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Financing Statement - UCC-1 - South Dakota

Financing Statement - UCC-1 Form. This is a South Dakota form and can be used in Uniform Commercial Code Secretary Of State .
 Fillable pdf Last Modified 11/18/2009
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SOUTH DAKOTA FINANCING STATEMENT ­ UCC 1 APPROVED STANDARD FORM Secretary of State 500 E. Capitol Ave., Pierre, SD 57501-5070 605-773-4422 Fee $ Account # PLEASE TYPE THE INFORMATION ON THIS FORM ACCORDING TO ALL INSTRUCTIONS PRINTED ON THE BACK OF THE UCC 1 FORM NOTE: Type smaller than 8 point is not acceptable. This is an example of 8 point type. 1. SECURED PARTY NAME AND ADDRESS insert only one secured party name (1a or 1b) or 1a. ORGANIZATION'S NAME 1b. INDIVIDUAL'S LAST NAME FIRST NAME CITY MIDDLE NAME STATE POSTAL CODE SUFFIX COUNTRY 1c. MAILING ADDRESS 2. or 2a. ORGANIZATION'S NAME ADDITIONAL SECURED PARTY or ASSIGNEE OF SECURED PARTY NAME AND ADDRESS insert only one name (2a or 2b) FIRST NAME CITY MIDDLE NAME STATE POSTAL CODE SUFFIX COUNTRY 2b. INDIVIDUAL'S LAST NAME 2c. MAILING ADDRESS 3. DEBTOR'S EXACT FULL LEGAL NAME ­ insert only one debtor (3a or 3b) ­ do not abbreviate or combine names. or 3a. ORGANIZATION'S NAME 3b. INDIVIDUAL'S LAST NAME FIRST NAME CITY ADD'S INFO RE ORGANIZATION DEBTOR MIDDLE NAME STATE POSTAL CODE 3G. ORGANIZATIONAL ID#, if any SUFFIX COUNTRY 3c. MAILING ADDRESS 3d. TAX ID # SSN OR EIN 3e. TYPE OF ORGANIZATION 3f. JURSIDICTION OF ORGANIZATION NONE 4. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME ­ insert only one debtor name (4a or 4b) ­ do not abbreviate or combine names. or 4a. ORGANIZATION'S NAME 4b. INDIVIDUAL'S LAST NAME FIRST NAME CITY ADD'S INFO RE ORGANIZATION DEBTOR MIDDLE NAME STATE POSTAL CODE 4G. ORGANIZATIONAL ID#, if any SUFFIX COUNTRY 4c. MAILING ADDRESS 4d. TAX ID # SSN OR EIN 4e. TYPE OF ORGANIZATION 4f. JURSIDICTION OF ORGANIZATION NONE 5. This Financing Statement covers the following types (or items) of property: If collateral is goods which are or are to become fixtures, the below goods are affixed or to be affixed to: Check (X) if covered: PROCEEDS of collateral are also covered. PRODUCTS of collateral are also covered. Use the following spaces only for Farm Products requiring EFFECTIVE FINANCING STATEMENT (EFS) FARM CODE (s) and PRODUCT(s) YEAR QUANTITY COUNTY CODE LOCATION IN COUNTY OR FURTHER DESCRIPTION Pay proceeds to Debtor and Secured Party unless otherwise checked: Secured Party only Debtor only Check only if applicable and check only one box. Debtor is a Transmitting Utility Filed in connection with a Manufactured Home Transaction ­ effective 30 years. Signature(s) of Debtor(s) Signature of Secured Party Check to REQUEST SEARCH REPORT(S) on Debtor(s) All Debtors Debtor 1 Debtor 2 Number of Additional Sheets, if any: UCC 1 FORM Revised 06/01/2015 American LegalNet, Inc. www.FormsWorkFlow.com
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