Form Ucc - 1 - Uniform Commercial Code - Financing Statement

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FINANCING STATEMENT
Uniform Commercial Code -
- Form UCC - 1
IMPORTANT - Read instructions before filling out form
_____________________________________________________________________________________________________
3. ” The debtor is a transmitting utility.
This Financing Statement is presented to a Filing Officer
No. of Additional
for filing pursuant to the Uniform Commercial Code.
Sheets Presented:
______________________________________________________________________________________________________________________________________________
1. Debtor(s) (Last Name First) and Address(es):
2
Secured Party(ies) Name(s) and Address(es):
4. For Filing Officer:
.
____________________________________________________________________________________________________________________________________
5
This Financing Statement covers the following
6. Assignee(s) of Secured Party and Address(es):
.
types (or items) of property:
” Products of the Collateral are also covered.
____________________________________________________________________________________________________________________________________
7. ” The described crops are growing or to be grown on:*
9. Name of Record Owner:
” The described goods are or are to be affixed to:*
” The lumber to be cut or minerals or the like (including oil and gas) is on:*
* (Describe Real Estate Below)
______________________________________________________________________________________________________________________________________________
” This statement is to be indexed in the Real Estate Records
8. Describe Real Estate Here.
No. & Street
Town or City
County
Section
Block
Lot
_____________________________________________________________________________________________________
10. This statement is filed without the debtor's signature to perfect a security interest in collateral (check appropriate box)
” under a security agreement signed by debtor authorizing secured party to file this statement, or
” which is proceeds of the original collateral described above in which a security interest was perfected, or
” acquired after a change of name, identity or corporate structure of the debtor, or
” as to which the filing has
lapsed, or already subject to a security interest in another jurisdiction:
” when the collateral was brought into the state, or
” when the debtor's location was changed to this state.
_________________________________________________
_________________________________________________
By ______________________________________________
By ______________________________________________
Signature(s) of Debtor(s)
Signature(s) of Secured Party(ies)
STANDARD FORM - FORM UCC-1 - Approved by Secretary of State of New York
4/30/97

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