| FOLLOW INSTRUCTIONS (front and back) CAREFULLY | THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY | |||
| 9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT | ||||
| OR | 9a. ORGANIZATION'S NAME | |||
| 9b. INDIVIDUAL'S LAST NAME | FIRST NAME | MIDDLE NAME, SUFFIX | ||
| 10. MISCELLANEOUS: | ||||
| 11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (11a or 11b) - do not abbreviate or combine names | |||||
| OR | 11a. ORGANIZATION'S NAME | ||||
| 11b. INDIVIDUAL'S LAST NAME | FIRST NAME | MIDDLE NAME | SUFFIX | ||
| 11c. MAILING ADDRESS | CITY | STATE | POSTAL CODE | COUNTRY | |
| 11d. SEE INSTRUCTIONS | ADD'L INFO RE ORGANIZATION DEBTOR |
11e. TYPE OF ORGANIZATION | 11f. JURISDICTION OF ORGANIZATION | 11g. ORGANIZATION ID#, if any | NONE |
| 12. ADDITIONAL SECURED PARTY'S or ASSIGNOR S/P'S NAME - insert only one name (12a or 12b) | |||||
| OR | 12a. ORGANIZATION'S NAME | ||||
| 12b. INDIVIDUAL'S LAST NAME | FIRST NAME | MIDDLE NAME | SUFFIX | ||
| 12c. MAILING ADDRESS | CITY | STATE | POSTAL CODE | COUNTRY | |
| 13. | This FINANCING STATEMENT covers: timber to be cut or as-extracted collateral, or is filed as a fixture filing. | 16. Additional collateral description: |
| 14. Description of real estate: | ||
| 15. | Name and address of a RECORD OWNER of above-described real estate (if Debtor does not have a record interest): | 17. Check only if applicable and check only one box. Debtor is a Trust or Trustee acting with respect to property held in trust or Decedent's Estate |
| 18. Check only if applicable and check only one box. Debtor is a TRANSMITTING UTILITY Filed in connection with a Manufactured-Home Transaction — effective 30 years Filed in connection with a Public-Finance Transaction — effective 30 years |
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FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02)
Instructions for UCC Financing Statement Addendum (Form UCC1Ad)
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MORTGAGES AND UCC NY24: UCC FINANCING STATEMENT ADDENDUM