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Real Estate And UCC Filing UCC-3A SFN 17830 - North Dakota
| Real Estate And UCC Filing UCC-3A Form. This is a North Dakota form and can be used in Uniform Commercial Code Secretary Of State . |
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REAL ESTATE AND UCC FILING/UCC-3A NORTH DAKOTA COUNTY RECORDERS SFN 17830 (02-2012) Type or print legibly. Carefully follow instructions on page 2. 1a. Contact Name: (optional) 1b. Send Acknowledgment to: (Name and Address) Telephone Number: THE ABOVE SPACE IS RESERVED FOR FILING OFFICE USE ONLY 2. Initial Financing Statement Number on UCC-1A: ____________________________________________________ Initial Financing Statement County Recorder's Document Number ________________________ Book__________________ Page_________________. 3. Requested Change: Termination Satisfaction Continuation (NOTE: Except for termination, a separate fee required for each action checked.) Secured party no longer claims a security interest under the financing statement bearing the file number in section 2. The secured party no longer claims a security interest under the financing statement bearing the County Recorder's document number in section 2. Original financing statement bearing the file number in section 2 is continued for an additional 5 years. (Accepted only if submitted within 6 months prior to expiration date) The secured party named in section 5 assigns to the assignee whose name and address is provided in section 6, all rights under the financing statement bearing the file number listed in section 2 for the described collateral. If a partial assignment, describe the assigned collateral in section 7. If a full assignment, indicate "All Collateral" in section 7. Financing statement bearing the file number listed in section 2 is amended as described in sections 4, 5, 6 or 7. If amendment is adding land as collateral, provide a full legal description of land. Debtor or Secured Party of record. (Check only one of these two boxes.) CHANGE DELETE ADD Assignment Partial Full Amendment 4. Amendment (Party Information): This Amendment affects Also check one of the following three boxes and provide appropriate information in sections 5 and 6. 5. Current Record Information: 5a. Organization's Name OR 5b. Individual's Last Name First Name Middle Name Suffix 6. Changed or New Information: 6a. Organization's Name OR 6b. Individual's Last Name First Name City 6e. Jurisdiction of Organization Middle Name State Postal Code Suffix Country 6c. Mailing Address Add'l Debtor Information 6d. Type of Organization 6f. Organizational ID Number, If Any None 7. Amendment (Collateral Change): Check only one box. Describe collateral deleted, or added, or restated collateral description, or describe collateral assigned. (Provide legal description of property) 8. Name of secured party of record authorizing this amendment: American LegalNet, Inc. www.FormsWorkFlow.com SFN 17830 (02-2012) REAL ESTATE AND UCC FILING/UCC-3A INSTRUCTIONS FEES: $23 ... Recording Fee and UCC-3A Filing Fee $28 ... Recording Fee and Non-Standard UCC-3A Filing Fee $13 ... Satisfaction Fee $ 3 ... Per additional attached page to Amendment, Assignment or Continuation (typed or legibly printed) $ 3 ... Per additional attached typed page to Satisfaction and Termination (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 where the Initial Financing Statement number and Recorded Document number listed in section 2 were filed. 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. 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-3A: Use the UCC-3A to amend a UCC-1A which was filed with a County Recorder as a UCC-1 filing and a real estate recording. This form will serve to amend both the UCC-1 filing and the 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 phone number of the filer. (optional) b. Provide the mailing address where the filing office will send the acknowledgment copy after filing. 2. INITIAL FINANCING STATEMENT NUMBER: In order for the amendment to be properly reflected in both the UCC-1A filing and the real estate record, provide the initial financing statement number and the County Recorder's real estate document number, book, and page. 3. REQUESTED CHANGE: Mark the box or boxes indicating the type of amendment to the initial financing statement number or the real estate record provided in section 2. If more than one amendment type is requested a separate fee is required for each change. Each change will be treated like a separate filing and a separate file number will be assigned. 4. AMENDMENT (party information): Mark only one box to indicate if the change affects the debtor or secured party. Mark the appropriate box to indicate if the amendment is to Change, Delete or Add to the debtor or secured party information. 5. CURRENT RECORD INFORMATION: If the requested change is an assignment or amendment, list the current record information of the affected debtor or secured party. 6. CHANGED OR NEW INFORMATION: If the requested change is an assignment, complete the assignee name and address. If the requested change is an amendment, complete the debtor or secured party information that this amendment will affect. 7. AMENDMENT (collateral change): Mark only one box; Delete, Add, Restate or Assign to indicate the type of collateral change requested and give a complete description of the affected collateral or legal description of property. 8. Provide the name of the secured party of record authorizing this amendment. American LegalNet, Inc. www.FormsWorkFlow.com
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