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Financing Statement - UCC-1 (Cheyenne River Sioux Tribe) Form. This is a South Dakota form and can be use in Uniform Commercial Code Secretary Of State.
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Tags: Financing Statement - UCC-1 (Cheyenne River Sioux Tribe), South Dakota Secretary Of State, Uniform Commercial Code
SOUTH DAKOTA FINANCING STATEMENT – UCC 1
CHEYENNE RIVER SIOUX TRIBE FORM
Secretary of State
500 E. Capitol Pierre, SD 57501-5070 605-773-4422
Fee $ __________________
Account #_______________
PLEASE TYPE THE INFORMATION ON THIS FORM ACCORDING TO ALL INSTRUCTIONS PRINTED ON THE BACK OF THE UCC 1 FORM
NOTE: Type smaller than 8 point is not acceptable. This is an example of 8 point type.
1. SECURED PARTY NAME AND ADDRESS insert only one secured party name (1a or 1b)
1a. ORGANIZATION’S NAME
or
1b. INDIVIDUAL’S LAST NAME
FIRST NAME
CITY
1c. MAILING ADDRESS
2.
ADDITIONAL SECURED PARTY or
MIDDLE NAME
STATE
SUFFIX
POSTAL CODE
COUNTRY
ASSIGNEE OF SECURED PARTY NAME AND ADDRESS insert only one name (2a or 2b)
2a. ORGANIZATION’S NAME
or
2b. INDIVIDUAL’S LAST NAME
FIRST NAME
CITY
2c. MAILING ADDRESS
MIDDLE NAME
STATE
SUFFIX
POSTAL CODE
COUNTRY
3. DEBTOR’S EXACT FULL LEGAL NAME – insert only one debtor (3a or 3b) – do not abbreviate or combine names.
3a. ORGANIZATION’S NAME
or
3b. INDIVIDUAL’S LAST NAME
FIRST NAME
CITY
3c. MAILING ADDRESS
3d. TAX ID # SSN OR EIN
ADD’S INFO RE
ORGANIZATION
DEBTOR
MIDDLE NAME
STATE
3e. TYPE OF ORGANIZATION
SUFFIX
POSTAL CODE
3f. JURSIDICTION OF ORGANIZATION
COUNTRY
3G. ORGANIZATIONAL ID#, if any
NONE
4. ADDITIONAL DEBTOR’S EXACT FULL LEGAL NAME – insert only one debtor name (4a or 4b) – do not abbreviate or combine names.
4a. ORGANIZATION’S NAME
or
4b. INDIVIDUAL’S LAST NAME
FIRST NAME
CITY
4c. MAILING ADDRESS
4d. TAX ID # SSN OR EIN
ADD’S INFO RE
ORGANIZATION
DEBTOR
4e. TYPE OF ORGANIZATION
MIDDLE NAME
STATE
4f. JURSIDICTION OF ORGANIZATION
SUFFIX
POSTAL CODE
COUNTRY
4G. ORGANIZATIONAL ID#, if any
NONE
5. This Financing Statement covers the following types (or items) of property: If collateral is goods which are or are to become fixtures, the below goods are affixed or to be affixed to:
Check (X) if covered:
PROCEEDS of collateral are also covered.
PRODUCTS of collateral are also covered.
Use the following spaces only for Farm Products requiring EFFECTIVE FINANCING STATEMENT (EFS)
FARM CODE (s) and PRODUCT(s)
YEAR
QUANTITY
Pay proceeds to Debtor and Secured Party unless otherwise checked:
Check only if applicable and check only one box.
LOCATION IN COUNTY OR
FURTHER DESCRIPTION
COUNTY CODE
Secured Party only
Debtor only
Debtor is a Transmitting Utility
Filed in connection with a Manufactured Home Transaction – effective 30 years.
Filed in conjunction with a Public-Finance Transaction
Signature(s) of Debtor(s)
Check to REQUEST SEARCH REPORT(S) on Debtor(s)
Signature of Secured Party
All Debtors
Debtor 1
Debtor 2
Number of Additional Sheets, if any:
UCC 1 FORM Revised 07/01/09
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