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UNIFORM COMMERCIAL CODE STANDARD UCC-3/CNS-3NORTH DAKOTA SECRETARY OF STATE/COUNTY RECORDERS
SFN 14010 (09-27-01)
RETURN ACKNOWLEDGEMENT COPY TO: (name and address)
Please do not type outside of bracketed area
A. Use this form to record changes to UCC Filing, Farm Products Central Notice (CNS)
or both. Statement of termination, assignment, continuation, release, subordination,
amendment, or update.
PLE ASE T YPE.Please read instructions on back before com pletin g.
C. Submitted By Facsimile
TERMINATION
ASSIGNMENT
CONTINUATION
RELEASE
SUBORDINATION
AMENDMENT
UPDATEThe Secured Party no longer claims a security interest under the financing statement bearing the file number listed above.
No fee is required for filing a termination statement.
The Secured Party listed below assigns to the Assignee whose name, address, telephone number and SSN/TIN is listed,
Secured Party's rights under the financing statement bearing the file number listed above in the described collateral. If a
partial assignment, describe Collateral assigned in F below. If a full assignment indicate "ALL COLLATERAL" in F below.
The original financing statement bearing the file number listed above is continued for an additional five years. (EFFECTIVE
ONLY IF SUBMITTED WITHIN SIX MONTHS PRIOR TO EXPIRATION DATE.)
Secured Party releases the collateral described in "F".
The Secured Party subordinates its priority position in the collateral described as provided in the subordination agreement
referred in Item F.
Financing statement bearing the file number listed above is amended as described in Item F.
Financing statement bearing the file number listed above is updated as described in Item F.
NOTE: A separate fee will be charged for each action checked.
E. REQUESTED CHANGE:
UCC CNS
Partial Full
UCC CNS
By ____________________________________________
Name & Title By ____________________________________________
Name & Title By ____________________________________________
Name & TitleBy ____________________________________________
Name & Title H. Secured Party Signature _____________________________________________________________________
Debtor Signature _____________________________________________________________________________
FAX # B. Customer Billing Number
D. This statement refers to original Financing Statement No. ______________________
Date Filed _____________________________, _________.
Current Debtor Name For Financing Statement No. on File and SSN/TIN
ADD'L INFO RE ORGANIZATION
DEBTOR TYPE OF ORGANIZATION JURISDICTION OF ORGANIZATION ORGANIZATIONAL ID #, if any NONE
FOR CNS FILINGS
F. List Assignment information, collateral to be Released, Subordination information, Amendment description, and other information:
Individual Organization To be completed when adding a Debtor that is an organization.
G. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT______________________________________________________________________________
Reserved for Filing Officer Use
UNIFORM COMMERCIAL CODE STANDARD UCC-3/CNS-3NORTH DAKOTA SECRETARY OF STATE/COUNTY RECORDERS
SFN 14010 (09-27-01)
RETURN ACKNOWLEDGEMENT COPY TO: (name and address)
Please do not type outside of bracketed area
A. Use this form to record changes to UCC Filing, Farm Products Central Notice (CNS)
or both. Statement of termination, assignment, continuation, release, subordination,
amendment, or update.
PLE ASE T YPE.Please read instructions on back before com pletin g.
C. Submitted By Facsimile
TERMINATION
ASSIGNMENT
CONTINUATION
RELEASE
SUBORDINATION
AMENDMENT
UPDATEThe Secured Party no longer claims a security interest under the financing statement bearing the file number listed above.
No fee is required for filing a termination statement.
The Secured Party listed below assigns to the Assignee whose name, address, telephone number and SSN/TIN is listed,
Secured Party's rights under the financing statement bearing the file number listed above in the described collateral. If a
partial assignment, describe Collateral assigned in F below. If a full assignment indicate "ALL COLLATERAL" in F below.
The original financing statement bearing the file number listed above is continued for an additional five years. (EFFECTIVE
ONLY IF SUBMITTED WITHIN SIX MONTHS PRIOR TO EXPIRATION DATE.)
Secured Party releases the collateral described in "F".
The Secured Party subordinates its priority position in the collateral described as provided in the subordination agreement
referred in Item F.
Financing statement bearing the file number listed above is amended as described in Item F.
Financing statement bearing the file number listed above is updated as described in Item F.
NOTE: A separate fee will be charged for each action checked.
E. REQUESTED CHANGE:
UCC CNS
Partial Full
UCC CNS
By ____________________________________________
Name & Title By ____________________________________________
Name & Title By ____________________________________________
Name & TitleBy ____________________________________________
Name & Title H. Secured Party Signature _____________________________________________________________________
Debtor Signature _____________________________________________________________________________
FAX # B. Customer Billing Number
D. This statement refers to original Financing Statement No. ______________________
Date Filed _____________________________, _________.
Current Debtor Name For Financing Statement No. on File and SSN/TIN
ADD'L INFO RE ORGANIZATION
DEBTOR TYPE OF ORGANIZATION JURISDICTION OF ORGANIZATION ORGANIZATIONAL ID #, if any NONE
FOR CNS FILINGS
F. List Assignment information, collateral to be Released, Subordination information, Amendment description, and other information:
Individual Organization To be completed when adding a Debtor that is an organization.
G. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT______________________________________________________________________________
Acknowledgment Copy
A.
B.
C.
D.
E.
F.
G.
H.You may use this form to file in either the UCC Index or CNS Index or both.
CUSTOMER BILLING #: Clients may request to be billed for services. Upon approval a customer billing number is provided. This needs to be typed
on the form for accurate billing processing. Without a customer number all fees must be paid at the time of filing.
Check if applicable. Be sure to include your fax number if submitting by fax.
ORIGINAL FINANCING STATEMENT NUMBER: Indicate the original financing statement number this filing refers to along with the date of original
filing. This information must be included on the UCC-3/CNS-3 in order to make the requested changes to the original filing.
REQUESTED CHANGE: Mark the boxes indicating the action you are requesting affecting the original UCC-1/CNS-1 filing. When more than one
action is indicated a separate fee will be charged for each one. They each have a unique filing number assigned and they are tied to the original filing.
If the UCC financing statement and the CNS financing statement were filed together and given one filing number, all amendments, updates,
assignments, subordinations, and releases submitted for either of them must affect both of them. A termination of the UCC filing will automatically
terminate the CNS filing as well.
CHANGE INFORMATION: This space is used to describe specific changes being made to the original filing. If making an assignment be sure to
provide the name of the Secured Party who is making the assignment and complete name, address, and telephone number of the assignee. The
SSN/TIN of the assignee is optional. In addition if there is a partial assignment clearly specify the collateral being assigned. When making a releasebe
specific as to the originally listed collateral being released. If adding a debtor check individual or organization. When adding a debtor that is an
organization the additional debtor information fields must be completed. If you are amending names of a debtor, secured party or assignee be sure to
provide the original information or as previously amended and the new information. If this is to give notice of a subordination identify subordination
agreement by date and its parties. If not all collateral is being subordinated clearly identify collateral affected.
Insert name of secured party of record authorizing the amendment.
SIGNATURES:If filing refers to a CNS filing signatures of both the debtor and secured party are required. If filing is a CNS termination or
continuation, only the secured party has to sign.UCC filings do not require signatures. SFN 14010 (09-27-01)
1.
2.
3.
4.
5.
The following letters correspond to the lettered sections on the front of this form.
RETURN ACKNOWLEDGEMENT COPY: Complete to whom acknowledgement copy should be sent.
Adams
Barnes
Benson
Billings
Bottineau
Bowman
Burke
Burleigh
Cass
Cavalier
Dickey
Divide
Dunn
Eddy
Emmons
Foster
Golden Valley
Grand Forks
Grant
Griggs
Hettinger
Kidder
LaMoure
Logan
McHenry
McIntosh
McKenzieCOUNTY CODES 01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27 Wheat/Durum
Rye
Barley
Corn
Oats
Sorghum
Buckwheat
Triticale
Flax
Soybeans
Sunflowers
Safflowers
Mustard
Millet
Rape Seed
Potatoes
Beans
Peas
Sugar Beets
Hay/Alfalfa
Grasses
Clover
Wool
Eggs
MilkCheese/Whey
Cream
Lentils
Honey
Bees Wax
Berries
Fruits
Trees/Shrubs
Herbs
Garlic
Popcorn
Canola
Crambe
Pellets
Fourage
Silage
Speltz
Sunwheat
Onions
Carrots
Squash
Vegetables
Pumpkins
Borage
Chick Peas
Amaranth
Mint 26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52 01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 Cattle/Calves
Beefalo
Buffalo
Hogs
Sheep/Lambs
Horses
Mules
Chickens
Ducks
Geese
Turkeys
Bees
Goats
Fox
Furs/Pelts
Fish
Pheasants
Game Hens
Llamas
Elk
Ostriches
Rabbits
Emus
Rhea Bird
Deer
Bull Semen
Dogs
Worms 200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
FEES:
1. UCC/CNS-3
2. Non-Standard Filing
$10.00
$15.00 UCC-3/CNS-3 INSTRUCTIONS
Use this form to file changes to either UCC Filings, Farm Product Central Notice (CNS), or both.
If the space provided for any item on this form is inadequate use UCC-5/CNS-5 form as an attachment.
Verify for accuracy and correct spelling.
Be sure this form is properly signed. There are different signature requirements for different filing actions.
Refer to the user's guide for further information. The guide may be purchased from the Secretary of State's office.
Submit the original and one copy for filing in the same office the original lien was filed.
McLean
Mercer
Morton
Mountrail
Nelson
Oliver
Pembina
Pierce
Ramsey
Ransom
Renville
Richland
Rolette
Sargent
Sheridan
Sioux
Slope
Stark
Steele
Stutsman
Towner
Traill
Walsh
Ward
Wells
Williams
OutofState
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54 PRODUCT CODES
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