S.C. Code § 36-9-521
UCC FINANCING STATEMENT | |
FOLLOW INSTRUCTIONS | |
A. NAME & PHONE OF CONTACT AT FILER (optional) | |
B. EMAIL CONTACT AT FILER (optional) | |
C. SEND ACKNOWLEDGMENT TO: (Name and Address) | |
THE ABOVE SPACE IS FOR | |
FILING OFFICE USE ONLY | |
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 [ ] and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) | |
1a. ORGANIZATION'S NAME | |
1b. INDIVIDUAL'S SURNAME | FIRST PERSONAL NAME |
ADDITIONAL NAME(S)/INITIAL(S) THAT ARE PART OF THE NAME OF THIS | |
DEBTOR | 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 [ ] 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) THAT ARE PART OF THE NAME OF THIS | |
DEBTOR | 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 | |||
[ ] held in a Trust (see UCC1Ad, Item 17 and Instructions) | |||
[ ] being administered by a Decedent's Personal Representative | |||
6a. Check only if applicable and check only one box: | |||
[ ] Public-Finance Transaction | |||
[ ] Manufactured-Home Transaction | |||
[ ] A Debtor is a Transmitting Utility | |||
6b. Check only if applicable and check only one box: | |||
[ ] Agricultural Lien | |||
[ ] Non-UCC Filing | |||
7. ALTERNATIVE DESIGNATION (if applicable): | |||
[ ] Lessee/Lessor | |||
[ ] Consignee/Consignor | |||
[ ] Seller/Buyer | |||
[ ] Bailee/Bailor | |||
[ ] Licensee/Licensor | |||
8. OPTIONAL FILER REFERENCE DATA: | |||
[UCC FINANCING STATEMENT (Form UCC1)] | |||
UCC FINANCING STATEMENT ADDENDUM | |||
FOLLOW INSTRUCTIONS | |||
9. NAME OF FIRST DEBTOR: Same as item 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 | |||
ADDITIONAL NAME(S)/INITIAL(S) | SUFFIX |
THE ABOVE SPACE IS FOR | |
FILING OFFICE USE ONLY | |
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) THAT ARE PART OF THE NAME OF THIS | |
DEBTOR | 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 (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)] | |||
(b) 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 Section 36-9-516(b): | |||
UCC FINANCING STATEMENT AMENDMENT | |||
FOLLOW INSTRUCTIONS | |||
A. NAME && PHONE OF CONTACT AT FILER (optional) | |||
B. EMAIL CONTACT AT FILER (optional) | |||
C. SEND ACKNOWLEDGMENT TO: (Name and Address) | |||
THE ABOVE SPACE IS FOR | |||
FILING OFFICE USE ONLY | |||
1a. INITIAL FINANCING STATEMENT FILE NUMBER | |||
1b. [ ] This FINANCING STATEMENT AMENDMENT is to be filed (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) THAT ARE PART OF THE NAME OF THIS | |
DEBTOR | 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 (Form UCC3)] | |
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 | |
[UCC FINANCING STATEMENT AMENDMENT ADDENDUM (Form UCC3Ad)] | |
UCC FINANCING STATEMENT AMENDMENT | |
FOLLOW INSTRUCTIONS | |
A. NAME && PHONE OF CONTACT AT FILER (optional) | |
B. EMAIL CONTACT AT FILER (optional) | |
C. SEND ACKNOWLEDGMENT TO: (Name and Address) | |
THE ABOVE SPACE IS FOR | |
FILING OFFICE USE ONLY | |
1a. INITIAL FINANCING STATEMENT FILE NUMBER | |
1b. [ ] This FINANCING STATEMENT AMENDMENT is to be filed (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) THAT ARE PART OF THE NAME OF THIS | |
DEBTOR | 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 | |
[UCC FINANCING STATEMENT AMENDMENT ADDENDUM (Form UCC3Ad)] | |
S.C. Code § 36-9-521