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Transaction or a Public-Finance Transaction as defined in the applicable Commercial Code, check the appropriate box. tee acting with respect to property held in trust or is a decedents estate, check the appropriate box. If Debtor is a transmitting utility or if the Financing Statement relates to a Manufactured-Home e real estate is located. 16. 17. 18. Use this space to provide continued description of collateral, if you cannot complete description in item 4 of Financing Statement. If Debtor is a trust or a trusde collateral description in item 4 of Financing Statement. Also check box 6 on Financing Statement. Description of real estate must be sufficient under the applicable law of the jurisdiction where th item 13; provide description of real estate in item 14; and, if Debtor is not a record owner of the described real estate, also provide, in item 15, the name and address of a record owner. Also proviignor S/Ps name and address in item 12. 12. 13-15. If collateral is timber to be cut or as-extracted collateral, or if this Financing Statement is filed as a fixture filing, check appropriate box inent of the Secured Partys interest before the filing of this Financing Statement, if filer has given the name and address of the Total Assignee in item 3 of Financing Statement, filer may give the Assr an additional Addendum (Form UCC1Ad) or Additional Party (Form UCC1AP) and follow Instruction 1 of Financing Statement for determining and formatting additional names. In the case of a total assignmditional names. If this Addendum adds an additional Secured Party, complete item 12 in accordance with Instruction 3 of Financing Statement. To include further additional Secured Parties, attach eitheclude further additional Debtors, attach either an additional Addendum (Form UCC1Ad) or Additional Party (Form UCC1AP) and follow Instruction 1 of Financing Statement for determining and formatting adnal information or to comply with such requirements; otherwise, leave blank. If this Addendum adds an additional Debtor, complete item 11 in accordance with Instruction 1 of Financing Statement. To inaneous: Under certain circumstances, additional information not provided on Financing Statement may be required. Also, some states have non-uniform requirements. Use this space to provide such additioinancing Statement Addendum (Form UCC1Ad) 9. 10. 11. Insert name of first Debtor shown on Financing Statement to which this Addendum relates, exactly as shown in item 1 of Financing Statement. Miscelleffective 30 years Filed in connection with a Public-Finance Transaction effective 30 years FILING OFFICE COPY UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02) Instructions for UCC Frespect 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 nd 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 13. This FINANCING STATEMENT covers collateral, or is filed as a fixture filing. timber to be cut or as-extracted 16. Additional collateral description: 14. Description of real estate: 15. Name aSECURED PARTY'S or ASSIGNOR S/P'S NAME - insert only one name (12a or 12b) OR 12b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 12c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 1d. SEE INSTRUCTIONS ADD'L INFO RE ORGANIZATION DEBTOR 11e. TYPE OF ORGANIZATION 11f. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID #, if any NONE 12. 12a. ORGANIZATION'S NAME ADDITIONAL ORGANIZATION'S NAME Reset THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY OR 11b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 11c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 1 "Print" button. To erase/reset all fields, press the "Reset" button. Print 11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (11a or 11b) - do not abbreviate or combine names 11a.ME FIRST NAME MIDDLE NAME,SUFFIX 10. MISCELLANEOUS: This form can be filled out right on the screen. Simply go to the section/field that you want to fill out and start typing. When done, press theUCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS (front and back) CAREFULLY 9a. ORGANIZATION'S NAME 9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT OR 9b. INDIVIDUAL'S LAST NAomplete items 24 and 25 in accordance with Instruction 3 of Financing Statement and give complete information for each additional Secured Party. nd give complete information for each additional Debtor. Be sure to complete either the organizations name or individuals name items. 24-25. If this Additional Party adds additional Secured Parties, ccomply with such requirements; otherwise, leave blank. 21-23. If this Additional Party adds additional Debtors, complete items 21, 22, and 23 in accordance with Instruction 1 of Financing Statement acircumstances, additional information not provided on Financing Statement may be required. Also, some states have non-uniform requirements. Use this space to provide such additional information or to t (Form UCC1). 19. 