North Dakota > Secretary Of State > Uniform Commercial Code
Uniform Commercial Code Overflow Standard - UCC-5, CNS-5 SFN 17831 - North Dakota
| Uniform Commercial Code Overflow Standard - UCC-5, CNS-5 Form. This is a North Dakota form and can be used in Uniform Commercial Code Secretary Of State . |
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UCC-5 / CNS-5 OVERFLOW FORM NORTH DAKOTA SECRETARY OF STATE/COUNTY RECORDERS SFN 17831 (02-2012) THIS FORM INTENDED FOR USE AS AN OVERFLOW SHEET WITH EITHER UCC-1/CNS-1 OR UCC-3/CNS-3 FORMS Please Type. Please read directions on page 2 before completing. 1. First Debtor Name from UCC-1/CNS-1 or UCC-3/CNS-3 THE ABOVE SPACE IS RESERVED FOR OFFICE USE ONLY 2. Additional Debtor's Exact Full Legal Name:Provide only one debtor name (2a or 2b) - do not abbreviate or combine names 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 Additional Debtor 2d.Type of Organization Information: 3a. Organization's Name OR 3b. Individual's Last Name 2f. Organizational ID Number, if any None 3. Additional Debtor's Exact Full Legal Name: Provide only one debtor name (3a or 3b) - do not abbreviate or combine names First Name City 3e. Jurisdiction of Organization Middle Name State Postal Code Suffix Country 3c. Mailing Address Additional Debtor 3d.Type of Organization Information: 3f. Organizational ID Number, if any None 4. Additional Secured Party's or 4a. Organization's Name OR 4b. Individual's Last Name 4c. Mailing Address Assignor Secured Party's Name: Provide only one name (4a or 4b) First Name City Middle Name State Suffix Postal Code 5. Additional Secured Party's or 5a. Organization's Name OR 5b. Individual's Last Name 5c. Mailing Address Assignor Secured Party's Name: Provide only one name (5a or 5b) First Name City Middle Name State Suffix Postal Code 6. Additional Collateral Description Additional Farm Products Central Notice (CNS) 7. Debtor Name Debtor SSN/TIN Debtor Name Debtor SSN/TIN 8. List farm products covered by this statement. Filing is presented to the filing officer pursuant to NDCC 41-09-40. (Only one County and Product code per line.) County Code Product Code Description Crop Year Quantity County Code Product Code Description Crop Year Quantity 1 2 3 4 5 6 9. Additional Signature of Debtor(s) and Secured Party (only required if section 7 and 8 is completed) Debtor Signature(s) __________________________________________________ By _____________________________________________ Name and Title ________________________________________________________ By ________________________________________________ Name and Title Secured Party Signature ________________________________________________________________ By _______________________________________ Name and Title Secured Party Signature ________________________________________________________________ By ______________________________________ Name and Title American LegalNet, Inc. www.FormsWorkFlow.com SFN 17831 (02-2012) UCC-5/CNS-5 OVERFLOW FORM INSTRUCTIONS Use this form as an overflow attachment with either the UCC-1/CNS-1 or UCC-3/CNS-3 forms FEES: All fees must be paid prior to filing with the Secretary of State. $ 1 ... UCC-5/CNS-5 per additional attached form (8 ½ x 11) FILING OFFICE: Submit this document to the appropriate filing office as instructed on the attached UCC-1/CNS-1 or UCC-3/CNS-3. 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-3 Amendment. ADDENDUMS: If the space provided on the form is inadequate, attach an additional page or another UCC-5/CNS-5 OVERFLOW Form. ACKNOWLEDGMENT COPY: An acknowledgment will be sent to the filer at the address provided in section 1b on the UCC-1/CNS-1 or UCC-3/CNS-3. The following instructions relate to the numbered sections of this form. 1. FIRST DEBTOR NAME: Provide the first debtor name from the UCC-1/CNS-1 or UCC-3/CNS-3 attached to this form. This information serves as reference to the initial UCC-1/CNS-1 or UCC-3/CNS-3 page of this filing. 2. ADDITIONAL DEBTOR NAME: Provide only one debtor name in number 2; an organization's name (2a) or an individual's name (2b). Enter debtor's exact, full legal name. Do not abbreviate. Provide complete mailing address of the debtor (2c). If the debtor is an organization, provide the additional debtor information: type of organization (2d), jurisdiction of organization (2e), and organizational ID number (if any) or check "none" (2f). 3. See number 2 to add an additional debtor. 4. ADDITIONAL SECURED PARTY NAME OR ASSIGNOR: Check the appropriate box to designate the entry as an additional secured party or as an assignor. If neither box is checked, entry will be listed as a secured party. Provide only one secured party or assignor name in number 4: an organization's name (4a), or an individual's name (4b) and a complete mailing address for the secured party (4c). 5. See number 4 to add an additional secured party or assignor. 6. ADDITONAL COLLATERAL DESCRIPTION: Use this space to continue the description of collateral, legal description or other information. 7. ADDITIONAL FARM PRODUCT CENTRAL NOTICE (CNS): Provide the debtor names in numbers 2 and 3 and their Social Security Numbers (SSN) or Tax Identification Number(TIN). PRIVACY: For CNS filings, SSN/TIN is required by North Dakota law and the Federal Food Security Act of 1985. The number is used to search CNS filings but is not returned in the search results and is redacted from all copies of the record. 8. Use this space to continue the CNS collateral from the attached UCC-1/CNS-1 or UCC-3/CNS-3 form. Separately list each farm product covered by this statement. Using the table below, provide each product code and the county code where produced for each product added or deleted as indicated in the collateral section of the attached form. A more specific description of the farm product may be provided including the crop year and/or quantity. If the "Crop Year" and/or "Quantity" are not completed, the statement must apply to "ALL". 9. SIGNATURE OF DEBTOR(S) AND SECURED PARTY: Use this space for additional signatures if the space was not adequate on the attached UCC-1/CNS-1 or UCC-3/CNS-3 form. All debtors and secured parties must sign the CNS portion for filing in the Central Notice Index. No signatures are required for documents filed only in the UCC index. PRODUCT CODES 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Wheat/Durum Rye Barley Corn Oats Sorghum Buckwheat Triticale Flax Soybeans Sunflowers Safflowers Mustard Millet Rape Seed Potatoes Beans Peas Sugar Beets Hay/Alfalfa Grasses Clover Wool Eggs Milk Cheese
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