2018 New Mexico Statutes
Chapter 55 - Uniform Commercial Code
Article 9 - Secured Transactions
Section 55-9-521 - Form of financing statement and amendment; records.

1.

DEBTOR'S NAME: Provide only one Debtor name (1a or 1b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name), if any part of the Individual Debtor's name will not fit in line 1b, leave all of item 1 blank, check here Q and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad)

1a.

ORGANIZATION'S NAME

_______________________________________________________

OR

1b.

INDIVIDUAL'S SURNAME

_______________________________________________________

FIRST PERSONAL NAME

_______________________________________________________

ADDITIONAL NAME(S)/INITIAL(S)

SUFFIX

_______________________________________________________

1c.

MAILING ADDRESS

_______________________________________________________

CITY STATE POSTAL CODE

COUNTRY

2.

DEBTOR'S NAME: Provide only one Debtor name (2a or 2b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name), if any part of the Individual Debtor's name will not fit in line 2b, leave all of item 2 blank, check here Q and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad)

2a.

ORGANIZATION'S NAME

______________________________________________________

OR

2b.

INDIVIDUAL'S SURNAME

______________________________________________________

FIRST PERSONAL NAME

______________________________________________________

ADDITIONAL NAME(S)/INITIAL(S)

SUFFIX

______________________________________________________

2c.

MAILING ADDRESS

______________________________________________________

CITY STATE POSTAL CODE

COUNTRY

______________________________________________________

3.

SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY) Provide only one Secured Party name (3a or 3b)

3a.

ORGANIZATION'S NAME

_______________________________________________________

OR

3b.

INDIVIDUAL'S SURNAME

_______________________________________________________

FIRST PERSONAL NAME

_______________________________________________________

ADDITIONAL NAME(S)/INITIAL(S)

SUFFIX

_______________________________________________________

3c.

MAILING ADDRESS

_______________________________________________________

CITY STATE POSTAL CODE

COUNTRY

_______________________________________________________

4.

COLLATERAL: This financing statement covers the following collateral

_______________________________________________________

_______________________________________________________

_______________________________________________________

5.

Check only if applicable and check only one box.

Collateral is

Q held in a Trust (see UCC1Ad, item 17 and instructions)

Q being administered by a Decedent's Personal Representative

6a.

Check only if applicable and check only one box.

Q Public-Finance Transaction

Q Manufactured-Home Transaction

Q A Debtor is a Transmitting Utility

6b.

Check only if applicable and check only one box.

Q Agricultural Lien

Q Non-UCC Filing

7.

ALTERNATIVE DESIGNATION (if applicable)

Q Lessee/Lessor

Q Consignee/Consignor

Q Seller/Buyer

Q Bailee/Bailor

Q Licensee/Licensor

8.

OPTIONAL FILER REFERENCE DATA:

_______________________________________________________

UCC FINANCING STATEMENT (Form UCC1)(Rev. 04/20/11)

UCC FINANCING STATEMENT ADDENDUM

FOLLOW INSTRUCTIONS

9.

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 ____

9a.

ORGANIZATION'S NAME

_______________________________________________________

OR

9b.

INDIVIDUAL'S SURNAME

_______________________________________________________

FIRST PERSONAL NAME

THE ABOVE SPACE IS FOR FILING

___________________________________

OFFICE USE ONLY

ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

_______________________________________________________

10.

DEBTOR'S NAME: Provide (10a or 10b) only one additional Debtor name or Debtor name that did not fit in line 1b or 2b of the Financing Statement (Form UCC1)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) and enter the mailing address in line 10c

10a.

ORGANIZATION'S NAME

_______________________________________________________

OR

10b.

INDIVIDUAL'S SURNAME

_______________________________________________________

FIRST PERSONAL NAME

_______________________________________________________

ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

_______________________________________________________

10c.

MAILING ADDRESS

_______________________________________________________

CITY STATE POSTAL CODE

COUNTRY

_______________________________________________________

11.

