Fill and Sign the Ucc1 Financing Statement Form

B. SEND ACKNOWLEDGMENT TO: (Name and Address) FILING OFFICE COPY — MiSSISSIPPI UCC FINANCING STATEMENT (FORM UCC1) (REV. 12/10/01) THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY Mississippi - UCC1 FINANCING STATEMENTFOLLOW INSTRUCTIONS (front and back) CAREFULLY A. NAME & PHONE OF CONTACT AT FILER [optional] 1. DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (1a or 1b) - do not abbreviate or combine names 4. This FINANCING STATEMENT covers the following collateral : 2D. COUNTY # 5. ALTERNATIVE DESIGNATION [if applicable]: NON-UCC FILING AG. LIENSELLER/BUYER BAILEE/BAILOR CONSIGNEE/CONSIGNOR LESSEE/LESSOR This FINANCING STATEMENT is to be filed [for record] (or recorded) in \ the REAL ESTATE RECORDS. Attach Addendum 6. All Debtors Debtor 1 Debtor 2 Check to REQUEST SEARCH REPORT(S) on Debtor(s) [ADDITIONAL FEE]7. [if applicable] [optional] OR SUFFIX POSTAL CODE CITY FIRST NAME 2c. MAILING ADDRESS OR OR 2d. TAX ID #: SSN OR EIN ADD'L INFO RE ORGANIZATION DEBTOR2e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 3b. INDIVIDUAL'S LAST NAME FIRST NAME POSTAL CODE 3c. MAILING ADDRESS 1a. ORGANIZATION'S NAME 2b. INDIVIDUAL'S LAST NAME CITYMIDDLE NAME STATE 2g. ORGANIZATIONAL ID #, if any MIDDLE NAME STATE SUFFIX COUNTRY 2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names POSTAL CODE CITY 1c. MAILING ADDRESS ADD'L INFO RE ORGANIZATION DEBTOR1e. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION NONE 1b. INDIVIDUAL'S LAST NAME 2a. ORGANIZATION'S NAME FIRST NAME MIDDLE NAME STATE 1g. ORGANIZATIONAL ID #, if any SUFFIX 1D. COUNTY # NONE 3a. ORGANIZATION'S NAME 3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S/P) - insert only one secured party name (3a or 3b) 8.OPTIONAL FILER REFERENCE DATA In struct ions for M ississippi UC C Financing S ta te m ent ( Form M S UC C1) P lea se ty pe or la ser-pr int th is for m. B e sure it is c o m ple te ly leg ib le. Read a ll in stru ction s, e spe cia lly in stru ction 1; the corre ct Deb tor na me is c ru cia l. F ollo w th e in str u ction s c o m ple te ly . Fill in the form v ery c are full y; m is ta kes m ay ha ve i mpor tant legal con sequen ce s. If y ou ha ve que stion s, c on sult y our att orne y. The fili ng o ffic e cannot gi ve legal ad vic e. Do not in sert an ything in the open spa ce in the upper por tion of this for m; it is re ser ved for filing o ffic e u se. W hen properly c o m ple ted, s end the original copy onl y, w it h required fee, to the filing o ff ic e. If y ou want an ack no wledg men t, c o m ple te it e m B . If y o u w ant t o m ake a sear ch reque st, c o m ple te it em 7 (a ft er read ing in stru ction 7). If you need to u se a tt a ch m en ts , u se 8-1 /2 X 11 in ch shee ts and put at t he top of ea ch sheet t he na me of the fir s t Deb tor, for matt ed e xa ctly as it appears i n it em 1 of th is for m; you are en couraged to u se Addendum (Form M S UCC1 Ad). No te: B ecau se Miss iss ippi law does not requ ire the so cial s e cur it y nu mber, that f ie ld has been b lo ck ed ou t. A . To a ssis t f ili ng o ffic es that m ight w is h to co mm unic a te wit h fil er, f il er may prov ide in for mation in it em A . B . Co mple te it em B if you want an a ckno wledg ment s ent t o you. 1. Deb tor na me: Enter on ly one deb tor na me in it em 1 , an organ iza tion ’s na me (1a) or an ind iv idua l’s na me (1b). E nter Deb tor ’s e xa ct fu ll legal na me. Don ’t abbrev ia te. 1a. Organ iza tion Deb tor . “Organ iza tion” means an en tit y hav ing a l egal iden tit y separa te from it s ow ner. A par tner sh ip is an organ iza tion; a so le propr ie tor sh ip is not an organ iza tion, even if it does bu sine ss under a trade na me. If Deb tor is a par tner sh ip, en ter exa ct fu ll legal na me of par tner sh ip; you need not en ter na mes of par tners as add it ional Deb tor s. If Deb tor is a reg is tered organi za tion (e .g ., c o rpora tion, li m it ed par tner sh ip, li m it ed liabili ty c o m pany), it is adv is ab le to e xa m ine Deb tor ’s c urrent fil ed char ter do cu m en ts to de ter mine Deb tor ’s c orre ct na me, organ iza tion ty pe, and jur is d ic tion of organ iza tion. 1b. Ind iv idual Deb tor . “ Ind iv idua l” means a natural per son; th is i n cludes a so le propr ie tor sh ip, w he ther or not opera ting under a t rade na me. Don ’t u se pre fix es ( M r, M rs , M s). U se su ffix box on ly f o r tit les of li neage ( Jr, S r, II I) and not for o ther su ff ix es or tit les (e .g ., M .D .). U se a marr ied wom an ’s per sonal na me ( Mary Sm it h, not M rs . John Sm it h). E nte r ind iv idual Deb tor ’s fa m ily na me ( s urna me) in La st Na me Box, fir s t g iven na me in F ir s t Na me B ox, and a ll add it ional g iven na mes in Midd le Na me bo x. For bo th organ iza tion and ind iv idual Deb tors : Don ’t u se Deb tor ’s t rade na me, D BA , A KA , F KA , D iv is ion na me, e tc , in p la ce of or c o m bined wit h Deb tor ’s legal na me; you may add su ch o ther na mes as add it ional Deb tors if you wis h (but t h is is ne it her requ ired nor re co mm ended). 1c. A n addre ss is a lw ays requ ired for the Deb tor na med in 1a or 1b. 1d. Coun ty (#) “Coun ty #” means the coun ty iden tif ic a tion nu mber ass igned to the Miss iss ippi Coun ty in whic h the deb tor is l o ca ted. S ee the coun ty # in for mation at the end of the se I n st ru ct ion s. 1e,f,g. “A dditional info rm ation re organi za tion Debto r” is al ways requ ired. Type of organ iza tion as w ell as Deb tor ’s e xa ct legal na me can be deter mined from Deb tor ’s current fil ed char ter do cu m en t. In M iss iss ipp i, th is in for mation may be ob ta ined by go ing to the Miss iss ippi Secre tary of Sta te web sit e htt p:/ /www .s o s.s ta te .m s.u s and u sing “Corp snap ,” or calling 601-359-1633. Organizational ID#, (ID # found in “Corpsnap,” on S O S w eb sit e) is a ss igned by the Secre tary of S ta te at the tim e the en tit y is for med; th is is d if ferent from tax ID #. if agen cy does not a ss ign organ iza tional I D #, c he ck box in it em 1g ind ic a ting “none”. Note: If Debtor is a trust or a trustee acting with respect to property held in trust, enter Debtor’s name in item1 and attach Addendum (Form MS UCC1Ad) and check appropriate box in item 17. If Debtor is a decedent’s estate, enter name of deceased individual in item 1b and attach Addendum (Form MS UCC1Ad) and check appropriate box in item 17. If Debtor is a transmitting utility or this Financing Statement is filed in connection with a Manufactured- Home Transaction or a Public-Finance Transaction as defined in applicable Commercial Code, attach Addendum (Form MS UCC1Ad) and check appropriate box in item 18. 2. If an additional Debtor is included, complete item 2, determined and formatted per instruction 1. To include further additional Debtors, or one or more additional Secured Parties, attach either Addendum (Form MS UCC1Ad) or other additional pages(s), using correct name format. Follow instruction 1 for determining and formatting additional names. 