1b. This FINANCING STATEMENT AMENDMENT isto be filed [for record] (or recorded) in the
REAL ESTATE RECORDS. THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
CHANGE name and/or address: Give current record name in item 6a or 6b; \
also give new
name (if name change) in item 7a or 7b and/or new address (if address\
change) in item 7c.
Describe collateral deleted or added, or give entire restated collateral description, or describe collateral assigned.
Also check one of the following three boxes and provide appropriate information in items 6 and/or 7.
FIRST NAME SUFFIX
MIDDLE NAME
FIRST NAME MIDDLE NAME SUFFIX
7D. COUNTY #
POSTAL CODE
STATE
CITY
7c. MAILING ADDRESS
7d. TAX ID #: SSN OR EI NADD'L INFO RE
ORGANIZATION
DEBTOR 7e. TYPE OF ORGANIZATION
7f. JURISDICTION OF ORGANIZATION 7g. ORGANIZATIONAL ID #, if any
NONE
OR OR
B. SEND ACKNOWLEDGMENT TO: (Name and Address)A. NAME & PHONE OF CONTACT AT FILER [optional]
1a. INITIAL FINANCING STATEMENT FILE #
5. AMENDMENT (PARTY INFORMATION): This Amendment affects Debtor or Secured Party of record. Check only one of these two boxes.
ASSIGNMENT (full or partial):
Give name of assignee in item 7a or 7b and address of assignee in item 7\
c; and also give name of assignor in item 9.
TERMINATION: Effectiveness of the Financing Statement identified above is terminated\
with respect to security interest(s) of the Secured Party authorizing this Termination Statement.
CONTINUATION: Effectiveness of the Financing Statement identified above with respect \
to security interest(s) of the Secured Party authorizing this Continuation Statement is
continued for the additional period provided by applicable law.
2.
3.
4.
7a. ORGANIZATION'S NAME
7b. INDIVIDUAL'S LAST NAME 6b. INDIVIDUAL'S LAST NAME 6a. ORGANIZATION'S NAME ADD name: Complete item 7a or 7b, and also
item 7c; also complete items 7d-7g (if applicable).
6.CURRENT RECORD INFORMATION:
7.CHANGED (NEW) OR ADDED INFORMATION:
8. AMENDMENT ( COLLATERAL CHANGE): check only one box.
Mississippi - UCC3 FINANCING STATEMENT
AMENDMENT
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
DELETE name: Give record name
to be deleted in item 6a or 6b.
FILING OFFICE COP Y MISSISSIPPI UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) (REV. 10/01)
OR
OPTIONAL FILER REFERENCE DATA
FIRST NAME MIDDLE NAME
SUFFIX
9a. ORGANIZATION'S NAME
9b. INDIVIDUAL'S LAST NAME
10. 9. NAME
OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT (name of assignor, if this is an Assignment). If this is an Amendment\
authorized by a Debtor which
adds collateral or adds the authorizing Debtor, or if this is a Termina\
tion authorized by a Debtor, check here and enter name of DEBTOR authorizing this Amendment.
Instructions for
Mississippi UCC Financing Statement (Form MS UCC-3)
P lea se ty pe or la ser-pr int th is for m. B e s ure it is c o m ple te ly leg ib le. Read a ll in stru ction s, e spe cia lly in stru ction 1a; c o rre ct file nu mbe r o f in iti al fili ng
statement is crucial. Follow instructions completely.
Fill in form very carefully; mistakes may have important legal consequences. If you have questions, consult your attorney. Fi ling office cannot give legal
advice. Do not insert anything in the open space in the upper portion of this form; it is reserved for filing office use.
An Amendment may relate to only one financing statement. Do not enter more than one number on item 1a.
When properly completed, send the original copy only, with required fee, to filing office. If you want an acknowledgment, comp lete item B.
If you need to use attachments, use 8-1/2 X 11 inch sheets and put at the top of each sheet “AMENDMENT” and the name of the fil e number of initial
financing statement to which this Amendment relates; you are encouraged to use Amendment Addendum (Form MS UCC3 Ad).
Note: Because Mississippi law does not require the social security number, that field has been blocked out.
Always complete items 1a and 9.
A. To assist filing offices that might wish to communicate with flier, filer may provide information in item A. This item is o ptional.
B. Complete item B if you want an acknowledgment sent to you.
1a. File number: Enter file number of initial financing statement to which this Amendment relates. Enter only one file number.
1b. Only if this Amendment is to be filed or recorded in the real estate records, check box 1b and also, in item 13 of Amendment
Addendum, enter Debtor’s name in proper format exactly identical
to the format of item 1 of financing statement and the name of
record owner if debtor does not have a record interest.
No te: S how purpo se of th is A m end ment by che cking box 2, 3, 4, 5, ( in
i t em 5 you must c he ck tw o bo xe s) or 8.
2. To terminate the effectiveness of the identified financing statement with repect to security interest(s) of authorizing Secured Party,
check box 2. See Instruction 9 below.
3. To continue the effectiveness of the identified financing statement with repect to security interest(s) of authorizing Secured Party,
check box 3. See Instruction 9 below.
