Washington Code 62A.9A-521 – Uniform form of written financing statement and amendment
Current as of: 2023 | Check for updates
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Terms Used In Washington Code 62A.9A-521
- Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
- Decedent: A deceased person.
(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
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FOLLOW INSTRUCTIONS
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A.
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NAME & PHONE OF CONTACT AT FILER (optional)
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B.
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EMAIL CONTACT AT FILER (optional)
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C.
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SEND ACKNOWLEDGMENT TO: (Name and Address)
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THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
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1.
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DEBTOR’S NAME – provide only one Debtor name (1a or 1b) (use exact, full name; do not omit, modify, or abbreviate any word in the Debtor’s name)
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1a.
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ORGANIZATION’S NAME
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OR
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1b.
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INDIVIDUAL’S SURNAME
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FIRST PERSONAL NAME
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ADDITIONAL NAME(S)/INITIAL(S) THAT ARE PART OF THE NAME OF THIS DEBTOR
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SUFFIX
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1c.
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MAILING ADDRESS
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CITY
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STATE
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POSTAL CODE
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COUNTRY
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2.
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DEBTOR’S NAME – provide only one Debtor name (2a or 2b) (use exact, full name; do not omit, modify, or abbreviate any word in the Debtor’s name)
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2a.
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ORGANIZATION’S NAME
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OR
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2b.
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INDIVIDUAL’S SURNAME
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FIRST PERSONAL NAME
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ADDITIONAL NAME(S)/INITIAL(S) THAT ARE PART OF THE NAME OF THIS DEBTOR
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SUFFIX
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2c.
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MAILING ADDRESS
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CITY
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STATE
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POSTAL CODE
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COUNTRY
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3.
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SECURED PARTY’S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY) – provide only one secured party name (3a or 3b)
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3a.
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ORGANIZATION’S NAME
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OR
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3b.
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INDIVIDUAL’S SURNAME
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FIRST PERSONAL NAME
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ADDITIONAL NAME(S)/INITIAL(S)
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SUFFIX
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3c.
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MAILING ADDRESS
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CITY
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STATE
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POSTAL CODE
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COUNTRY
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4.
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COLLATERAL: This Financing Statement covers the following collateral:
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5.
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Check only if applicable and check only one box:
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Collateral is
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? held in Trust (see Instructions)
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? being administered by a Decedent‘s Personal Representative.
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6a.
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Check only if applicable and check only one box:
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? Public-Finance Transaction
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? Manufactured-Home Transaction
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? A Debtor is a Transmitting Utility
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6b.
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Check only if applicable and check only one box:
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? Agricultural Lien
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? Non-UCC Filing
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7.
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ALTERNATIVE DESIGNATION (if applicable):
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? Lessee/Lessor
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? Cosignee/Cosignor
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? Seller/Buyer
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? Bailee/Bailor
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? Licensee/Licensor
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8.
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OPTIONAL FILER REFERENCE DATA
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[UCC FINANCING STATEMENT (FORM UCC1)] (REV. 09/30/10)
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UCC FINANCING STATEMENT ADDENDUM
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FOLLOW INSTRUCTIONS
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9.
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NAME OF FIRST DEBTOR (same as item 1a or 1b on Financing Statement)
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9a.
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ORGANIZATION’S NAME
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OR
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9b.
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INDIVIDUAL’S SURNAME
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FIRST PERSONAL NAME
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ADDITIONAL NAME(S)/INITIAL(S)
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SUFFIX
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THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
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10.
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ADDITIONAL DEBTOR’S NAME – provide only one Debtor name (10a or 10b) (use exact, full name; do not omit, modify, or abbreviate any word in the Debtor’s name)
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10a.
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ORGANIZATION’S NAME (exact, full name, without any modifications)
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OR
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10b.
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INDIVIDUAL’S SURNAME
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FIRST PERSONAL NAME
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ADDITIONAL NAME(S)/INITIAL(S) THAT ARE PART OF THE NAME OF THIS DEBTOR
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SUFFIX
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10c.
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MAILING ADDRESS
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CITY
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STATE
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POSTAL CODE
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COUNTRY
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11.
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? ADDITIONAL SECURED PARTY’S NAME or ? ASSIGNOR SECURED PARTY’S NAME – provide only one name (11a or 11b)
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11a.
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ORGANIZATION’S NAME
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OR
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11b.
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INDIVIDUAL’S SURNAME
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FIRST PERSONAL NAME
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ADDITIONAL NAME(S)/INITIAL(S)
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SUFFIX
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11c.
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MAILING ADDRESS
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CITY
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STATE
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POSTAL CODE
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COUNTRY
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12.
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ADDITIONAL SPACE FOR ITEM 4 (Collateral)
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13.
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? This FINANCING STATEMENT is to be filed (for record) (or recorded) in the REAL ESTATE RECORDS (if applicable)
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14.
