County Medical Statement Of Continuation Amendment Etc {N3} | Pdf Fpdf Doc Docx | Idaho

 Idaho /  Secretary Of State /  Uniform Commercial Code /
County Medical Statement Of Continuation Amendment Etc {N3} | Pdf Fpdf Doc Docx | Idaho

County Medical Statement Of Continuation Amendment Etc {N3}

This is a Idaho form that can be used for Uniform Commercial Code within Secretary Of State.

Alternate TextLast updated: 5/30/2006

Included Formats to Download
$ 13.99

Description

STATE OF IDAHO - COUNTY MEDICAL - STATEMENT OF CONTINUATION, AMENDMENT, ETC. - FORM N3 Mail to: Secretary of State UCC Division Telephone: 208-334-3191 700 W Jefferson PO Box 83720 Fax: 208-334-2847 Boise ID 83720-0080 Instructions: 1. Please type and sign this form in black. 2. File only the original. Make copies for your file. The original will be returned as your acknowl- edgment. 3. Enter only one debtors name or assumed name per debtor block exactly as it is to be indexed. If more than four names, use an attached sheet. Enter individual debtor names: Last, First Middle Title; e.g. Smith, John Alan Jr. This block for Filing Office use only. 4. Be sure to correctly enter the UCC-1 Financing Statement number assigned by the filing officer. 5. One or more transactions may be made by a UCC-3. Check the appropriate boxes. Name or business name of each debtor against whom the lien is claimed, and the address of each. Organization or Indiv. Last Name First Name Middle Name Suffix1 Address City State Zip Organization or Indiv. Last Name First Name Middle Name Suffix2 Address City State Zip Organization or Indiv. Last Name First Name Middle Name Suffix3 Address City State Zip Organization or Indiv. Last Name First Name Middle Name Suffix4 Address City State Zip Secured Party or Asignee of Record Name and Address Organization or Indiv. Last Name First Name Middle Name Address City State Zip Acknowledgement Name and Address, if not Secured Party Organization or Indiv. Last Name First Name Middle Name Address City State Zip New Asignee Name and Address Organization or Indiv. Last Name First Name Middle Name Address City State Zip This statement refers to UCC-1 financing statement fileFiled on: (month/day/year)Amendment or release information: number: CONTINUATION. The original financing statement bearing file number shown above is still effective. TERMINATION. Secured party no longer claims a security interest under the financing statement bearing file number shown above. ASSIGNMENT. The secured partys right under the financing statement bearing file number shown above has been assigned to the assignee shown below. AMENDMENT. Financing statement bearing file number shown above is amended as set forth below. RELEASE. Secured party releases the collateral described below from the financing statement bearing the file number shown above.Signature of Secured Party or Assignee of Record: Rev. 07/2001

Our Products