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Financing Statement For Real Estate And UCC Filing UCC-1A SFN 17832 - North Dakota
| Financing Statement For Real Estate And UCC Filing UCC-1A Form. This is a North Dakota form and can be used in Uniform Commercial Code Secretary Of State . |
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FINANCING STATEMENT FOR REAL ESTATE AND UCC FILING/UCC-1A NORTH DAKOTA COUNTY RECORDERS SFN 17832 (02-2012) Type or print legibly. Carefully follow instructions on page 2 Please read instructions on back before completing. 1 a. Contact Name (optional) 1 b. Send Acknowledgment to: (Name and Address) Telephone Number THE ABOVE SPACE IS RESERVED FOR FILING OFFICE USE ONLY 2. Debtor's Name Provide only one debtor name (2a or 2b). For best search results, provide exact, full legal name. 2a. Organization's Name OR 2b. Individual's Last Name First Name City 2e. Jurisdiction of Organization Middle Name State Postal Code Suffix Country 2c. Mailing Address Additonal Debtor 2d.Type of Organization Information: 2f. Organizational ID Number, if any NONE 3. Additional Debtor's Name Provide only one debtor name (3a or 3b). For best search results, provide exact, full legal name. 3a. Organization's Name OR 3b. Individual's Last Name First Name City 3e. Jurisdiction of Organization Middle Name State Postal Code Suffix Country 3c. Mailing Address Additonal Debtor 3d.Type of Organization Information: 4a. Organization's Name OR 4b. Individual's Last Name 4c. Mailing Address 3f. Organizational ID Number, if any NONE 4. Secured Party's Name (or Name of Total Assignee of Assignor S/P) Provide only one secured party name (4a or 4b) First Name City Middle Name State Suffix Postal Code 5. This financing statement covers the following types (or items) of property: (Check applicable box) Fixtures Goods to become fixtures. Timber. Minerals or the like (including oil and gas). Accounts resulting from sale of minerals at wellhead or minehead. 6. Description of Collateral: 7. Products of collateral are also covered: Yes No 8. Legal Description of Property: (This financing statement is to be filed for record in the real estate records.) 9. Name of Record Owner: (if the debtor does not have an interest of record) American LegalNet, Inc. www.FormsWorkFlow.com SFN 17832 (02-2012) FINANCING STATEMENT FOR REAL ESTATE AND UCC FILING/UCC-1A INSTRUCTIONS FEES: $28 ... Recording Fee and UCC-1A Filing Fee/UCC Termination $33 ... Recording Fee and Non-standard UCC-1A Filing Fee/UCC Termination $13 ... Satisfaction Fee $ 3 ... Per additional attached page (typed or legibly printed) $10 ... Margin Fee (If instrument does not contain 1" top, bottom or side margin on each page) FILING OFFICE: Submit the original document to the County Recorder's office in the county where recording in the real estate records is required. The UCC filing must be filed with the same County Recorder. DO NOT FILE THIS FORM WITH THE SECRETARY OF STATE. ACCURACY: Before filing, carefully review for accuracy. The statement must be filed as presented to the filing office. Any inaccuracies can only be corrected by filing a UCC-3A Amendment. ADDENDUMS: If the space provided on the form is inadequate, attach an additional page. ACKNOWLEDGMENT COPY: An acknowledgment will be sent to the filer at the address provided in section 1b. WHEN TO USE THE UCC-1A: When the collateral is timber to be cut, or is minerals or the like (including oil and gas), or accounts subject to Subsection 5 of Section 41-09-03 of the North Dakota Century Code (NDCC), or when the financing statement is filed as a fixture filing (NDCC 41-09-34) and the collateral is goods which are or are to become fixtures, then use the UCC-1A and file in the office where a mortgage on the real estate would be filed or recorded. This form will serve for both UCC-1 filing and real estate recording. The following instructions relate to the numbered sections of this form. 1. CONTACT/ADDRESS FOR ACKNOWLEDGMENT: a. To assist the filing office that may need to contact the filer, provide the name and telephone number of the filer. (optional) b. Provide the mailing address where the filing office will send the acknowledgment copy after filing. 2. DEBTOR NAME: Provide only one debtor name in number 2, an organization's name (2a), or an individual's name (2b). For best search results, provide debtor's exact, full legal name. Provide a complete mailing address of the debtor (2c), and if the debtor is an organization, the additional debtor information including: type of organization (2d), jurisdiction of organization (2e), and organizational ID number (if any) or check "none" (2f). 3. Follow instructions in section 2 if a second debtor is added. 4. SECURED PARTY'S NAME: Provide only one secured party name in number 4: an organization's name (4a), or an individual's name (4b) and a complete mailing address (4c). 5. Check the appropriate boxes to identify the collateral. 6. Describe the collateral. 7. Check appropriate box to indicate if products of the collateral are also covered. 8. Provide legal description of the property for recording in real estate records. 9. If the debtor does not have an interest of record in the real estate, provide the name of a record owner. American LegalNet, Inc. www.FormsWorkFlow.com
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