SOUTH DAKOTA UCC/EFS-3 FINANCING STATEMENT
APPROVED STANDARD FORM
(to be used for documents filed as "both" prior to Nov 2015)
Secretary of State
500 E. Capitol Pierre, SD 57501-5070 605-773-4422
Office use only:
NOTE: Type smaller than 8 point is not acceptable. This is an example of 8 point type.
1. THIS STATEMENT REFERS TO ORIGINAL EFFECTIVE FINANCING STATEMENT NUMBER:
2. TERMINATION: The secured party no longer claims a security interest under the financing statement bearing the above file number. Must be signed by secured party
for effective financing statements.
3. ASSIGNMENT: The secured party’s rights to the property described below under the statement bearing the above file number have been assigned to the assignee
whose name and address are listed above. Must be signed by secured party and debtor for Effective Financing Statement.
4. CONTINUATION: The financing statement bearing the above file number is still effective. Cannot be filed more than six months prior to the expiration date. Must be
signed by secured party for effective financing statements.
5. PARTY INFORMATION CHANGE: Must be signed by both debtor and secured party
6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION’S NAME
6b. INDIVIDUAL’S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
7. CHANGED OR ADDED INFORMATION: Complete for Party Information Change - provide only one name (7a or 7b)
7a. ORGANIZATION’S NAME
7b. INDIVIDUAL’S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
7c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY
7d. TAX ID # SSN OR EIN
ADD/DELELTE FARM PRODUCT YEAR QUANTITY COUNTY CODE LOCATION
8. CHANGED OR ADDED COLLATERAL INFORMATION:
RESTATE COLLATERAL:
B. Name & Phone of Contact (optional)
C. E-mail Contact (optional)
D. PAD Account Number
A.. Send Acknowledgment to (Name & Address):
AND Check one of these three boxes to:
CHANGE name and/or address: Complete 6a
or 6b; and item 7a or 7b and item 7c. 7d must
be completed if changing debtor information.
ADD name and/or address:
Complete item 7a or 7b and
item 7c. 7d must be
completed if adding a debtor.
DELETE name: Give record
name to be deleted in item 6a
or 6b
Debtor or Secured Party of record
Check one of these two boxes:
This Change affects:
ADD OR DELETE EFS PRODUCTS: enter the product information
Signature(s) of Debtor(s) Signature of Secured Party
9. SECURED PARTY INFORMATION: (REQUIRED)
9a. SECURED PARTY NAME
9b. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY
Pay proceeds to Debtor and Secured Party unless otherwise checked: Secured Party only Debtor only
CANCEL EFS: (This terminates ONLY the EFS portion and makes the filing a UCC ONLY filing)
ADD COLLATERAL:
DELETE COLLATERAL:
UCCEFS3FinancingStatement Nov 2017
