rev. 07/19/12) American LegalNet, Inc. www.FormsWorkFlow.com CAUTION: This is not an amendment. INFORMATION STATEMENT FOLLOW INSTRUCTIONS A. NAME & PHONE OF CONTACT AT FILER (optional) B. E-MAIL CONTACT AT FILER (optional) C. SEND ACKNOWLEDGMENT TO: (Name and Address) THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1. Identification of the RECORD to which this INFORMATION STATEMENT relates 1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. RECORD INFORMATION TO WHICH THIS INFORMATION STATEMENT RELATES 2. Check one of these three boxes to indicate the claim made by this INFORMATION STATEMENT 2a. 2b. RECORD IS INACCURATE. Enter in item 3 the basis for the belief by the Debtor of Record identified in item 5 that the RECORD identified in item 1 is inaccurate and indicate the manner in which the person believes the RECORD should be amended to cure the inaccuracy RECORD WAS WRONGFULLY FILED. Enter in item 3 the basis for the belief by the Debtor of Record identified in item 5 that the RECORD identified in item 1 was wrongfully filed 2c. RECORD FILED BY PERSON NOT ENTITLED TO DO SO. Enter in item 3 the basis for the belief by the Secured Party of Record that the person that filed the RECORD identified in item 1 was not entitled to do so under UCC Section 9-509 3. Basis for claim of box checked in item 2 4. If this INFORMATION STATEMENT relates to a RECORD filed [or recorded] in a filing office described in Section 9-501(a)(1) and this INFORMATION STATEMENT is filed in such a filing office, provide the date [and time] on which the INITIAL FINANCING STATEMENT identified in item 1a above was filed [or recorded] 4a. DATE 4b. TIME 5. NAME of PERSON filing this INFORMATION STATEMENT 5a. ORGANIZATION'S NAME OR 5b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX ACKNOWLEDGMENT COPY -- INFORMATION STATEMENT (Form UCC5) (Rev. 07/19/12) American LegalNet, Inc. www.FormsWorkFlow.com CAUTION: This is not an amendment. INFORMATION STATEMENT FOLLOW INSTRUCTIONS A. NAME & PHONE OF CONTACT AT FILER (optional) B. E-MAIL CONTACT AT FILER (optional) C. SEND ACKNOWLEDGMENT TO: (Name and Address) THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1. Identification of the RECORD to which this INFORMATION STATEMENT relates 1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. RECORD INFORMATION TO WHICH THIS INFORMATION STATEMENT RELATES 2. Check one of these three boxes to indicate the claim made by this INFORMATION STATEMENT 2a. 2b. RECORD IS INACCURATE. Enter in item 3 the basis for the belief by the Debtor of Record identified in item 5 that the RECORD identified in item 1 is inaccurate and indicate the manner in which the person believes the RECORD should be amended to cure the inaccuracy RECORD WAS WRONGFULLY FILED. Enter in item 3 the basis for the belief by the Debtor of Record identified in item 5 that the RECORD identified in item 1 was wrongfully filed 2c. RECORD FILED BY PERSON NOT ENTITLED TO DO SO. Enter in item 3 the basis for the belief by the Secured Party of Record that the person that filed the RECORD identified in item 1 was not entitled to do so under UCC Section 9-509 3. Basis for claim of box checked in item 2 4. If this INFORMATION STATEMENT relates to a RECORD filed [or recorded] in a filing office described in Section 9-501(a)(1) and this INFORMATION STATEMENT is filed in such a filing office, provide the date [and time] on which the INITIAL FINANCING STATEMENT identified in item 1a above was filed [or recorded] 4a. DATE 4b. TIME 5. NAME of PERSON filing this INFORMATION STATEMENT 5a. ORGANIZATION'S NAME OR 5b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX DEBTOR COPY -- INFORMATION STATEMENT (Form UCC5) (Rev. 07/19/12) American LegalNet, Inc. www.FormsWorkFlow.com CAUTION: This is not an amendment. INFORMATION STATEMENT FOLLOW INSTRUCTIONS A. NAME & PHONE OF CONTACT AT FILER (optional) B. E-MAIL CONTACT AT FILER (optional) C. SEND ACKNOWLEDGMENT TO: (Name and Address) THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1. Identification of the RECORD to which this INFORMATION STATEMENT relates 1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. RECORD INFORMATION TO WHICH THIS INFORMATION STATEMENT RELATES 2. Check one of these three boxes to indicate the claim made by this INFORMATION STATEMENT 2a. 2b. RECORD IS INACCURATE. Enter in item 3 the basis for the belief by the Debtor of Record identified in item 5 that the RECORD identified in item 1 is inaccurate and indicate the manner in which the person believes the RECORD should be amended to cure the inaccuracy RECORD WAS WRONGFULLY FILED. Enter in item 3 the basis for the belief by the Debtor of Record identified in item 5 that