Fill and Sign the Ucc Financing Statement Amendment Form with Instructions

TN FORM UCC 3 (1 2/1/20 16) Business Services Division Tre Hargett, Secretary of State State of Tennessee INSTRUCTIONS UCC F inanc ing Statem ent AM END MENT (T N Form UCC3 ) Filing Fee s: $15 .00 for a co lla te ral cha nge, secur ed pa rty inform ation cha nge, or both $15 .00 per de btor for de btor inform ation chan ges $15 .00 for an a ss ign ment $15 .00 for a con tinua tion $15 .00 for a termi nation Re cordi ng tax due upon filing if maximum princi pal ind ebt edne ss in crea se i s reflec ted Pursuant t o T.C.A. § 3 9 -1 7 -1 1 7 , it is a Class E f elony f or any person t o k now i ngly prepare, sign, or f ile any lien or ot her docum ent w it h t he int ent t o encum ber any real or personal propert y w hen such person has no reasona ble basis or any legal cause t o place such l ien or encum brance on such real or personal proper t y. A bl ank form fo llows these instructi ons. A UC C3 Finan cing Sta tem ent Am endm ent may be f iled using o ne of t he followi ng method s: • E-file: Go to http: //tnb ear.tn .go v/UC C . Use the online tool to compl ete the fili ng and pay the f iling fee and recordi ng tax by credit card, debit card or e-c heck. W h en pa ying by cred it car d, deb it card or e-check, there is a c on veni ence f ee that covers the cr ed it card f ees and tr ansaction cos ts incu rred by the Bu sine ss Ser vices Div ision when acc ept ing on line paym ent s. Filers who do not wish to pay the convenience f ee to file on line may c hoose the “Pri nt and Mail” op tion at no a ddition al cos t. • Print and M ail: Go to htt p://tnb ear.tn .go v/UC C . Use the on line to ol to compl ete the filing. Pri nt and mail th e applicati on along wi th the req uir ed filing f ee and indeb tedness tax to the Se creta ry of State’s o ffice at A TT N: UCC, 312 ROSA L PARKS AVE # 6, NASHVILLE TN 37243-11 02. • Paper s ubmissi on: A bla nk form fo llows these instructi ons. T he form must be hand print ed in b lack i nk or com puter generat ed and mail ed alo ng with the r equired f iling fee and recording tax to the Se cretary of Sta te’ s o ff ice ATT N: UCC, 312 ROSA L PARKS AVE #6, NAS HVIL LE TN 37 243-110 2. • Walk -in: A bla nk UCC3 form may be obtained in pe rson at the Secretary of Sta te Bu sine ss Ser vices Di visi on loc ated on the 6 th Flo or of the Sno dgrass Tow er at 312 Rosa L. Parks AVE, Nashvill e, TN 37 243. Pl ease ty pe or laser-pri nt this form. Be sure it i s compl etely legibl e. Re ad al l instructi ons, especially instruction 1a; correc t f il e nu mber of initial fin ancing sta tem ent is cr ucial. Fo llow instructio ns compl etely. Fill i n for m very carefu lly; mis takes may have im portant legal cons equen ces. If you have q uestion s, c onsult yo ur atto rne y. F iling office c annot give leg al advic e. Do not write in any ar ea of the form other than in the design ated applic ation box secti ons. A n Am end ment may relate to only one financing s tatem ent. Do not enter more th an one file number in item 1a. W h en pr ope rly compl eted, send the compl eted form, wi th requir ed fee, to filing o ffic e. If you n eed to u se attachm ents, use TN Form UCC3 Amendm ent Add endum (F orm UCC3 Ad) or TN Form UCC3 Addition al Party (Form UCC3 Ap). Always compl et e ite ms 1a and 9. To a ssist f iling o ffic es that might wish to comm unicate with filer, fil er may provi de inform ation in ite ms A and B. Co mpl ete item C if you wo uld like an acknowl edgment letter retur ned to you wi th your origin al do cum ents. 1a. FILE NUMBER - Enter file nu mber of initial fin ancing sta tem ent to which thi s Am endm ent rela tes. E nter on ly o ne file nu mbe r. 1b. Only if this Am endment is to be filed or recor ded in the real es tate records, check box 1b and also, in ite m 13 of the UCC3 Amendment Add endum, enter Deb tor’s name, in prop er form at exactly i dentical to the format of item 1 of finan cing s tate ment, and en ter the name o f record owner li sted in it em 16 of the UC C3 Am endment Add endum if Debt or does not ha ve a record i nteres t. Note: Sho w the pur pose of th is Am endment by c hecki ng box 2, 3, 4, 5 (in item 5 you must c heck two boxes) or 8; als o compl ete ite ms 6, 7 an d/or 8 as appr opriate. Fi ler may use this Am endment form to a ccomp lish simul taneou sly b oth data c hanges (ite ms 3, 5, an d/or 8) and a C ontinu ation (ite m 4), al thou gh a se parate f ee will be a ssess ed for ea ch purpos e. 2. TERMINATION - To termi nate the effect ivene ss of the ide ntified fi nancing sta tem ent with respect to security in terest (s) of autho rizi ng Secur ed Party, c heck box 2. S ee in structi on 9 below. 