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Fill and Sign the Ucc Financing Statement Additional Party Form Ucc1ap

Fill and Sign the Ucc Financing Statement Additional Party Form Ucc1ap

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FILING OFFICE COPY — UCC FINANCING STATEMENT ADDITIONAL PARTY (Form UCC1AP) (Rev. 08/22/11) THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY OR UCC FINANCING STATEMENT ADDITIONAL PARTY FOLLOW INSTRUCTIONS 18. NAME OF FIRST DEBTOR: Same as line 1a or 1b on Financing Statement; if line 1b was left blank because Individual Debtor name did not fit, check here 18a. ORGANIZATION'S NAME 18b. INDIVIDUAL'S SURNAME ADDITIONAL NAME(S)/INITIAL(S) FIRST PERSONAL NAME 19. ADDITIONAL DEBTOR'S NAME: Provide only one Debtor name (19a or 19b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name) 24. MISCELLANEOUS: SUFFIX OR 19b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME POSTAL CODE 19c. MAILING ADDRESS CITYADDITIONAL NAME(S)/INITIAL(S) STATE SUFFIX COUNTRY 19a. ORGANIZATION'S NAME 22. ADDITIONAL SECURED PARTY'S NAME orASSIGNOR SECURED PARTY'S NAME: Provide only one name (22a or 22b) OR 22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME POSTAL CODE 22c. MAILING ADDRESS CITYADDITIONAL NAME(S)/INITIAL(S) STATE SUFFIX COUNTRY 22a. ORGANIZATION'S NAME 20. ADDITIONAL DEBTOR'S NAME: Provide only one Debtor name (20a or 20b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name) OR 20b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME POSTAL CODE 20c. MAILING ADDRESS CITYADDITIONAL NAME(S)/INITIAL(S) STATE SUFFIX COUNTRY 20a. ORGANIZATION'S NAME 21. ADDITIONAL DEBTOR'S NAME: Provide only one Debtor name (21a or 21b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name) OR 21b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME POSTAL CODE 21c. MAILING ADDRESS CITYADDITIONAL NAME(S)/INITIAL(S) STATE SUFFIX COUNTRY 21a. ORGANIZATION'S NAME 23. ADDITIONAL SECURED PARTY'S NAME orASSIGNOR SECURED PARTY'S NAME: Provide only one name (23a or 23b) OR 23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME POSTAL CODE 23c. MAILING ADDRESS CITYADDITIONAL NAME(S)/INITIAL(S) STATE SUFFIX COUNTRY 23a. ORGANIZATION'S NAME International Association of Commercial Administrators (IACA) Instructions for UCC Financing Statement Additional Party (Form UCC1AP) P lease type or laser-print this form. Be sure it is completely legible. Read and follow all Instructions; use of the correct name for the Debtor is crucial. Fill in form very carefully; mistakes may have important legal consequences. If you have questions, consult your attorney. The filing office cannot give legal advice. Use this form (multiple copies if needed) to continue adding additional Debtor or Secured Party names as needed when filing a UCC Financing Statement (Form UCC1). ITEM INSTRUCTIONS 18. Name of first Debtor. Enter name of first Debtor exactly as shown in item 1 of Financing Statement (Form UCC1) to which this Additional Party relates. The name will not be indexed as a separate Debtor. If line 1b of the Financing Statement (Form UCC1) was left blank because the Individial Debtor name did not fit, check the box in item 18 and enter as much of the Individual Debtor name from item 10 that will fit. The Debtor namein this section is intended to cross-reference this Additional Party with the related Financing Statement (Form UCC1). 19-21. Additional Debtor’s name. If this Additional Party adds additional Debtors, complete items 19, 20, and 21 in accordance with Instruction 1 of Financing Statement (Form UCC1). 22-23. Additional Secured Party’s name or Assignor Secured Party’s name. If this Additional Party form adds additional Secured Parties, complete items 22 and 23 in accordance with Instruction 3 of Financing Statement (Form UCC1). In the case of a full assignment of the Secured Party’s interest before the filing of this financing statement, if filer has provided the name and mailing address of the Assignee in item 3 of FinancingStatement (Form UCC1), filer may enter Assignor Secured Party’s name and mailing address in items 22 and 23. 24. Miscellaneous. Under certain circumstances, additional information not provided on the Financing Statement (Form UCC1) may be required. Also, some states have non-uniform requirements. Use this space or attach additional page(s) and incorporate by reference in item 24 (e.g., See Exhibit A) to provide such additional information or to comply with such requirements; otherwise, leave blank. Do not include social securitynumbers or other personally identifiable information.

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