State: NJ

UCC Financing Statement Addendum (National-UCC1Ad)

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UCC Financing Statement Addendum (National-UCC1Ad)

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FOLLOW INSTRUCTIONS (front and back) CAREFULLY
9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT  
OR 9A. ORGANIZATION’S NAME ___________________ THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
9b. INDIVIDUAL’S LAST NAME

___________________
FIRST NAME

___________________
MIDDLE NAME, SUFFIX

___________________
10. MISCELLANEOUS:






11. ADDITIONAL DEBTOR’S EXACT FULL LEGAL NAME – insert only one debtor 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. ADDITONAL 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.

14. Description of real estate:
______________________________

16. Additional collateral description:
_________________________________

 

 


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

 FILING OFFICE COPY – NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 05/22/02)


Instructions for UCC Financing Statement Addendum (Form UCC1Ad)

9. Insert name of first Debtor shown on Financing Statement to which this Addendum relates, exactly as shown in item 1 of Financing Statement.

10. Miscellaneous Under certain circumstances, additional information not provided on Financing Statement may be required. Also, some states have non-uniform requirements. Use this space to provide such additional information or to comply with such requirements; otherwise, leave blank.

11. If this Addendum adds an additional Debtor, complete item 11 in accordance with nstruction 1 of Financing Statement. To include further additional Debtors, attach either an additional Addendum (Form UCC1Ad) or Additional Party (Form UCC1AP) and follow nstruction 1 of Financing Statement for determining and formatting additional names.

12. If this Addendum adds an additional Secured Party, complete item 12 in accordance with nstruction 3 of Financing Statement. To include further additional Secured Parties, attach either an additional Addendum (Form UCC1Ad) or Additional Party (Form UCC1AP) and follow nstruction 1 of Financing Statement for determining and formatting additional names. n the case of a total assignment of the Secured Party's interest before the filing of this Financing Statement, if filer has given the name and address of the Total Assignee in item 3 of Financing Statement, filer may give the Assignor SIP's name and address in item 12.

13-15. If collateral is timber to be cut or as-extracted collateral, or if this Financing Statement is filed as a fixture filing, check appropriate box in item 13; provide description of real estate in item 14; and, if Debtor is not a record owner of the described real estate, also provide, in item 15, the name and address of a record owner. Also provide collateral description in item 4 of Financing Statement. Also check box 6 on Financing Statement. Description of real estate must be sufficient under the applicable law of the jurisdiction where the real estate is located.

16. Use this space to provide continued description of collateral, if you cannot complete description in item 4 of Financing Statement.

17. If Debtor is a trust or a trustee acting with respect to property held in trust or is a decedent's estate, check the appropriate box.

18. If Debtor is a transmitting utility or if the Financing Statement relates to a Manufactured-Home Transaction or a Public-Finance Transaction as defined in the applicable Commercial Code, check the appropriate box.