3. Enter information for Secured Party or Total Assignee, determined and formatted per instruction 1. If there is more than one Secured Party, see Instruction 2. If there has been a total assignment of the Secured Party’s interest prior to filing this form, you may either (1) enter Assignor S/P’s name and address in item 3 and file an Amendment (Form UCC3) [see item 5 of that form]; or (2) enter Total Assignee’s name and address in item 3 and, if you wish, also attaching Addendum (Form MS UCC1Ad) giving Assignor S/P’s name and address in item 12. 4. Use item 4 to indicate the collateral covered by this Financing Statement. If space in item 4 is insufficient, put the entire collateral description or continuation of the collateral description on either Addendum (From MS UCC1Ad) or other attached additional page(s). 5. If filer desires (at filer’s option) to use titles of lessee and lessor, or consignee and consignor, or seller and buyer (in the case of accounts or chattel paper), or bailee and bailor instead of Debtor and Secured Party, check the appropriate box in item 5. Note: Filing of an agricultural lien on a UCC-1 in Mississippi may not secure a party in the collateral. The Mississippi UCC-1F is the appropriate form for secured transactions where the collateral is farm products. 6. If th is Finan cing Sta te m ent is filed as a fix ture filing or if the collateral consists of timber to be cut or as-extracted collateral, complete items 1-5, check the box in item 6, and complete the required information (items 13, 14 and/or 15) on Addendum (Form MS UCC1Ad). *THESE TYPES OF FILINGS ARE TO BE FILED IN THE CHANCERY CLERK’S OFFICE IN THE COUNTY WHERE THE RELATED REAL ESTATE IS LOCATED. 7. This item is optional. Check appropriate box in item 7 to request Search Report (s) on all or some of the Debtors named in this Financing Statement. The Report will list all Financing Statements on file against the designated Debtor on the date of the Report, including this Financing Statement. There is an additional $5.00 fee per debtor if a search is requested. 8. This item is optional and is for filer’s use only. For filer’s convenience of reference, filer may enter in item 8 any identifying information (e.g. Secured Party’s loan number, law firm file number, Debtor’s name or other identification, state in which form is being filed, etc.) that filer may find useful. Mississippi Coun ty (#) County # Coun ty 1 Adams 2 Alcorn 3 Amite 4 Attala 5 Benton 6 Bolivar 7 Calhoun 8 Carroll 9 Chickasaw 10 Choctaw 11 Claiborne 12 Clarke 13 Clay 14 Coahoma 15 Copiah 16 Covington 17 DeSoto 18 Forrest 19 Franklin 20 George 21 Greene 22 Grenada 23 Hancock 24 Harrison 25 Hinds 26 Holmes 27 Humphreys 28 Issaquena Coun ty # Coun ty 29 Itawamba 30 Jackson 31 Jasper 32 Jefferson 33 Jefferson Davis 34 Jones 35 Kemper 36 Lafayette 37 Lamar 38 Lauderdale 39 Lawrence 40 Leake 41 Lee 42 Leflore 43 Lincoln 44 Lowndes 45 Madison 46 Marion 47 Marshall 48 Monroe 49 Montgomery 50 Neshoba 51 Newton 52 Noxubee 53 Oktibbeha 54 Panola 55 Pearl River 56 Perry Coun ty # Coun ty 57 Pike 58 Pontotoc 59 Prentiss 60 Quitman 61 Rankin 62 Scott 63 Sharkey 64 Simpson 65 Smith 66 Stone 67 Sunflower 68 Tallahatchie 69 Tate 70 Tippah 71 Tishomingo 72 Tunica 73 Union 74 Walthall 75 Warren 76 Washington 77 Wayne 78 Webster 79 Wilkinson 80 Winston 81 Yalobusha 82 Yazoo 99 Foreign County