TN FORM UCC3 (07/13) Business Services Division Tre Hargett, Secretary of State State of Tennessee INSTRUCTIONS UCC Financing Statement AMENDMENT (TN Form UCC3) Filing Fees: $15.00 for a collateral change, secured party information change, or both $15.00 per debtor for debtor information changes $15.00 for an assignment $15.00 for a continuation $15.00 for a termination Recording tax due upon filing if maximum principal indebtedness increase is reflected A blank form follows these instructions. A UCC3 Financing Statement Amendment may be filed using one of the following methods: x E-file: Go to http://tnbear.tn.gov/UCC. Use the online tool to complete the filing and pay the filing fee and recording tax by credit card, debit card or e-check. When paying by credit card, debit card or e-check, there is a convenience fee that covers the credit card fees and transaction costs incurred by the Business Services Division when accepting online payments. Filers who do not wish to pay the convenience fee to file online may choose the "Print and Mail" option at no additional cost. Print and Mail: Go to http://tnbear.tn.gov/UCC. Use the online tool to complete the filing. Print and mail the application along with the required filing fee and indebtedness tax to the Secretary of State's office at ATTN: UCC, 312 ROSA L PARKS AVE #6, NASHVILLE TN 37243-1102. Paper submission: A blank form follows these instructions. The form must be hand printed in black ink or computer generated and mailed along with the required filing fee and recording tax to the Secretary of State's office ATTN: UCC, 312 ROSA L PARKS AVE #6, NASHVILLE TN 37243-1102. Walk-in: A blank UCC3 form may be obtained in person at the Secretary of State Business Services Division th located on the 6 Floor of the Snodgrass Tower at 312 Rosa L. Parks AVE, Nashville, TN 37243. x x x 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 write in any area of the form other than in the designated application box sections. An Amendment may relate to only one financing statement. Do not enter more than one file number in item 1a. When properly completed, send the completed form, with required fee, to filing office. If you need to use attachments, use TN Form UCC3 Amendment Addendum (Form UCC3Ad) or TN Form UCC3 Additional Party (Form UCC3Ap). Always complete items 1a and 9. To assist filing offices that might wish to communicate with filer, filer may provide information in items A and B. Complete item C if you would like an acknowledgment letter returned to you with your original documents. 1a. FILE NUMBER - Enter file number of initial financing statement to which this Amendment relates. Enter only one file number. 1b. Only if this Amendment is to be filed or recorded in the real estate records, check box 1b and also, in item 13 of the UCC3 Amendment Addendum, enter Debtor's name, in proper format exactly identical to the format of item 1 of financing statement, and enter the name of record owner listed in item 16 of the UCC3 Amendment Addendum if Debtor does not have a record interest. Note: Show the purpose of this Amendment by checking box 2, 3, 4, 5 (in item 5 you must check two boxes) or 8; also complete items 6, 7 and/or 8 as appropriate. Filer may use this Amendment form to accomplish simultaneously both data changes (items 3, 5, and/or 8) and a Continuation (item 4), although a separate fee will be assessed for each purpose. 2. TERMINATION - 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 below. 3. ASSIGNMENT - 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 and enter name of Assignee in item 7a if Assignee is an organization, or in item 7b, formatted as indicated, if Assignee is an individual. Complete 7a or 7b, but not both. Also enter Assignee's address in item 7c. Also 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. 4. CONTINUATION - To continue the effectiveness of the identified financing statement with respect to security interest(s) of authorizing Secured Party, check box . See instruction 9 below. 5, 6, & 7. PARTY CHANGE - To change the name and/or address of a party: Check box in item 5 to indicate whether this Amendment amends information relating to a Debtor or a Secured Party; also check box in item 5 to indicate that this is a name and/or address change; also enter name of affected party (current record name, in case of name change) in items 6a or 6b as appropriate; and also give new name (7a or 7b) and/or new address (7c) in item 7. 5 & 6. DELETE PARTY - To delete a party: Check box in item 5 to indicate whether deleting a Debtor or a Secured Party; also check box in item 5 to indicate that this is a deletion of a party; and also enter name (6a or 6b) of deleted party in item 6. 5 & 7. ADD PARTY - To add a party: Check box in item 5 to indicate whether adding a Debtor or Secured Party; also check box in item 5 to indicate that this is an addition of a party; also enter all required information in item 7: name (7a or 7b) and address (7c). Note: 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). 8. COLLATERAL CHANGE - To change the collateral covered by the identified financing statement, describe the change 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 (che