Fill and Sign the Ucc Financing Statement Amendment Pg65 Form

UCC FINANCING STATEMENT AMENDMENT FOLLOW INSTRUCTIONS A. NAME & PHONE OF CONTACT AT FILER (optional) B. E-MAIL CONTACT AT FILER (optional) C. SEND ACKNOWLEDGMENT TO: (Name and Address) THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or recorded) in the REAL ESTATE RECORDS Filer: attach Amendment Addendum (Form UCC3Ad) and provide Debtor’s name in item 13 1a. INITIAL FINANCING STATEMENT FILE NUMBER 2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated\ with respect to the 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 CONTINUATION: Effectiveness of the Financing Statement identified above with respect\ to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the additional period provided by applicable law 4. 5. PARTY INFORMATION CHANGE: AND Check one of these three boxes to: Check one of these two boxes: ADD name: Complete item CHANGE name and/or address: Complete DELETE name: Give record name Secured Party of record This Change affects Debtor or 7a or 7b, and item 7c item 6a or 6b; and item 7a or 7b and item 7c to be deleted in item 6a or 6b 6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b) OR 6a. ORGANIZATION'S NAME 6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 7. OR 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 abbre\ viate 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 CITY STATE POSTAL CODE COUNTRY 8. ADD collateral DELETE collateral RESTATE covered collateral ASSIGN collateral COLLATERAL CHANGE: Also check one of these four boxes: Indicate collateral: 9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment) If this is an Amendment authorized by a DEBTOR , check here and provide name of authorizing Debtor OR 9a. ORGANIZATION'S NAME 9b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 10. OPTIONAL FILER REFERENCE DATA: FILING OFFICE COPY — UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04/20/11) Instructions for UCC Financing Statement Amendment (Form UCC3) Please type or laser-print this form. Be sure it is completely legible. Read and follow all Instructions, especially Instruction 1a; correct file number of initial financing statement is crucial. Fill in form very carefully; mistakes may have important legal consequen\ ces. If you have questions, consult your attorney. The filing office cannot give legal advice. Send completed form and any attachments to the filing office, with the r\ equired fee. ITEM INSTRUCTIONS A and B. To assist filing offices that might wish to communicate with filer, file\ r may provide information in item A and item B. These items are optional. C. Complete item C if filer desires an acknowledgment sent to them. If filing in a filing office that returns an acknowledgment copy furnished by filer, present simultaneously with this form the Acknowledgment Copy or a carbo\ n or other copy of this form for use as an acknowledgment copy. Always complete items 1a and 9. 1a. File Number. Enter file number of initial financing statement to which this Amendmen\ t relates. Enter only one file number. In some states, the file number is not unique; in those states, also enter in item 1a, after\ the file number, the date that the initial financing statement was filed. 1b. If this Amendment is to be filed in the real estate records or in any ot\ her filing office where the name of current Debtor i s required for indexing purposes, check the box in item 1b and enter Debtor name in item 13 of Amendment Addendum (Form UCC3Ad). Complete item 13 in accordance with instructions on Amendment Addendum (Form UCC3Ad). If Debtor does not have an interest of record, enter the name and addres\ s of the record owner in item 16 of Amendment Addendum (Form UCC3Ad). Note: Show purpose of this Amendment by checking box 2, 3, 4, 5, or 8 (in items 5 and 8 you must check additional boxes); also complete i\ tems 6, 7, and/or 8 as appropriate. Some, but not all filing offices accept multiple actions on an Amendment\ . Filing offices that accept multiple actions may charge an additional fee. Some filing offices that accept multiple actions may only index one of t\ he actions requested. Consult the administrative rules of the designated filing office to determine the extent to which multiple actio\ ns will be accepted, indexed, and the applicable filing fees for multiple actions. 2. Termination. To terminate the effectiveness of the identified financing statement with respect to\ the security interest(s) of authorizing Secur ed Party, check box in item 2. See Instruction 9 below. 3. Assignment. To assign (1) some or all of Assignor’s right to amend the identified financ\ ing statement, or (2) the Assignor’s right to amend th e identified financing statement with respect to some (but not all) of t\ he collateral covered by the identified financing statement: Check box in item 3 and enter name of Assignee in item 7a or 7b; always enter the Assignee’s\ mailing address in item 7c. Also enter name of Assign or in item 9. If assignment affects the right to amend the financing statement which resp\ ect to some (but not all) of the collateral covered by the identified financing statement, check the ASSIGN collateral box and indicate the particular c\ ollateral covered in item 8. 4. Continuation. To continue the effectiveness of the identified financing statement with respect to\ the security interest(s) of authorizing Secure d Party, check box in item 4. See Instruction 9 below. 5-7. Party Information Change. To indicate a party information change , check this box; also check additional boxes (as applicable) and comp\ lete items 5, 6, and/or 7 as appropriate. To change the name and/or address of a party (items 5, 6, and 7): Check box in item 5 to indicate whether this Amendment relates to a Debt\ or or Secured Party of record; and check the CHANGE name and/or mailing address box in item 5 and enter na\ me of affected party (current record name) in item 6a or 6b; and repeat or enter the new name in item 7a or 7b; alw\ ays enter the party’s mailing address in item 7c. To add a party (items 5 and 7): Check box in item 5 to indicate whether this Amendment relates to a Debt\ or or Secured Party of record; and check the ADD name box in item 5 and enter the added party’s name in item 7\ a or 7b; always enter the party’s mailing address in item 7c. For additional Debtors or Secured Parties, attach Amendment Additional Party (Form UCC\ 3AP), using correct name format. To delete a party (items 5 and 6): Check box in item 5 to indicate whether this Amendment relates to a Debt\ or or Secured Party of record; and check the DELETE name box in item 5 and enter the deleted party’s name in i\ tem 6a or 6b. 8. Collateral Change. To indicate a collateral change , check this box; also check additional box (as applicable) and descri\ be the change in item 8. If space in item 8 is insufficient, continue collateral description in i\ tem 14 of Amendment Addendum (Form UCC3Ad). Do not include social security numbers or other personally identifiable information. To add collateral: Check the ADD collateral box in item 8 and indicate the additional colla\ teral. To delete collateral: Check the DELETE collateral box in item 8 and indicate the deleted colla\ teral. A partial release is a DELETE collateral change. To restate covered collateral description: Check the RESTATE covered collateral box in item 8 and indicate the rest\ ated collatera l. To assign the right to amend the financing statement with respect to part (but n\ ot all) of the collateral covered by the identified financing statement: Comply with Instruction 3 above and check the ASSIGN collateral box in i\ tem 8. If, due to a full release of collateral, filer no longer claims a securi\ ty interest under the identified financing statement, check box in item 2 (Termination) and not a box in item 8 (Collateral Change). 9. Name of Authorizing Party. Enter name of party of record authorizing this Amendment. In most cases, the authorizing party is the Secured Party of record. If this is an Amendment (Assignment), enter Assignor's name in item 9a\ or 9b. If this is an Amendment (Termination) authorized by a Debtor, check the box in item 9 and enter the name of the Debtor authori\ zing this Amendment in item 9a or 9b. If this Amendment (Termination) is to be filed or recorded in the real estate records, also enter, in it\ em 12 of Amendment Addendum (Form UCC3Ad), the name of Secured Party of record. If there is more than one authorizing Secured Party or Debtor, enter add\ itional name(s) in item 14 of Amendment Addendum (Form UCC3Ad). 10. Optional Filer Reference Data. This item is optional and is for filer's use only. For filer's convenience of reference, filer may enter in item 10 any identifying information that filer may find useful. Do not include social security numbers or other personally identifiable \ in formation.