4. To assign
(i) all of assignor’s interest under the identified financing
statement, or (ii) a partial interest in the security interest covered by
the identified financing statement; (iii) assignor’s full interest in
some (but not all) of the collateral covered by the identified
financing statement: Check box in item 4 and enter name of
assignee in item 7a if assignee is an organization or in item 7b
formatted as indicated, if assigned is an individual. Complete 7a or
7b, but not both. Also enter assignee’s address in item 7c. Also
enter name of assignor in item 9. If partial Assignment affects only
some (but not all) of the collateral covered by the identified
financing statement, filer may check appropriate box in item 8 and
i nd ic a te a ffe cted co lla teral in item 8.
5,6,7 To change the name and or address
of a party; Check box in
item 5 to indicate whether this amendment amends information
relating to a Debtor or a secured party; also check boxes in item 5
t o ind ic a te th is is a na me and /or addre ss c hange; a ls o en ter name of
affected party (current record name, in case of a name change in
the item 6a or 6b as appropriate and also give new name 7a or 7b
(and/or new address (7c) in item 7.
5,6 To delete
a party: check box in item 5 to indicate that this is a
deletion of a Debtor or a Secured Party; also check box in item 5 to
indicate that this is a deletion of a party; and also enter name (6a
or 6b) of deleted party in item 6.
5,7.
To add a party: Check box in item 5 to indicate whether adding a
Deb tor or Secured Par ty: a ls o che ck box in it em 5 to ind ic a te that
t h is is an add it ion of a par ty ; a ls o en ter a ll requ ired in for mation in
item 7: name (7a or 7b) and address (7c) also if adding a Debtor,
c oun ty # of t he deb tor ’s re siden ce (7d) Deb tor in for mation 7(e-
g) if added Debtor is an organization. Note: The preferred method
for filing against a new Debtor (an individual or organization not
previously of record as a Debtor under this file number) is to file a
new Financing Statement.
8. Collateral Change. To change the collateral covered by the
identified financing statement, describe the change in item 8. This
may be accomplished either by describing the collateral to be
added or deleted, or by setting forth in full the collateral to be
added or deleted, by setting forth in full the collateral description as
it is to be effective after the filling of this Amendment, indicating
clearly the method chosen (check the appropriate box). If the
space in item 8 is insufficient, use item 13 to of the Amendment
Addendum (Form MS UCC3 Ad). A partial release of collateral is a
deletion. If due to a full release of all collateral, filer no longer
claims a security interest under the identified financing statement,
check box 2 (Termination) and not box 8 (Collateral Change). If a
partial assignment consists of the assignment of some (but not all)
of the collateral covered by the identified financing statement, filer
may indicate the assigned collateral in item 8, check the
appropriate box in item 8, and also comply with instruction 4 above.
9. Always enter the name of party of record authorizing this Amendment; in most cases this will be a Secured Party of record.
If more than one authorizing Secured Party, give additional
name(s), properly formatted, in item 13 of Amendment Addendum
(Form MS UCC3 Ad). If the indicated financing statement refers to
the parties as lessee and lessor, or consignee and consignor, or
seller and buyer, instead of Debtor and Secured Party, references
in this Amendment shall be deemed likewise so to refer to the
parties. If this is an Amendment authorized by a Debtor, that adds
collateral or adds a Debtor, or if this is a Termination authorized by
a Debtor, check the box in item 9 and enter the name, properly
formatted, of the Debtor authorizing this Amendment, and if this
Amendment or Termination is to be filed or recorded in the real
estate records, also enter, in item 13 of the Amendment
Addendum, name of Secured Party of record.
10. This it em is op tional and is fo r filer’s use onl y. For filer’s
convenience of reference, filer may enter in item 8 any identifying
information (e.g. Secured Party’s loan number, law firm file
number, Debtor’s name or other identification, state in which form
is being filed, etc.) that filer may find useful.
Mississippi Coun ty (#)
County # Coun ty
1 Adams
2 Alcorn
3 Amite
4 Attala
5 Benton
6 Bolivar
7 Calhoun
8 Carroll
9 Chickasaw
10 Choctaw
11 Claiborne
12 Clarke
13 Clay
14 Coahoma
15 Copiah
16 Covington
17 DeSoto
18 Forrest
19 Franklin
20 George
21 Greene
22 Grenada
23 Hancock
24 Harrison
25 Hinds
26 Holmes
27 Humphreys
28 Issaquena
Coun ty # Coun ty
29 Itawamba
30 Jackson
31 Jasper
32 Jefferson
33 Jefferson Davis
34 Jones
35 Kemper
36 Lafayette
37 Lamar
38 Lauderdale
39 Lawrence
40 Leake
41 Lee
42 Leflore
43 Lincoln
44 Lowndes
45 Madison
46 Marion
47 Marshall
48 Monroe
49 Montgomery
50 Neshoba
51 Newton
52 Noxubee
53 Oktibbeha
54 Panola
55 Pearl River
56 Perry
Coun ty # Coun ty
57 Pike
58 Pontotoc
59 Prentiss
60 Quitman
61 Rankin
62 Scott
63 Sharkey
64 Simpson
65 Smith
66 Stone
67 Sunflower
68 Tallahatchie
69 Tate
70 Tippah
71 Tishomingo
72 Tunica
73 Union
74 Walthall
75 Warren
76 Washington
77 Wayne
78 Webster
79 Wilkinson
80 Winston
81 Yalobusha
82 Yazoo
99 Foreign County
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