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<br />Instructions forUCC Financing Statement (Fonn UCC1)
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<br />Pte~se type or laser-print this form. Be sure it is completely legible. Read art Instructions, especially Instruction 1; correct Debtor name (s crucial. Follow
<br />: Instructions completely.
<br />Fill i~ form very carefully; mistakes may have important legal consequences. If you have questions, consult your attorney. Filing orrico cannol give legal advice,
<br />Do ~ot Insert anything in the open space in the upper portion of this form; Ills reserved for filing africe use.
<br />Whenproperlycompleled, send Filing Office Copy, with required fee, toWing oFfice. lfyouwantanacknowledgmenl. complete item Band, ifliling in a filing
<br />office that returns an acknowledgmenl copy furnished by mer, you may also send Acknowledgment Copy; otherwise detach. lfyouwantlo make a search
<br />request, complete item 7 (arler reading Instruction 7 below) and send Search Report Copy, otherwise detach, Always detach Deblorand Secured Party
<br />Copies.
<br />Ifyqu need 10 use attachmenls, you are encouraged to use either Addendum (Form UCC1Ad) or Additional Party {Form UCC1APj,
<br />A, Tp assist filing offices that might wish to communicate with riler, filer may provide information in item A. This item is optional.
<br />B, C~mplele item B If you want an acknowledgment sent to you. If filing in a riling office that returns an acknowledgment copy furnished by riler, present
<br />: simultaneously with this form a carbon or other copy of this form for use as an acknowledgment copy.
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<br />1. : Debforname: Enteronlvone Debtor name In item 1 ,an organization's
<br />name (1 a) Q! an Individual's name (1 b). Enter Deblor's exact rullleaal
<br />o.g,m.Don'tabbreviate.
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<br />1a. .~tJon Debtor. .Organization" means an entlly having a legal
<br />idenlilyseparate 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 enler 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 fired
<br />charter documents to determine Debtor's correct name, organization
<br />Iype, and lurisdlclion of organization.
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<br />1b. :Individual DelU2.t "Individual" means a nalural person; this includes a
<br />sole proprietorship, whether or nol operating undera trade name. Dan',
<br />use prefixes (Mr., Mrs., Ms,), Use suffix box only for tilles of lineage (Jr,.
<br />Sr.. 111) and not for other su(fixes or titles (e.g., M.D.). Use married
<br />woman's personal name (Mary Smith, not Mrs. John Smith). Enler
<br />individual Debtor's family name (surname) in Last Name box, firsl given
<br />name in Flrsl Name box, Bnd all addilionalglven names In Middle Name
<br />box,
<br />IFor both oraanization and Individual Debtors; Don't use Deblor's trade
<br />:name, DBA, AKA, FKA, Division name, etc. in place of or combined wilh
<br />:Debtor's legal name; you may add such other names as additional
<br />:Debtors iryou wish (but this is neither reqUired nor recommended).
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<br />1 c. An address is always required for the Debtor named in 1 a or 1 b.
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<br />1 d. Reserved for Financing Statements to be filed in North Dakota or South
<br />.Dakota~. If this Financing Statement is to be filed in North Dakota
<br />;or South Dakota, the Debtor's taxpayer identification number (tax 10#)
<br />- social security number or employer identification number must be
<br />placed in this box.
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<br />le,f,g. "Additional information re organization Oebto( is always required,
<br />Tvpe of organizatlon and Jurisdiction of organization as well as
<br />!Debtor's exact legal name can be determined from Debtor's current
<br />:filed charter document. OrganizatlonallD #, if any, Is assigned by the
<br />agency where the charIer document was. flied; this is ditrerent from
<br />iax 10 #; this should be entered preceded by the 2-character U.S.
<br />Postal Jdent1rlcallon of state of organization if one of the United States
<br />'(e.g.. CA12345, (or a California corporation whose organtzationallD
<br />'tI is 12345); jf agency does not assign organizallonallD #, check box
<br />In item 1 g indicating "none."
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<br />NotellfDebtor is a trust or a trustee acting with respect to property held In trust,
<br />enter Deblor's name in item 1 and attach Addendum (Form UCC1Ad) and
<br />chec~ appropriale box in item 17, If Debtor Isa decedent's estate, enter name
<br />ofde~easedindlvldual in item 1 b and attach Addendum (Form UCC 1 Ad) and
<br />check appropriale box In item 17. If Debtor Is a lransmitting 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,
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<br />2. If an additional Debtor is Included, complete item 2, determined and
<br />formalted per Instruction 1. To Include further additional Debtors,
<br />attach either Addendum (Form UCC1Adj or Additional Party (Form
<br />UCC1APl and follow Instruction 1 for determining and formatting
<br />additional names.
<br />
<br />3, Enter Informal Ion for Secured Party or Total Assignee, determined and
<br />formallcd per Instruction 1. To include fulther additional Secured
<br />Parties, attach either Addendum (Form UCC1Ad) or Additional Party
<br />(Form UCC 1AP) and foUowlnslrucllon 1 for determining and formalting
<br />additional names. It there has been a total assIgnment of Ihe Secured
<br />Party's Interest prior to filing this form, you may either (1) enter
<br />Assignor SIP's name and address in item 3 and file an Amendment
<br />(Form UCC3) (see Item 5 of thaI forml: 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 SIP's name and address in item 12.
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<br />4, Use item 4to indicate the collateral covered bylhis Financing Statement.
<br />If space in item 4 is insufficient, pulthe entire collateral description or
<br />continuation of the collateral description on either Addendum (Form
<br />UCC 1 Ad) or other attached additional page(s).
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<br />5. If Iller desires (alliler's optIon) 10 use litles 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 Deblor and Secured Party,
<br />check the appropriate box in item 5. If Ihis is an agricultural lien (as
<br />defined in applicable Commercial Code) filing or Isolherwise nol a UCC
<br />security inlerest filing (e.g., a tax lien, judgment lien, etc.), check the
<br />appropriate box in item 5. complete items 1-7 85 applicable and attach any
<br />other items required under other law.
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<br />6. If this Financing Statement is flied as a tbdure filing or if the collateral
<br />consists 01 timber to be CUI or as. extracted collateral, complete [tems 1.
<br />5, check the boxin item 6, and complete the required information (Items
<br />13,14 andlor 15) on Addendum (Form UCC1Ad).
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<br />7. This item is optional. Check appropriate boxln Ilem 710 request Search
<br />Report(6) on all or some of the Debtors named in this Financing Slatemen!.
<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. rile Search Report Copy together with Filing Officer Copy (and
<br />Acknowledgmenl Copy). Note: Not all states do searches and 1'101 all
<br />states will honor a search request made via this form; some slales require
<br />a separate request form.
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<br />8. This item Is optional and is for filer's use only. For flter's convenience of
<br />reference, filer may enter in Item B any Idenllfying Information (e,g..
<br />Secured Party's loan number,law firm file number, Debtor's name or
<br />other identification, state In which lorm Is being filed. etc.) that filer may
<br />find useful.
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