20. Insert name of first Debtor shown on Financing Statement to which this Additional Party relates, exactly as shown in item 1 of Financing Statement. Miscellaneous: Under certain 22/02) Instructions for UCC Financing Statement Additional Party (Form UCC1AP) Use this form to continue adding additional Debtor or Secured Party names as needed when filing a UCC Financing Statemen. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 25c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY FILING OFFICE COPY UCC FINANCING STATEMENT ADDITIONAL PARTY (FORM UCC1AP) (REV. 05/E SUFFIX 24c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 25. ADDITIONAL SECURED PARTYS NAME (or Name of TOTAL ASSIGNEE) - insert only one name (25a or 25b) 25a. ORGANIZATION'S NAME OR 25b ID #, if any NONE 24. ADDITIONAL SECURED PARTYS NAME (or Name of TOTAL ASSIGNEE) - insert only one name (24a or 24b) 24a. ORGANIZATION'S NAME OR 24b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAMFIX 23c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 23d. SEE INSTRUCTIONS ADD'L INFO RE 23e. TYPE OF ORGANIZATION ORGANIZATION DEBTOR 23f. JURISDICTION OF ORGANIZATION 23g. ORGANIZATIONALDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (23a or 23b) - do not abbreviate or combine names 23a. ORGANIZATION'S NAME OR 23b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUF CITY STATE POSTAL CODE COUNTRY 22d. SEE INSTRUCTIONS ADD'L INFO RE 22e. TYPE OF ORGANIZATION ORGANIZATION DEBTOR 22f. JURISDICTION OF ORGANIZATION 22g. ORGANIZATIONAL ID #, if any NONE 23. ADLL LEGAL NAME - insert only one name (22a or 22b) - do not abbreviate or combine names 22a. ORGANIZATION'S NAME OR 22b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 22c. MAILING ADDRESS COUNTRY 21d. SEE INSTRUCTIONS ADD'L INFO RE 21e. TYPE OF ORGANIZATION ORGANIZATION DEBTOR 21f. JURISDICTION OF ORGANIZATION 21g. ORGANIZATIONAL ID #, if any NONE 22. ADDITIONAL DEBTOR'S EXACT FU names 21a. ORGANIZATION'S NAME Reset THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY OR 21b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 21c. MAILING ADDRESS CITY STATE POSTAL CODE , press the "Print" button. To erase/reset all fields, press the "Reset" button. Print 21. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (21a or 21b) - do not abbreviate or combineL'S LAST NAME FIRST NAME MIDDLE NAME,SUFFIX 20. MISCELLANEOUS: This form can be filled out right on the screen. Simply go to the section/field that you want to fill out and start typing. When doneUCC FINANCING STATEMENT ADDITIONAL PARTY FOLLOW INSTRUCTIONS (front and back) CAREFULLY 19a. ORGANIZATION'S NAME 19. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT OR 19b. INDIVIDUAendment form is insufficient or you must provide additional information, enter additional information in item 13. g Statement AMENDMENT Addendum (Form UCC3Ad) 11. 12. 13. Enter information exactly as given in item 1a on Amendment form. Enter information exactly as given in item 9 on Amendment form. If space on Amint Reset THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY FILING OFFICE COPY NATIONAL UCC FINANCING STATEMENT AMENDMENT ADDENDUM (FORM UCC3Ad) (REV. 07/29/98) Instructions for National UCC Financine section/field that you want to fill out and start typing. When done, press the "Print" button. To erase/reset all fields, press the "Reset" button. 13. Use this space for additional information PrAMENDMENT (same as item 9 on Amendment form) 12a. ORGANIZATION'S NAME OR 12b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME,SUFFIX This form can be filled out right on the screen. Simply go to thUCC 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 arties, complete items 20 and 21 in accordance with Instruction 3 of Financing Statement and give complete information for each additional Secured Party. d give complete information for each additional Debtor. Be sure to complete either the organizations name or individuals name items. 20-21. If this Amendment Additional Party adds additional Secured P such requirements; otherwise, leave blank. 17-19. If this Amendment Additional Party adds additional Debtors, complete items 17, 18, and 19 in accordance with Instruction 1 of Financing Statement anircumstances, additional information not provided on Amendment may be required. Also, some states have non-uniform requirements. Use this space to provide such additional information or to comply withn on the Amendment to which this Amendment Additional Party relates, exactly as shown in item 1a of Amendment. Enter information exactly as shown in item 9 of Amendment. Miscellaneous: Under certain chis form to continue adding additional Debtor or Secured Party names as needed when filing a UCC Financing Statement Amendment (Form UCC3). 14. 15. 