3. ASSIGNME NT - To a ssign (i) all of Assignor’s i nterest under the iden tified fina nci ng state ment, or (i i) a partial i nteres t in t he security interest cover ed by the i dentifi ed finan cing sta tem ent, or (iii) A ssign or’s full interest i n some ( but not all) of the colla te ral cover ed by the id entified fin ancing sta te men t: Che ck box in item 3 and enter na me of Ass ign ee in i tem 7a if Assignee is an o rganizati on, or in i tem 7b, formatted as indic ated, if A ssignee i s an individ ual. Co mpl ete 7a or 7b, but not both. Also e nter Ass ignee’s address i n item 7c. Als o enter name of Ass ignor in item 9. If pa rtial A ss ign ment affec ts on ly some ( but not all) of the collateral cover ed by t he ide ntified fi nancing state ment, filer may c heck app rop riate box in item 8 and indica te affec ted coll ateral i n item 8. 4. CONT INUATION - To continue the effect ivene ss of the ide ntifi ed finan cing statem ent with res pect to security i nterest (s) of autho rizi ng Secur ed Party, c heck box 4. S ee instructi on 9 below. 5, 6, & 7. PARTY CHANGE - To change the na me an d/or address of a pa rty: Check box in item 5 to indicate whe ther this Am endm ent am ends inform ation relating to a Debtor or a Secur ed Party; also check box in item 5 to indicate that this i s a na me and/or add ress c hange; also e nter na me of af fected pa rty (curr ent record nam e, in case of name change) in items 6a or 6b as app ropriat e; an d also give new name ( 7a or 7b) and/or ne w a ddress (7c) in i tem 7. 5 & 6. DELETE PARTY - To delete a party: Check b ox in item 5 to indic ate wh ether deleting a Debtor or a Secur ed Party; also c heck box in ite m 5 to ind ica te that this is a de let ion of a pa rty; a nd also enter na me ( 6a or 6b) of de leted pa rty i n item 6. 5 & 7. ADD PARTY - To add a pa rty: Check box in ite m 5 to ind ica te whe ther adding a D ebtor or Secur ed Party; als o c he ck box in item 5 to indic ate that this is an ad dition of a pa rty; also enter all requir ed inform ation in item 7: na me ( 7a or 7b) and a ddress (7 c). Note: The prefe rred method for fili ng against a new D ebtor (an individu al or organizati on not pre viously of record as a Debtor un der this f ile num ber) i s to file a new Financing St atement (UCC1) and not an Am end ment (UCC3 ). 8. C OL L ATERAL CHANGE - To change the collater al covered by the ide ntified fi nancing sta tem ent, de scribe the cha nge i n item 8. This may be accomp lis hed either by descr ibing the collater al to be add ed or delet ed, or by s etting for th in full t he co lla te ral descr iption as it is to be e ffect ive af ter the filing of this Am endm ent, ind icat ing clearly the m ethod chosen (c he ck the app ropriate box). If the s pace i n item 8 is insu ffici ent, use i tem 14 of Am end ment Add endum (F orm UCC3Ad). A pa rtial rel ease of colla te ral is a deletio n. If, due to a full rel ease of all coll ateral, f iler no longer claims a security interes t under the iden tified financing s tatement, che ck box 2 (Termi nation) and not box 8 ( Collate ral Chan ge). If a pa rtial a ss ign ment con sis ts of the ass ign ment of some ( but not all) of the collater al cover ed by t he ide ntified financing s tatement, f il er may indic ate the ass igned coll ateral in i tem 8, check the appr opriate box in it em 8, and also comply wi th instructi on 3 ab ove. If the am ount of the Ma xim um Principal In debted ness f or Tenne ssee recordi ng tax purpo ses has increa sed, record the am ount of the increa se her e. 9. AUTHO RIZING PARTY - Always enter name of (one) pa rty of record au thorizi ng this Am endment; in most cases, this will be a Secured Party of recor d. If the indicat ed fin ancing st atement refers to the parties as lessee and lessor, or con signee and con signo r, or sell er an d buyer, ins tead of Deb tor and Secur ed Party, refer ences in this Am endment sha ll be deem ed li k ew ise so to ref er to th e pa rties. If th is i s an a ssignm ent, enter Ass igno r's na me. If th is i s an Amend ment au tho rized by a D ebtor that adds coll ateral or adds a De btor, or if this i s a Termi nation autho rize d by a De btor, check the box in item 9 and en ter the na me, properly form atted, of the De btor au tho rizi ng thi s Am endm ent. 10. OPTIONAL FILER REFERE NCE DAT A - This item is op tional and i s for filer 's use only. F or filer 's conveni ence of refer ence, filer may enter in item 10 any ide ntif yi ng inform ation (e. g., Secured Party 's lo an num ber, law firm f ile nu mbe r, Debto r's name or other identific ation, state in wh ich form is be ing file d, et c.) that filer may find useful. Do NOT incl ude c on fiden tial personal inform ation such as a pa rty’s soci al security number or tax ident ificati on nu mbe r. Fili ng F ee and Recording Tax • The fili ng wizard (http: //tn bea r.tn .gov /UCC ) correctly calcul ates both the filing f ee and the recording tax. • The fili ng fee is $ 15. 