___

ADDITIONAL SECURED PARTY'S NAME or

___

ASSIGNOR SECURED PARTY'S NAME: Provide only one name (11a or 11b)

11a.

ORGANIZATION'S NAME

_______________________________________________________

OR

11b.

INDIVIDUAL'S SURNAME

_______________________________________________________

FIRST PERSONAL NAME

_______________________________________________________

ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

_______________________________________________________

11c.

MAILING ADDRESS

_______________________________________________________

CITY STATE POSTAL CODE

COUNTRY

_______________________________________________________

12.

ADDITIONAL SPACE FOR ITEM 4 (Collateral):

_______________________________________________________

_______________________________________________________

_______________________________________________________

13.

This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL ESTATE RECORDS (if applicable)

14.

This FINANCING STATEMENT:

____

covers timber to be cut

____

covers as-extracted collateral

____

is filed as a fixture filing

15.

Name and address of a RECORD OWNER of real estate described in item 16 (if Debtor does not have a record interest):

_______________________________________________________

_______________________________________________________

_______________________________________________________

16.

Description of real estate:

_______________________________________________________

_______________________________________________________

_______________________________________________________

17.

MISCELLANEOUS:

_______________________________________________________

_______________________________________________________

UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad)(Rev. 04/20/11)".

1a.

INITIAL FINANCING STATEMENT FILE NUMBER

_____________________________________________

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

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.

4.

_____ 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.

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 to:

_____ 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

6.

CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)

6a.

ORGANIZATION'S NAME

_______________________________________________________

OR

6b.

INDIVIDUAL'S SURNAME

_______________________________________________________

FIRST PERSONAL NAME

_______________________________________________________

ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

_______________________________________________________

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

___________________________________________

OR

7b.

INDIVIDUAL'S SURNAME

___________________________________________

FIRST PERSONAL NAME

_____________________________________________________________

ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

_____________________________________________________________

7c.

MAILING ADDRESS

_____________________________________________________________

CITY STATE POSTAL CODE

COUNTRY

_____________________________________________________________

8.

___

COLLATERAL CHANGE: Also check one of these four boxes:

___

ADD collateral

___

DELETE collateral

___

RESTATE covered collateral

___

ASSIGN collateral

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

9a.

ORGANIZATION'S NAME

___________________________________________

OR

9b.

INDIVIDUAL'S SURNAME

___________________________________________

FIRST PERSONAL NAME

_____________________________________________________________

ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

_____________________________________________________________

10.

OPTIONAL FILER REFERENCE DATA:

___________________________________________

UCC FINANCING STATEMENT AMENDMENT ADDENDUM FOLLOW INSTRUCTIONS

11.

INITIAL FINANCING STATEMENT FILE NUMBER: 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 SURNAME

___________________________________________

FIRST PERSONAL NAME

_____________________________________________________________

ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

___________________________________________ THE ABOVE SPACE IS ___________________________________________ FOR FILING ___________________________________________ OFFICE USE ONLY

13.

Name of DEBTOR on related financing statement (Name of a current Debtor of record required for indexing purposes only in some filing offices see Instruction item 13). Provide only one Debtor name (13a or 13b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name). See instructions if name does not fit.

13a.

ORGANIZATION'S NAME

___________________________________________

OR

13b.

INDIVIDUAL'S SURNAME

___________________________________________

FIRST PERSONAL NAME

___________________________________________

ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

_____________________________________________________________

14.

ADDITIONAL SPACE FOR ITEM 8 (Collateral):

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

15.

This FINANCING STATEMENT AMENDMENT: ___ covers timber to be cut, ___ covers as-extracted collateral, ___ is filed as a fixture filing

16.

Name and address of a RECORD OWNER of real estate described in item 17 (if Debtor does not have a record interest):

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

17.

Description of real estate:

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

18.

MISCELLANEOUS

_____________________________________________________________