Fill and Sign the Fillable Online Hcc Learning Web Houston Community Form

THIS FORM FOR COUNT YFILING /RECORDING USE ONL Y PLE ASE T YPE.Please read instructions on back before completing. Reserved for Filing Officer Use A. Debtor's Exact Full Legal Name - do not abbreviate or combine names If individual, Last Name First Indiviidual Organization SSN or TIN 1. ___________________________________________________ ____________________________ ADDRESS: __________________________________________________________________________ ADD'L INFO RE ORGANIZATION DEBTOR TYPE OF ORGANIZATION JURISDICTION OF ORGANIZATION ORGANIZATIONAL ID #, if any I. Recording Party Contact Person H. The name of a record owner is (if the debtor does not have an interest of record): Telephone # G. Legal Description: This financing statement is to be filed for record in the real estate reco rds. Goods to become fi xtures. Timber. Minerals or the like (including oil and gas). Accounts resulting from sale of minerals at wellhead or minehead. F. Products of collateral are also covered: Yes No D. This financing statement covers the following types (or items) of property: (Check applicable box) SSN/TIN: Telephone #: SSN/TIN: Telephone #: C. ASSIGNEE NAME AND ADDRESS (if any) B. SECURED PARTY NAME AND ADDRESS (from which security info is obtainable) 2. ___________________________________________________ ____________________________ ADDRESS: __________________________________________________________________________ ADD'L INFO RE ORGANIZATION DEBTOR TYPE OF ORGANIZATION JURISDICTION OF ORGANIZATION ORGANIZATIONAL ID #, if any NONE NONE FINANCING STATEMENT FOR REAL ESTATE AND UCC FILING/UCC-1A NORTH DAKOTA COUNTY RECORDERS SFN 17832 (09-27-01) Indiviidual Organization E. Description of Collateral: THIS FORM FOR COUNT YFILING /RECORDING USE ONL Y PLE ASE T YPE.Please read instructions on back before completing. Reserved for Filing Officer Use A. Debtor's Exact Full Legal Name - do not abbreviate or combine names If individual, Last Name First Indiviidual Organization SSN or TIN 1. ___________________________________________________ ____________________________ ADDRESS: __________________________________________________________________________ ADD'L INFO RE ORGANIZATION DEBTOR TYPE OF ORGANIZATION JURISDICTION OF ORGANIZATION ORGANIZATIONAL ID #, if any I. Recording Party Contact Person H. The name of a record owner is (if the debtor does not have an interest of record): Telephone # G. Legal Description: This financing statement is to be filed for record in the real estate reco rds. Goods to become fi xtures. Timber. Minerals or the like (including oil and gas). Accounts resulting from sale of minerals at wellhead or minehead. F. Products of collateral are also covered: Yes No D. This financing statement covers the following types (or items) of property: (Check applicable box) SSN/TIN: Telephone #: SSN/TIN:Telephone #: C. ASSIGNEE NAME AND ADDRESS (if any) B. SECURED PARTY NAME AND ADDRESS (from which security info is obtainable) 2. ___________________________________________________ ____________________________ ADDRESS: __________________________________________________________________________ ADD'L INFO RE ORGANIZATION DEBTOR TYPE OF ORGANIZATION JURISDICTION OF ORGANIZATION ORGANIZATIONAL ID #, if any NONE NONE FINANCING STATEMENT FOR REAL ESTATE AND UCC FILING/UCC-1A NORTH DAKOTA COUNTY RECORDERS SFN 17832 (09-27-01) Indiviidual Organization E. Description of Collateral: Acknowledgment Copy A. B. C. D.E.F.G.H.I.DEBTOR NAME: Individual or Organization - check one per debtor. If an individual, enter last name, fi rst name and middle name. For a business, begin with the first word or character not an article or punctuation mark. Provide a comp lete mailing address for all debtors, Social Security Number (SSN) or Tax Identification Number (TIN) must be provided for all debtors. If debtor is an organization the additional information must be provided: type of organization, jurisdiction of organization, and organizational ID number (if any) or check none. SECURED PARTY NAME: Enter the name of the secured party and an address and telephone number from whic h security information is obtainable. SSN/TIN number for the secured party is optional. ASSIGNEE NAME: Follow the same instructions as with "B". Check the appropriate box to describe the collateral. Describe collateral. Check box(es) as appropriate. Provide proper legal description for recording in mortgage records. If the debtor does not have an interest of record in the real estate provide the name of a record owner. In order to expedite the filing and recording provide the name of the appropriate contact person with a telephone number. The following letters correspond to the lettered sections on the front of this form. WHEN TO USE UCC-1A: When the collateral is timber to be cut, or is minerals or the like (including oil and gas), or acc ounts subject to Subsection 5 of Section 41-09-03 of theNorth Dakota Century Code (NDCC), or when the financing statement is filed as a fixture filing (NDCC 41-09-34) and th e collateral is goods which are or are to become fixtures, then use the UCC-1A and file in the office where a mortgage on the real esta te would be filed or recorded. This form will serve for both UCC filing and mortgage recording. This form can only be filed with a County Recorder's office. DO NOT FILE THIS FORM WITH THE SECRETARY OF STATE. Verify for accuracy and correct spelling. Submit the original and one copy to the County Recorders of the county in which recording in the real estate records is required. UCC filing will take place through the County Recorder's office as well. Refer to the user's guide for further information. The guide may be purchased from the Secretary of State's office. UCC-1A INSTRUCTIONS SFN 17832 (09-27-01) 1. 2.3. 4. $28.00 $33.00 $4.00 $13.00 Recording Fee and UCC-1A Filing Fee/UCC Termination Recording Fee and NON-STANDARD UCC-1A Filing Fee/UCC Termination Additional attachments per typed page Satisfaction Fee FEES: NOTE: The UCC-1A is a dual purpose form. It provides for the recording in real estate records and filing under t he UCC provisions. There are two different fees imposed, one for recording and the other for the UCC filing. The recording fees cannot be billed through the UCC Central Indexing System. Thereforeit will be necessary, even for clients who have a customer number, to pay at the time of filing. The follow fees are for North Dakota State forms.