00 f or a coll ateral ch ange, secured party inform ation ch ange, or bo th; $15. 00 p er de btor for deb tor inform ation cha nges; $1 5.00 for an a ssignm ent; $15 .00 fee for a co ntinua tion; or $15 .00 for a termi nation. • Each di ffer ent add ress listed f or a de btor is consi dered a s epa rate deb tor for fili ng fee pu rpo ses. • The re i s an additi onal f ee of fi fty cen ts ($0. 50) per pa ge for ea ch pa ge in e xcess of ten (10) pages. • Fees sho uld be add ed toge ther in de termini ng the tot al f iling f ee due f or a Fi nancing State ment Am endment (TN Form UCC3 ). If an inadequate paym ent am ount for multiple transactio ns is t end ered with a UCC3 (includi ng the recordi ng ta x, if applicable), then all transactio ns will be rejec ted. • The recordi ng tax is calcula ted at 11 .5 cen ts for ea ch $ 100.00 of a dditional maxim um princi pal inde bte dne ss. In or der to p rope rly calculate t he recordi ng ta x, the full am ount of the maximum princi pal inde bte dne ss in creas e must be provi ded. The filing wizard (http ://t nbea r.tn.go v/UC C ) calcul ates the tax due on the in crea se. T he maximum principal i ndebt edne ss tax is subject to audit by the Ten ne ssee Depa rtment of Re ven ue. • Ma ke c heck, cashier’s c heck or m oney or der pa yab le to the Tenne ssee Se creta r y of Stat e. Ca sh i s only a ccepted f or walk-in fili ngs. Fili ngs submi tted without the prop er fili ng fee and recordi ng tax w ill be rejec ted. Checks , cashier’s c hecks or m oney or ders m ade out to any pay ee other than the Ten nessee Se cretary of Sta te will not be a cc epted and will result i n the rejecti on of the docum ent. A. NAME & PHONE OF CONTACT AT FILER (Optional) B. EMAIL CONTACT AT FILER (Optional) C. SEND ACKNOWLEDGMENT TO: (Name and Address) UCC FINANCING STATEMENT AMENDMENT FOLLOW INSTRUCTIONS 5. PARTY INFORMATION CHANGE: Check one of these two boxes: This Change affects Debtor or Secured Party of record AND Check one of these three boxes: CHANGE name and/or address; Complete item 6a or 6b; and item 7a or 7b and item 7c ADD name: Complete item 7a or 7b, and item 7c DELETE name: Give record name to be deleted in item 6a or 6b 1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. This FINANCING STATEMENT AMENDMENT is to be fi led [for record] (or recorded) in the REAL ESTATE RECORDS. Filer: Attach Amendment Addendum (form UCC3Ad) and provide debtor’s name in item 13. 2. TERMINATION: Effectiveness of the Financing Statement identifi ed above is terminated with respect to security interest(s) of Secured Party authorizing this Termination Statement 3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b and address of Assignee in item 7c and name of Assignor in item 9 For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8. 4. CONTINUATION: Effectiveness of the Financing Statement identifi ed above with respect to security interest(s) of Secured Party authorizing this Continuation Statement is continued for the additional period provided by applicable law. THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b) 9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is anAssignment) If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor 9a. ORGANIZATION’S NAME 9b. INDIVIDUAL’S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S) INITIAL(S) SUFFIX 10.OPTIONAL FILER REFERENCE DATA: OR UCC FINANCING STATEMENT AMENDMENT (TN FORM UCC3) (REV. 12/1/20 16) NOTE: All information on this form is public record. OR 7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact full name; do not omit, modify or abbreviate any part of the Debtor’s name) 7a. ORGANIZATION’S NAME 7b. INDIVIDUAL’S SURNAME INDIVIDUAL’S FIRST PERSONAL NAME INDIVIDUAL’S ADDITIONAL NAME(S) INITIAL(S) SUFFIX 7c. MAILING ADDRESS CITYS TAT EPOSTAL CODE COUNTRY OR 8. COLLATERAL CHANGE: Also check one of these four boxes: Indicate collateral: ADD collateral DELETE collateral RESTATE covered collateral ASSIGN collateral 6a. ORGANIZATION’S NAME 6b. INDIVIDUAL’S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S) INITIAL(S) SUFFIX Increase in maximum principal indebtedness for Tennessee recording tax purpose is $