"UCC FINANCING STATEMENT
FOLLOW INSTRUCTIONS
_______________________________________________________
_______________________________________________________
_______________________________________________________ THE ABOVE SPACE IS
_______________________________________________________ FOR FILING
_______________________________________________________ OFFICE USE ONLY
_______________________________________________________
OR
_______________________________________________________
FIRST PERSONAL NAME
_______________________________________________________
ADDITIONAL
NAME(S)/INITIAL(S) SUFFIX
_______________________________________________________
_______________________________________________________
CITY STATE POSTAL CODE COUNTRY
_______________________________________________________
OR
_______________________________________________________
FIRST PERSONAL NAME
______________________________________________________
ADDITIONAL
NAME(S)/INITIAL(S) SUFFIX
_______________________________________________________
_______________________________________________________
CITY STATE POSTAL CODE COUNTRY
_______________________________________________________
_______________________________________________________
OR
_______________________________________________________
FIRST PERSONAL NAME
______________________________________________________
ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
_______________________________________________________
_______________________________________________________
CITY STATE POSTAL CODE COUNTRY
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
Collateral is
Q held in a Trust (see UCC1Ad, item 17 and instructions)
Q being administered by a Decedent's Personal Representative
Q Public-Finance Transaction
Q Manufactured-Home Transaction
Q A Debtor is a Transmitting Utility
Q Agricultural Lien
Q Non-UCC Filing
Q Lessee/Lessor
Q Consignee/Consignor
Q Seller/Buyer
Q Bailee/Bailor
Q Licensee/Licensor
_______________________________________________________
UCC FINANCING STATEMENT (Form UCC1)(Rev. 04/20/11)
UCC FINANCING STATEMENT ADDENDUM
FOLLOW INSTRUCTIONS
_______________________________________________________
OR
_______________________________________________________
FIRST PERSONAL NAME THE ABOVE SPACE IS
___________________________________ OFFICE USE ONLY
ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
_______________________________________________________
_______________________________________________________
OR
_______________________________________________________
FIRST PERSONAL NAME
_______________________________________________________
ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
_______________________________________________________
_______________________________________________________
CITY STATE POSTAL CODE COUNTRY
_______________________________________________________
ASSIGNOR SECURED PARTY'S NAME: Provide only one ___ name (11a or 11b)
_______________________________________________________
OR
_______________________________________________________
FIRST PERSONAL NAME
_______________________________________________________
ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
_______________________________________________________
_______________________________________________________
CITY STATE POSTAL CODE COUNTRY
_______________________________________________________
_______________________________________________________
_______________________________________________________
____ covers timber to be cut
____ covers as-extracted collateral
____ is filed as a fixture filing
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad)(Rev. 04/20/11)".
"UCC FINANCING STATEMENT AMENDMENT
FOLLOW INSTRUCTIONS
_______________________________________________________
_______________________________________________________
_______________________________________________________ THE ABOVE SPACE IS
_______________________________________________________ FOR FILING
_______________________________________________________ OFFICE USE ONLY
_______________________________________________________
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
_______________________________________________________
OR
_______________________________________________________
FIRST PERSONAL NAME
_______________________________________________________
ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
_______________________________________________________
___________________________________________
OR
___________________________________________
FIRST PERSONAL NAME
___________________________________________
ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
___________________________________________
___________________________________________
CITY STATE POSTAL CODE COUNTRY
_____________________________________________________________
___ ADD collateral ___ DELETE collateral
___ RESTATE covered collateral ___ ASSIGN collateral Indicate collateral: ___________________________________________
If this is an Amendment authorized by a DEBTOR, check here ___ and provide name of authorizing Debtor
___________________________________________
OR
___________________________________________
FIRST PERSONAL NAME
___________________________________________
ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
___________________________________________
___________________________________________
UCC FINANCING STATEMENT AMENDMENT ADDENDUM
FOLLOW INSTRUCTIONS
___________________________________________
___________________________________________
OR
___________________________________________
FIRST PERSONAL NAME
___________________________________________
ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
___________________________________________THE ABOVE SPACE IS ___________________________________________FOR FILING
___________________________________________OFFICE USE ONLY
___________________________________________
OR
___________________________________________
FIRST PERSONAL NAME
___________________________________________
ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
___________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
___ covers timber to be cut, ___ covers as-extracted collateral, ___ is filed as a fixture filing
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
UCC FINANCING STATEMENT AMENDMENT ADDENDUM
(Form UCC3Ad) (Rev 04/20/11)".
NMS § 55-9-521