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<br />Instructions for UCC Financing Statement (Form UCC1)
<br />Please type or laser-print this form. Be sure it is completely legible. Read all Instructions, especially Instruction 1; correct Debtor name is crucial. Follow
<br />Instructions completely.
<br />Fill in form very carefully; mistakes may have important legal consequences. If you have questions, consult your attorney. Filing office cannot give legal advice.
<br />Do not insert anything in the open space in the upper portion of this form; it is reserved for filing office use.
<br />When properly completed, send Filing Office Copy, with required fee, to filing office. If you want an acknowledgment, complete item B and, if filing in a filing
<br />office that returns an acknowledgment copy furnished by filer, you may also send Acknowledgment Copy; otherwise detach. If you want to make a search
<br />request, complete item 7 (after reading Instruction 7 below) and send Search Report Copy, otherwise detach. Always detach Debtor and Secured Party
<br />Copies.
<br />If you need to use attachments, you are encouraged to use either Addendum (Form UCC1Ad) or Additional Party (Form UCCIAP).
<br />A.To assist filing offices that might wish to communicate with filer, filer may provide information in item A. This item is optional.
<br />B. Complete item B if you want an acknowledgment sent to you. If filing in a filing office that returns an acknowledgment copy furnished by filer, present
<br />simultaneously with this form a carbon or other copy of this form for use as an acknowledgment copy.
<br />Debtor name: Enteronly one Debtor name in item 1, an organization's
<br />name (1 a) jr an individual's name (1 b). Enter Debtor's exact full legal
<br />name. Don't abbreviate.
<br />Ia. Organization Debtor. "Organization" means an entity having a legal
<br />identity separate from its owner. A partnership is an organization; a sole
<br />proprietorship is not an organization, even if it does business under a
<br />trade name. If Debtor is a partnership, enter exact full legal name of
<br />partnership; you need not enter names of partners as additional Debtors.
<br />If Debtor is a registered organization (e.g., corporation, limited partnership,
<br />limited liability company), it is advisable to examine Debtor's current filed
<br />charter documents to determine Debtor's correct name, organization
<br />type, and jurisdiction of organization.
<br />1b. Individual Debtor. "Individual" means a natural person; this includes a
<br />sole proprietorship, whether or not operating under a trade name. Don't
<br />use prefixes(Mr.,Mrs.,Ms.). Use suffix box only for titles of lineage (Jr.,
<br />Sr., III) and not for other suffixes or titles (e.g., M.D.). Use married
<br />woman's personal name (Mary Smith, not Mrs. John Smith). Enter
<br />individual Debtor's family name (surname) in Last Name box, first given
<br />name in First Name box, and all additional given names in Middle Name
<br />box.
<br />For both organization and individual Debtors: Don't use Debtor's trade
<br />name, DBA,AKA, FKA, Division name, etc. in place of or combined with
<br />Debtor's legal name; you may add such other names as additional
<br />Debtors if you wish (but this is neither required nor recommended).
<br />I c. An address is always required for the Debtor named in I a or 1 b.
<br />1 d. Reserved for Financing Statements to be filed in North Dakota or South
<br />Dakota gpjy. If this Financing Statement is to be filed in North Dakota
<br />or South Dakota, the Debtor's taxpayer identification number (tax ID#)
<br />- social security number or employer identification number must be
<br />placed in this box.
<br />1 e,f,g. "Additional information re organization Debtor" is always required.
<br />Type of organization and jurisdiction of organization as well as
<br />Debtor's exact legal name can be determined from Debtor's current
<br />filed charter document. Organizational ID #, if any, is assigned by the
<br />agency where the charter document was filed; this is different from
<br />tax ID #; this should be entered preceded by the 2-character U.S.
<br />Postal identification of state of organization if one of the United States
<br />(e.g., CA12345, for a California corporation whose organizational ID
<br /># is 12345); if agency does not assign organizational ID #, check box
<br />in item 1 g indicating "none."
<br />Note: If Debtor is atrust or atrustee acting with respect to property held intrust,
<br />enter Debtor's name in item 1 and attach Addendum (Form UCCIAd) and
<br />check appropriate box in item 17. If Debtor is a decedent's estate, enter name
<br />of deceased individual in item 1 band attach Addendum (Form UCCIAd) and
<br />check appropriate box in item 17. If Debtor is a transmitting utility or this
<br />Financing Statement is filed in connection with a Manufactured-Home
<br />Transaction or a Public-Finance Transaction as defined in applicable
<br />Commercial Code, attach Addendum (Form UCC 1 Ad) and check appropriate
<br />box in item 18.
<br />If an additional Debtor is included, complete item 2, determined and
<br />formatted per Instruction 1. To include further additional Debtors,
<br />attach either Addendum (Form UCC1Ad) or Additional Party (Form
<br />UCC1AP) and follow Instruction 1 for determining and formatting
<br />additional names.
<br />Enter information for Secured Party or Total Assignee, determined and
<br />formatted per Instruction 1. To include further additional Secured
<br />Parties, attach either Addendum (Form UCC1Ad) or Additional Party
<br />(Form UCC1 AP) and follow Instruction 1 for determining and formatting
<br />additional names. If there has been a total assignment of the Secured
<br />Parry's interest prior to filing this form, you may either (1) enter
<br />Assignor S/P's name and address in item 3 and file an Amendment
<br />(Form UCC3) [see item 5 of that form]; or (2) enter Total Assignee's
<br />name and address in item 3 and, if you wish, also attaching Addendum
<br />(Form UCC1Ad) giving Assignor S/P's name and address in item 12.
<br />Use item 4to indicatethe collateral covered bythis Financing Statement.
<br />If space in item 4 is insufficient, put the entire collateral description or
<br />continuation of the collateral description on either Addendum (Form
<br />UCC1 Ad) or other attached additional page(s).
<br />If filer desires (at filer's option) to use titles of lessee and lessor, or
<br />consignee and consignor, or seller and buyer (in the case of accounts or
<br />chattel paper), or bailee and bailor instead of Debtor and Secured Party,
<br />check the appropriate box in item 5. If this is an agricultural lien (as
<br />defined in applicable Commercial Code) filing or is otherwise not a UCC
<br />security interest filing (e.g., a tax lien, judgment lien, etc.), check the
<br />appropriate box in item 5, complete items 1-7 as applicable and attach any
<br />other items required under other law.
<br />6. If this Financing Statement is filed as a fixture filing or if the collateral
<br />consists of timberto be cut or as-extracted collateral, complete items 1-
<br />5, check the box in item 6, and complete the required information (items
<br />13,14 and/or 15) on Addendum (Form UCC1Ad).
<br />This item is optional. Check appropriate box in item 7 to request Search
<br />Report(s) on all orsome ofthe Debtors named in this Financing Statement.
<br />The Report will list all Financing Statements on file against the designated
<br />Debtor on the date of the Report, including this Financing Statement.
<br />There is an additional fee for each Report. If you have checked a box in
<br />item 7, file Search Report Copy together with Filing Officer Copy (and
<br />Acknowledgment Copy). Note: Not all states do searches and not all
<br />states will honor a search request made via this form; some states require
<br />a separate request form.
<br />8. This item is optional and is for filer's use only. For filer's convenience of
<br />reference, filer may enter in item 8 any identifying information (e.g.,
<br />Secured Party's loan number, taw firm file number, Debtor's name or
<br />other identification, state in which form is being filed, etc.) that filer may
<br />find useful.
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