Mississippi > Secretary Of State > Uniform Commercial Code
UCC1 Financing Statement - Mississippi
| UCC1 Financing Statement Form. This is a Mississippi form and can be used in Uniform Commercial Code Secretary Of State . |
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FINANCING STATEMENT 1UCC - iippsissMis FOLLOW INSTRUCTIONS (front and back) CAREFULLY A. NAME & PHONE OF CONTACT AT FILER [optional] B. SEND ACKNOWLEDGMENT TO: (Name and Address) THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1. DEBTORS EXACT FULL LEGAL NAME - insert only one debtor name (1a or 1b) - do not abbreviate or combine names 1a. ORGANIZATIONS NAME OR 1b. INDIVIDUALS LAST NAME FIRST NAME MIDDLE NAME SUFFIX 1c. ADDRESS GNILIAM CITY STATE POSTAL CODE # TYNOUC . D1 ADDL INFO RE1e. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION 1g. ORGANIZATIONAL ID #, if any ORGANIZATION DEBTOR NONE2. ADDITIONAL DEBTORS EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names 2a. ORGANIZATIONS NAME OR 2b. INDIVIDUALS LAST NAME FIRST NAME MIDDLE NAME SUFFIX 2c. MAILING ADDRESS CITY STATE POSTAL CODE # YTNOU C. D22d. TAX ID #: SSN OR EINADDL INFO RE2e. TYPE OF ORGANIZATION2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID #, if any ORGANIZATION DEBTOR NONE3. SECURED PARTYS NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S/P) - insert only one secured party name (3a or 3b) 3a. ORGANIZATIONS NAME OR 3b. INDIVIDUALS LAST NAME FIRST NAME MIDDLE NAME SUFFIX 3c. MAILING ADDRESS CITY STATE POSTAL CODE YTRNOUC4. This FINANCING STATEMENT covers the following collateral: 5. ALTERNATIVE DESIGNATION [if applicable]:LESSEE/LESSORCONSIGNEE/CONSIGNOR BAILEE/BAILOR SELLER/BUYER AG. LIEN NON-UCC FILING6. This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL7.Check to REQUEST SEARCH REPORT(S) on Debtor(s) ESTATE RECORDS. Attach Addendum [if applicable][ADDITIONAL FEE] [optional] All DebtorsDebtor 1 Debtor 28.OPTIONAL FILER REFERENCE DATA FILING OFFICE COPY )01/01/21UCC FINANCING STATEMENT (FORM UCC1) (REV. IPPISSISSiM <<<<<<<<<********>>>>>>>>>>>>> 2 Instructions for Mississippi UCC Financing Statement (Form MS UCC1) P lease tyor pe laser-print this form. Be sure it is completely legible. Read all instructions, especially instruction 1; the correct Debtor name is crucial. Follow the instructions completely. Fill in the form very carefully; mistakes may have important legal consequences. If you have questions, consult your attorney. The 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 the original copy only, with required fee, to the filing office. If you want an acknowledgment, complete item B. If you want to make a search request, complete item 7 (after reading instruction 7). If you need to use attachments, use 8-1/2 X 11 inch sheets and put at the top of each sheet the name of the first Debtor, formatted exactly as it appears in item 1 of this form; you are encouraged to use Addendum (Form MS UCC1Ad). Note: Because Miss iss ippi law does not require the social security number, that field has been blocked out. A. To assist filing offices that might wish to communicate with filer, filer may provide information in item A. B. Complete item B if you want an acknowledgment sent to you. 1. Debtor name: E nter only one debtor name in item 1, an applicable Commercial Code, attach Addendum (Form MS organizations name (1a) or an individuals name (1b). E nter UCC1Ad) and check appropriate box in item 18. Debtors exact full legal name. Dont abbreviate. 2. If an additional Debtor is included, complete item 2, determined 1a. Organization Debtor. Organization means an entity having a and formatted per instruction 1. To include further additional legal identity separate from its owner. A partnership is an Debtors, or one or more additional Secured Parties, attach either organization; a sole proprietorship is not an organization, even if it Addendum (Form MS UCC1Ad) or other additional pages(s), using does business under a trade name. If Debtor is a partnership, correct name format. Follow instruction 1 for determining and enter exact full legal name of partnership; you need not enter formatting additional names. names of partners as additional Debtors. If Debtor is a registered 3. Enter information for Secured Party or Total Assignee, determined organization (e.g., corporation, limited partnership, limited liability company), it is advisable to examine Debtors current filed charter and formatted per instruction 1. If there is more than one Secured documents to determine Debtors correct name, organization type, Party, see Instruction 2. If there has been a total assignment of the Secured Partys interest prior to filing this form, you may either (1) and jurisdiction of organization. enter Assignor S/Ps name and address in item 3 and file an 1b. Individual Debtor. Individual means a natural person; this Amendment (Form UCC3) [see item 5 of that form]; or (2) enter includes a sole proprietorship, whether or not operating under a Total Assignees name and address in item 3 and, if you wish, also trade name. Dont use prefixes (Mr, Mrs, Ms). Use suffix box only attaching Addendum (Form MS UCC1Ad) giving Assignor S/Ps for titles of lineage (J r, Sr, III) and not for other suffixes or titles name and address in item 12. (e.g., M.D.). Use a married womans personal name (Mary Smith, not Mrs. J ohn S mith). Enter individual Debtors family name 4. Use item 4 to indicate the collateral covered by this Financing (surname) in Last Name Box, first given name in First Name Box, Statement. If space in item 4 is insufficient, put the entire collateral description or continuation of the collateral description on either and all additional given names in Middle Name box. Addendum (From MS UCC1Ad) or other attached additional For both organization and individual Debtors: Dont use Debtors page(s). trade name, DBA, AKA, FKA, Division name, etc, in place of or 5. If filer desires (at filers option) to use titles of lessee and lessor, or combined with Debtors legal name; you may add such other names as additional Debtors if you wish (but this is neither required consignee and consignor, or seller and buyer (in the case of accounts or chattel paper), or bailee and bailor instead of Debtor nor recommended). and Secured Party, check the appropriate box in item 5. Note: 1c. An address is always required for the Debtor named in 1a or 1b. Filing of an agricultural lien on a UCC-1 in Mississippi may not secure a party in the collateral. The Mississippi UCC-1F is the 1d. Count)#( y Count #y means the county identification appropriate form for secured
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