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UCC Financing Statement Addendum 50181 - Indiana

UCC Financing Statement Addendum Form. This is a Indiana form and can be used in Uniform Commercial Code Secretary Of State .
 Fillable pdf Last Modified 11/19/2003
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COURT COUNTY .OFSTATEMENT .ADDENDUM . . . . . . . . . . . . . . . . . . UCC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FINANCING State Form 50181 (5-01) : Approved by State Board of Accounts, 2001 Index No. Calendar No. FOLLOW INSTRUCTIONS (FRONT AND BACK) CAREFULLY. 9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT 9a. ORGANIZATION'S NAME OR : Plaintiff(s) : : : : JUDICIAL SUBPOENA 9b. INDIVIDUAL'S LAST NAME -against- FIRST NAME MIDDLE NAME, SUFFIX 10. MISCELLANEOUS Defendant(s) : ...................................................... THE PEOPLE OF THE STATE OF NEW YORK 11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - Insert only one debtor (11a or 11b) - do not abbreviate or combine names 11a. ORGANIZATION'S NAME OR MIDDLE NAME TO THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 11b. INDIVIDUAL'S LAST NAME FIRST NAME SUFFIX GREETINGS: 11c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 12. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID #, if any , the Honorable ADD'L INFO RE 11e. TYPE OF ORGANIZATION 11f. at the Court ORGANIZATION located at DEBTOR County of NONE ADDITIONAL SECURED PARTY'S or in room , on the ASSIGNOR of NAME - insert only one secured party name (12a or 12b) in the day S/P'S , 20 , at o'clock noon, and at any recessed 12a. ORGANIZATION'S NAME testify and give evidence as a witness in this action on the part of the or adjourned date, to 12b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX OR CITY STATE POSTAL CODE COUNTRY failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a 16. Additional collateral description: 13. This result of your failure to comply. to be cut FINANCING STATEMENT covers timber as-extracted collateral, or as a 14. Description of real estate: fixture filing. 12c. MAILING ADDRESS Your Court in Witness, Honorable County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address 15. Name and 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. Telephone No.: 18. Check only if applicable and check only one box. Facsimile No.: Debtor is a TRANSMITTING UTILITY E-Mail Address: Filed in connection with a Manufactured-Home Transaction - effective 30 years Filed in connection with a Public-Finance Transaction - effective 30 years Mobile Tel. No.: FILING OFFICE COPY - INDIANA UCC FINANCING STATEMENT ADDENDUM Debtor is a Trust or Trustee acting with respect to property held in trust or Decedent's Estate American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. Instructions for National UCC Financing Statement Addendum (Form UCC1Ad) 9. 10. 11. : Insert name of first Debtor shown on Financing Statement to which this Addendum is related, exactly as No. in item 1 of Financing Statement. Calendar shown Miscellaneous: 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 suchPlaintiff(s) additional information or: to comply with such requirements; otherwise, leave blank. JUDICIAL SUBPOENA If this Addendum add an additional Debtor, complete item 11 in accordance with Instruction 1 on Financing Statement. To add mor than one additional -against: Debtor, either use an additional Addendum form for each additional Debtor or replicate for each additional Debtor the formatting of Financing Statement item 1 on an 8 1/2 X 11 inch sheet (showing at the top of the sheet the name of the first Debtor shown on the Financing Statement), and in either case give complete information for each additional Debtor in accordance with Instruction 1 on Financing Statement. All additional Debtor information, : especially the name, must be presented in proper format exactly identical to the format of item 1 of Financing Statement. If this Addendum adds an additional Secured Party, complete item 12 in accordance with Instruction 3 on Financing Statement. In the case of a total : assignment of the Secured Party's interest before the filing of this Financing Statement, if filer has given the name and address of the Total Assignee in item 3 of the Financing Statement, filer may give the Assignor S/P's 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 if filed as a fixture filing, check appropriate box in 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 provide 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 the real estate is located. 16. 17. 18. Defendant(s) : THE space to OF THE STATE OF NEW YORK Use this PEOPLE provide continued description of collateral, if you cannot complete description in item 4 of Financing Statement. If Debtor is a trust or a trustee acting with respect to property held in trust or is a decedent's estate, check the appropriate box. TO If Debtor is a transmitting utility or if the Financing Statement relates to a Manufactured-Home Transaction or a Public-Finance Transaction as defined in the applicable Commercial Code, check the appropriate box. GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable C
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