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Correction Statement Form. This is a Rhode Island form and can be use in UCC Secretary Of State.
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Tags: Correction Statement, UCC5, Rhode Island Secretary Of State, UCC
The filing of this Statement
does not amend any UCC
record. This Statement is for
informational purpose only.
C O R R E C T I O N S TAT E M E N T
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
A. NAME & PHONE OF PERSON FILING THIS STATEMENT [Optional]
B. SEND ACKNOWLEDGMENT TO:
[Name and Address]
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
1. Identification of the RECORD to which this CORRECTION STATEMENT relates.
1a. TYPE OF RECORD
2a.
1b. FILE # OF INITIAL FINANCING STATEMENT
RECORD is inaccurate.
Provide the basis for the belief of the person identified in item 4 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.
2b.
RECORD was wrongfully filed.
Provide the basis for the belief of the person identified in item 4 that the RECORD identified in item 1 was wrongfully filed.
3. If this CORRECTION STATEMENT relates to a RECORD filed[or recorded] in a filing office describe in Section 9-501(a)(1) and this CORRECTION STATEMENT is filed in such a filing office, provide the
date [and time] on which the INITIAL FINANCING STATEMENT identified in item 1b above was filed [or recorded].
3a. TYPE OF RECORD
3b. TIME
4. NAME OF PERSON AUTHORIZING THE FILING OF THIS CORRECTION STATEMENT — The RECORD identified in item1 must be indexed under this name.
4a. ORGANIZATION’S NAME
OR
4b. INDIVIDUAL’S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
FILING OFFICE COPY— RHODE ISLAND UCC CORRECTION STATEMENT (FORM UCC5) (REV. 05/01/06)
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Instructions for RHODE ISLAND UCC Correction Statement (Form UCC5)
Please type or laser-print this form. Be sure it is completely legible. Read all instructions, especially Instruction1a and 1b; correct identification
of the initial Record to which this Correction Statement relates is crucial. Follow Instructions completely.
Fill in form very carefully. 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 Filing Office Copy to filing office. If you want an acknowledgment, complete item B. Include a self-addressed
stamped envelope to expedite the return of the acknowledgment.
A.
B.
To assist filing offices that might wish to communicate with filer, filer may provide information in item A. This item is optional.
Complete item B if you want an acknowledgment sent to you.
1.
General: You must always complete items 1 and 4 and either 2a
or 2b. You may also be required to complete item 3.
1a. Indicate type of Record to which this Correction Statement
relates (e. g., Financing Statement or Amendment). You may
also insert additional information that you believe will assist in
identifying the Record (e.g., the filing date and/or record number
of he Record).
3.
If this Correction Statement relates to a Record filed [or recorded]
in a filing office described in Section 9-501(a)(1) and this
Correction Statement is filed in such a filing office, provide the
date [and time] on which the initial Financing Statement identified
in item 1b above was filed [or recorded].
4.
Always enter name of the person who authorized the filing of this
Correction Statement. This name must be the same as the
name under which the Record is indexed.
1b. File number: Enter file number of initial financing statement to
which the Record that is the object of this Correction Statement
relates. Enter only one file number.
2.
If this Correction Statements filed based on the filer’s belief that
the Record identified in item 1is inaccurate, check box 2a,
provide the basis for that belief, and indicate the manner in
which the Record should be amended to cure the inaccuracy.
If this Correction Statement is filed based on the filer's belief that
the Record identified in item 1was wrongfully filed, check box 2b
and provide the basis for that belief.
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