16. Enter file number of Financing Statement as show COUNTRY FILING OFFICE COPY UCC FINANCING STATEMENT AMENDMENT ADDITIONAL PARTY (FORM UCC3AP) (REV. 05/22/02) Instructions for UCC Financing Statement Amendment Additional Party (Form UCC3AP) Use tr Name of TOTAL ASSIGNEE) - insert only one name (21a or 21b) 21a. ORGANIZATION'S NAME OR 21b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 21c. MAILING ADDRESS CITY STATE POSTAL CODE (20a or 20b) 20a. ORGANIZATION'S NAME OR 20b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 20c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 21. ADDITIONAL SECURED PARTYS NAME (oYPE OF ORGANIZATION ORGANIZATION DEBTOR 19f. JURISDICTION OF ORGANIZATION 19g. ORGANIZATIONAL ID #, if any NONE 20. ADDITIONAL SECURED PARTYS NAME (or Name of TOTAL ASSIGNEE) - insert only one namene names 19a. ORGANIZATION'S NAME OR 19b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 19c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 19d. SEE INSTRUCTIONS ADD'L INFO RE 19e. TIZATION DEBTOR 18f. JURISDICTION OF ORGANIZATION 18g. ORGANIZATIONAL ID #, if any NONE 19. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (19a or 19b) - do not abbreviate or combi'S NAME OR 18b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 18c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 18d. SEE INSTRUCTIONS ADD'L INFO RE 18e. TYPE OF ORGANIZATION ORGANDICTION OF ORGANIZATION 17g. ORGANIZATIONAL ID #, if any NONE 18. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (18a or 18b) - do not abbreviate or combine names 18a. ORGANIZATIONAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 17c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 17d. SEE INSTRUCTIONS ADD'L INFO RE 17e. TYPE OF ORGANIZATION ORGANIZATION DEBTOR 17f. JURISEBTOR'S EXACT FULL LEGAL NAME - insert only one name (17a or 17b) - do not abbreviate or combine names 17a. ORGANIZATION'S NAME Reset THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY OR 17b. INDIVIDUgo to the section/field that you want to fill out and start typing. When done, press the "Print" button. To erase/reset all fields, press the "Reset" button. 16. MISCELLANEOUS Print 17. ADDITIONAL DNG THIS AMENDMENT (same as item 9 on Amendment form) 15a. ORGANIZATION'S NAME OR 15b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME,SUFFIX This form can be filled out right on the screen. Simply UCC FINANCING STATEMENT AMENDMENT ADDITIONAL PARTY FOLLOW INSTRUCTIONS (front and back) CAREFULLY 14. INITIAL FINANCING STATEMENT FILE # (same as item 1a on Amendment form) 15. NAME OF PARTY AUTHORIZIrized the filing of this Correction Statement. This name must be the same as the name under which the Record is indexed. 4. nt is filed in such a filing office, provide the date [and time] on which the Initial Financing Statement identified in item 1b above was filed [or recorded]. Always enter name of the person who autho box 2b and provide the basis for that belief. 3. If this Correction Statement relates to a Record filed [or recorded] in a filing office described in Section 9-501(a)(1) and this Correction Stateme manner in which the Record should be amended to cure the inaccuracy. If this Correction Statement is filed based on the filer's belief that the Record identified in item 1 was wrongfully filed, check file number. 2. If this Correction Statement is filed based on the filer's belief that the Record identified in item 1 is inaccurate, check box 2a, provide the basis for that belief, and indicate the date and/or record number of the Record). 1b. File number: Enter file number of initial financing statement to which the Record that is the object of this Correction Statement relates. Enter only oneto which this Correction Statement relates (e.g., Financing Statement or Amendment). You may also insert additional information that you believe will assist in identifying the Record (e.g., the filingher copy of this form for use as an acknowledgment copy. General You must always complete items 1 and 4 and either 2a or 2b. You may also be required to complete item 3. 1a. Indicate type of Record B. Complete item B if you want an acknowledgment sent to you. If filing in a filing office that returns an acknowledgment copy furnished by filer, present simultaneously with this form a carbon or ot otherwise detach. Always detach Debtor and Secured Party Copies. A. To assist filing offices that might wish to communicate with filer, filer may provide information in item A. This item is optional.e Copy to filing office. If you want an acknowledgment, complete item B and, if filing in a filing office that returns an acknowledgment copy furnished by filer, you may also send Acknowledgment Copy;ey. Filing office cannot give legal advice. Do not insert anything in the open space in the upper portion of this form; it is reserved for filing office use. When properly completed, send Filing Officrect identification of the initial Record to which this Correction Statement relates is crucial. Follow Instructions completely. Fill in form very carefully. If you have questions, consult your attorn01/01) Instructions for National Correction Statement (Form UCC5) Please type or laser-print this form. Be sure it is completely legible. Read all Instructions, especially Instructions 1a and 1b; cortem 1 must be indexed under this name. 4a. ORGANIZATION'S NAME OR 4b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX FILING OFFICE COPY NATIONAL CORRECTION STATEMENT (FORM UCC5) (REV. 05/he INITIAL FINANCING STATEMENT identified in item 1b above was filed [or recorded]. 