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2005 Washington Revised Code RCW 62A.9A-521: Uniform form of written financing statement and amendment.
(a) Initial financing statement form. A filing office that accepts written records may not refuse to accept a written initial financing statement in the following form and format except for a reason set forth in RCW
62A.9A-516(b):
UCC FINANCING STATEMENT | ||||||||||||
FOLLOW INSTRUCTIONS (front and back) CAREFULLY | ||||||||||||
A. | NAME & PHONE OF CONTACT AT FILER [optional] | |||||||||||
B. | SEND ACKNOWLEDGMENT TO: (Name and Address) | |||||||||||
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY | ||||||||||||
1. | DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (1a or 1b) - do not abbreviate or combine names | |||||||||||
1a. | ORGANIZATION'S NAME | |||||||||||
OR | ||||||||||||
1b. | INDIVIDUAL'S LAST NAME | FIRST NAME | MIDDLE NAME | SUFFIX | ||||||||
1c. | MAILING ADDRESS | CITY | STATE | POSTAL CODE | COUNTRY | |||||||
1d. TAX ID #: SSN OR EIN | ADD'L INFO RE ORGANIZATION DEBTOR | 1e. TYPE OF ORGANIZATION | 1f. JURISDICTION OF ORGANIZATION | 1g. ORGANIZATIONAL ID #, If any | NONE | |||||||
2. | ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names | |||||||||||
2a. | ORGANIZATION'S NAME | |||||||||||
OR | ||||||||||||
2b. | INDIVIDUAL'S LAST NAME | FIRST NAME | MIDDLE NAME | SUFFIX | ||||||||
2c. | MAILING ADDRESS | CITY | STATE | POSTAL CODE | COUNTRY | |||||||
2d. TAX ID #: SSN OR EIN | ADD'L INFO RE ORGANIZATION DEBTOR | 2e. TYPE OF ORGANIZATION | 2f. JURISDICTION OF ORGANIZATION | 2g. ORGANIZATIONAL ID #, If any | NONE | |||||||
3. | SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S/P) - insert only one secured party name (3a or 3b) | |||||||||||
3a. | ORGANIZATION'S NAME | |||||||||||
OR | ||||||||||||
3b. | INDIVIDUAL'S LAST NAME | FIRST NAME | MIDDLE NAME | SUFFIX | ||||||||
3c. | MAILING ADDRESS | CITY | STATE | POSTAL CODE | COUNTRY | |||||||
4. | This FINANCING STATEMENT covers the following collateral: | |||||||||||
5. | ALTERNATIVE DESIGNATION [if applicable]: | LESSEE/LESSOR | CONSIGNEE/CONSIGNOR | |||||||||
BAILEE/BAILOR | SELLER/BUYER | AG. LIEN | NON-UCC FILING | |||||||||
6. | This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL ESTATE RECORDS. Attach Addendum [if applicable] | |||||||||||
7. | Check to REQUEST SEARCH REPORT(S) on Debtor(s) | All Debtors | Debtor 1 | Debtor 2 | ||||||||
[Additional Fee] [optional] | ||||||||||||
8. | OPTIONAL FILER REFERENCE DATA | |||||||||||
NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98) | ||||||||||||
UCC FINANCING STATEMENT ADDENDUM | ||||||||||||
FOLLOW INSTRUCTIONS (front and back) CAREFULLY | ||||||||||||
9. | NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT | |||||||||||
9a. | ORGANIZATION'S NAME | |||||||||||
OR | ||||||||||||
9b. | INDIVIDUAL'S LAST NAME | FIRST NAME | MIDDLE NAME | SUFFIX | ||||||||
10. | MISCELLANEOUS: | |||||||||||
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY | ||||||||||||
11. | ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (11a or 11b) - do not abbreviate or combine names | |||||||||||
11a. | ORGANIZATION'S NAME | |||||||||||
OR | ||||||||||||
11b. | INDIVIDUAL'S LAST NAME | FIRST NAME | MIDDLE NAME | SUFFIX | ||||||||
11c. | MAILING ADDRESS | CITY | STATE | POSTAL CODE | COUNTRY | |||||||
11d. TAX ID #: SSN OR EIN | ADD'L INFO RE ORGANIZATION DEBTOR | 11e. TYPE OF ORGANIZATION | 11f. JURISDICTION OF ORGANIZATION | 11g. ORGANIZATIONAL ID #, If any | NONE | |||||||
12. | ADDITIONAL SECURED PARTY'S or ASSIGNOR S/P'S NAME - insert only one name (12a or 12b) | |||||||||||
12a. | ORGANIZATION'S NAME | |||||||||||
OR | ||||||||||||
12b. | INDIVIDUAL'S LAST NAME | FIRST NAME | MIDDLE NAME | SUFFIX | ||||||||
12c. | MAILING ADDRESS | CITY | STATE | POSTAL CODE | COUNTRY | |||||||
13. | This FINANCING STATEMENT covers timber to be cut or as-extracted collateral, or is filed as a fixture filing. | 16. Additional collateral description: | ||||||||||
14. | Description of real estate: | |||||||||||
15. | Name and address of a RECORD OWNER of above-described real estate | |||||||||||
(if Debtor does not have a record interest): | ||||||||||||
17. Check only if applicable and check only one box. Debtor is a Trust or Trustee acting with respect to property held in trust or Decedent's Estate | ||||||||||||