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This FINANCING STATEMENT:
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? covers timber to be cut
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? covers as-extracted collateral
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? is filed as a fixture filing
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15.
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Name and address of a RECORD OWNER of real estate described in item 16 (if Debtor does not have a record interest)
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16.
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Description of real estate
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17.
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Miscellaneous
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[UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad)] (REV. 09/30/10)
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(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
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FOLLOW INSTRUCTIONS
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A.
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NAME & PHONE OF CONTACT AT FILER (optional)
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B.
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EMAIL CONTACT AT FILER (optional)
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C.
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SEND ACKNOWLEDGMENT TO: (Name and Address)
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THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
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1a.
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INITIAL FINANCING STATEMENT FILE NUMBER
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1b.
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This FINANCING STATEMENT AMENDMENT is to be filed (for record) (or recorded) in the REAL ESTATE RECORDS. Filer: attach Amendment Addendum (Form UCC3 Ad) and provide Debtor’s name in item 13.
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2.
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? TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement.
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3.
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? 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.
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4.
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? 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.
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5.
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? PARTY INFORMATION CHANGE:
Check one of these two boxes:
This Change affects ? Debtor or ? Secured Party of record
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AND
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Check one of these three boxes to:
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? CHANGE name and/or address: Complete item 6a or 6b; and item 7a or 7b and item 7c.
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? ADD name: Complete item 7a or 7b, and item 7c.
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? DELETE name: Give record name to be deleted in item 6a or 6b.
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6.
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CURRENT RECORD INFORMATION: Complete for Party Information Change – provide only one name (6a or 6b) (use exact, full name; do not omit, modify, or abbreviate any word in the Debtor’s name)
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6a.
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ORGANIZATION’S NAME
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OR
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6b.
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INDIVIDUAL’S SURNAME
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FIRST PERSONAL NAME
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ADDITIONAL NAME(S)/INITIAL(S)
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SUFFIX
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7.
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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 word in the Debtor’s name)
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7a.
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ORGANIZATION’S NAME
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OR
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7b.
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INDIVIDUAL’S SURNAME
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FIRST PERSONAL NAME
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ADDITIONAL NAME(S)/INITIAL(S) THAT ARE PART OF THE NAME OF THIS DEBTOR
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SUFFIX
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7c.
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MAILING ADDRESS
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CITY
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STATE
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POSTAL CODE
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COUNTRY
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8.
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? COLLATERAL CHANGE:
Also check one of these four boxes:
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? ADD collateral
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? DELETE collateral
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? RESTATE covered collateral
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? ASSIGN collateral
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Indicate collateral:
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9.
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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
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9a.
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ORGANIZATION’S NAME
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OR
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9b.
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INDIVIDUAL’S SURNAME
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FIRST PERSONAL NAME
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ADDITIONAL NAME(S)/INITIAL(S)
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SUFFIX
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10.
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OPTIONAL FILER REFERENCE DATA
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[UCC FINANCING STATEMENT AMENDMENT (FORM UCC3)] (REV. 09/30/10)
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UCC FINANCING STATEMENT AMENDMENT ADDENDUM
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FOLLOW INSTRUCTIONS
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11.
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INITIAL FINANCING STATEMENT FILE NUMBER (same as item 1a on Amendment form)
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12.
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NAME OF PARTY AUTHORIZING THIS AMENDMENT (same as item 9 on Amendment form)
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12a.
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ORGANIZATION’S NAME
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OR
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12b.
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INDIVIDUAL’S SURNAME
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FIRST PERSONAL NAME
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ADDITIONAL NAME(S)/INITIAL(S)
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SUFFIX
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THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
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13.
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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 for item 13 – insert only one Debtor name (13a or 13b) (use exact, full name; do not omit, modify, or abbreviate any word in the Debtor’s name)
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13a.
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ORGANIZATION’S NAME
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OR
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13b.
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INDIVIDUAL’S SURNAME
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FIRST PERSONAL NAME
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ADDITIONAL NAME(S)/INITIAL(S)
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SUFFIX
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14.
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ADDITIONAL SPACE FOR ITEM 8 (Collateral)
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This FINANCING STATEMENT AMENDMENT:
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? covers timber to be cut
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? covers as-extracted collateral
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? is filed as a fixture filing
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16.
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Name and address of a RECORD OWNER of real estate described in item 17 (if Debtor does not have a record interest)
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17.
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Description of real estate
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18.
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MISCELLANEOUS:
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UCC FINANCING STATEMENT AMENDMENT ADDENDUM (FORM UCC1) (REV. 09/30/10)
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[ 2011 c 74 § 406; 2000 c 250 § 9A-521.]
NOTES:
Application–Effective date–2011 c 74: See notes following RCW 62A.9A-102.