3a. DATE 3b. TIME 4. NAME OF PERSON AUTHORIZING THE FILING OF THIS CORRECTION STATEMENT The RECORD identified in iEMENT relates to a RECORD filed [or recorded] in a filing office described in Section 9-501(a)(1) and this CORRECTION STATEMENT is filed in such a filing office, provide the date [and time] on which tnaccuracy. 2b. RECORD was wrongfully filed. Provide the basis for the belief of the person identified in item 4 that the RECORD identified in item 1 was wrongfully filed. 3. If this CORRECTION STATsis for the belief of the person identified in item 4 that the RECORD identified in item 1 is inaccurate and indicate the manner in which the person believes the RECORD should be amended to cure the iLING OFFICE USE ONLY 1. Identification of the RECORD to which this CORRECTION STATEMENT relates. 1a. TYPE OF RECORD 1b. FILE # OF INITIAL FINANCING STATEMENT 2a. RECORD is inaccurate. Provide the baCORRECTION STATEMENT FOLLOW INSTRUCTIONS (front and back) CAREFULLY A. NAME & PHONE OF PERSON FILING THIS STATEMENT [optional] B. SEND ACKNOWLEDGMENT TO: (Name and Address) THE ABOVE SPACE IS FOR FI___________________ State of ___________________________ My commission expires: ___________________________ is the person described in the above document and that she/he signed the above document in my presence. ______________________________ Notary signature Notary Public, In and for the County of ____________________________ County of ___________________________ On ___________________________ , 20 __ , ___________________________ personally came before me and, being duly sworn, did state that she/he ____________________ Dated: ___________________________ , 20 __ ______________________________ Signature of Secured Party SEAL ______________________________ Name of Secured Party State of _________ollowing personal property: File # of Original Financing Statement: ___________________________ Dated ___________________________ Office where Original Financing Statement was filed _________________red Party __________________________________________________________ Address(es) of Secured Party ________________________________________________________ The Original Financing Statement covers the f________________ Name(s) of Borrower ______________________________________________________________ Address(es) of Borrower ___________________________________________________________ Name(s) of Secu______________________________________________________ ________________________________________________________________________________ ________________________________________________________________ate of filing ___________________________ Time of filing _____________________________ Number and address of filing office __________________________________________________ __________________________Release of Financing Statement is presented for filing under the Uniform Commercial Code as adopted in the following state: ___________________________ . (This Section for Use of the Filing Officer) Drt (including negligence or otherwise) arising in any way out of the use of these materials. An attorney should be consulted for all serious legal matters. RELEASE OF U.C.C. FINANCING STATEMENT This ed to, procurement of substitute goods or services; loss of use, data, or profits; or business interruption) however caused and on any theory of liability, whether in contract, strict liability, or toiliates, or ii) the providers, authors or publishers of the forms, be responsible or liable for any direct, indirect, incidental, special, exemplary, or consequential damages (including, but not limitability, suitability or completeness for any of the materials for your particular needs. The materials are used at your own risk. In no event will: i) FindLegalForms, Inc, its agents, partners, or aff use of these materials is subject to the "Disclaimers and Terms of Use" found at findlegalforms.com. These materials are provided "AS-IS." We do not give any express or implied warranties of merchantription of the financing interest being released. Disclaimer No Attorney-Client relationship is created by use of these materials. FindLegalForms, Inc. does not provide legal advice. The purchase andion and should be filed with the state filing office to clear the records once the obligation has been satisfied. To fill in this form, simply provide the names and addresses of the parties and a descInformation Release of U.C.C. Financing Statement Provided under agreement with copyright holder, © Nova Publishing Company 2004 This form is a memorandum detailing the release of a financing obligat