18. Check only if applicable and check only one box. Debtor is a TRANSMITTING UTILITY Filed in connection with a Manufactured-Home Transaction - effective 30 years Filed in connection with a Public-Finance Transaction - effective 30 years | ||||||||||||
NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) |
(b) Amendment form. A filing office that accepts written records may not refuse to accept a written record in the following form and format except for a reason set forth in RCW 62A.9A-516 (b):
UCC FINANCING STATEMENT AMENDMENT | |||||||||||
FOLLOW INSTRUCTIONS (front and back) CAREFULLY | |||||||||||
A. | NAME & PHONE OF CONTACT AT FILER [optional] | ||||||||||
B. | SEND ACKNOWLEDGMENT TO: (Name and Address) | ||||||||||
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY | |||||||||||
1a. | INITIAL FINANCING STATEMENT FILE # | 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or recorded) in the REAL ESTATE RECORDS. | |||||||||
2. | TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to security interest(s) of the Secured Party authorizing this Termination Statement. | ||||||||||
3. | CONTINUATION: Effectiveness of the Financing Statement identified above with respect to security interest(s) of the Secured Party authorizing this Continuation Statement is continued for the additional period provided by applicable law. | ||||||||||
4. | ASSIGNMENT (full or partial): Give name of assignee in item 7a or 7b and address of assignee in item 7c; and also give name of assignor in item 9. | ||||||||||
5. | AMENDMENT (PARTY INFORMATION): This Amendment affects Debtor or Secured Party of record. Check only one of these two boxes. | ||||||||||
Also check one of the following three boxes and provide appropriate information in items 6 and/or 7. | |||||||||||
CHANGE name and/or address: Give current record name in item 6a or 6b; also give new name (if name changed) in item 7a or 7b and/or new address (if address change) in item 7c. | DELETE name: Give record name to be deleted in item 6a or 6b. | ADD name: Complete item 7a or 7b, and also item 7c; also complete items 7d-7g (if applicable). | |||||||||
6. | CURRENT RECORD INFORMATION: | ||||||||||
6a. | ORGANIZATION'S NAME | ||||||||||
OR | |||||||||||
6b. | INDIVIDUAL'S LAST NAME | FIRST NAME | MIDDLE NAME | SUFFIX | |||||||
7. | CHANGED (NEW) OR ADDED INFORMATION: | ||||||||||
7a. | ORGANIZATION'S NAME | ||||||||||
OR | |||||||||||
7b. | INDIVIDUAL'S LAST NAME | FIRST NAME | MIDDLE NAME | SUFFIX | |||||||
7c. | MAILING ADDRESS | CITY | STATE | POSTAL CODE | COUNTRY | ||||||
7d. TAX ID #: SSN OR EIN | ADD'L INFO RE ORGANIZATION DEBTOR | 7e. TYPE OF ORGANIZATION | 7f. JURISDICTION OF ORGANIZATION | 7g. ORGANIZATIONAL ID #, If any | NONE | ||||||
8. | AMENDMENT (COLLATERAL CHANGE): check only one box. | ||||||||||
Describe collateral deleted or added, or give entire restated collateral description, or describe collateral assigned. | |||||||||||
9. | NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT (name of assignor, if this is an Assignment). If this is an Amendment authorized by a Debtor which adds collateral or adds the authorizing Debtor, or if this is a Termination authorized by a Debtor, check here and enter name of DEBTOR authorizing this Amendment. | ||||||||||
9a. | ORGANIZATION'S NAME | ||||||||||
OR | |||||||||||
9b. | INDIVIDUAL'S LAST NAME | FIRST NAME | MIDDLE NAME | SUFFIX | |||||||
10. | OPTIONAL FILER REFERENCE DATA | ||||||||||
NATIONAL UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) (REV. 07/29/98) | |||||||||||
UCC FINANCING STATEMENT AMENDMENT ADDENDUM | |||||||||||
FOLLOW INSTRUCTIONS (front and back) CAREFULLY | |||||||||||
11. | INITIAL FINANCING STATEMENT FILE # (same as item 1a on Amendment form) | ||||||||||
12. | NAME OF PARTY AUTHORIZING THIS AMENDMENT (same as item 9 on Amendment form) | ||||||||||
12a. | ORGANIZATION'S NAME | ||||||||||
OR | |||||||||||
12b. | INDIVIDUAL'S LAST NAME | FIRST NAME | MIDDLE NAME | SUFFIX | |||||||
13. | Use this space for additional information | ||||||||||
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY | |||||||||||
NATIONAL UCC FINANCING STATEMENT AMENDMENT ADDENDUM (FORM UCC3Ad) (REV. 07/29/98) |
[2000 c 250 § 9A-521.]
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