Fillable UCC FINANCING STATEMENT ADDITIONAL PARTY (New York State)

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UCC FINANCING STATEMENT ADDITIONAL PARTY (New York State)

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FILING OFFICE COPYUCC FINANCING STATEMENT ADDITIONAL PARTY (FORM UCC1AP) (REV. 05/22/02)
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
FIRST NAME
CITY STATE
21e. TYPE OF ORGANIZATION
COUNTRY
21. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (21a or 21b) - do not abbreviate or combine names
21c. MAILING ADDRESS
OR
21a. ORGANIZATION'S NAME
21b. INDIVIDUAL'S LAST NAME
21d. SEE INSTRUCTIONS
21f. JURISDICTION OF ORGANIZATION
MIDDLE NAME
POSTAL CODE
SUFFIX
ADD'L INFO RE
ORGANIZATION
DEBTOR
NONE
21g. ORGANIZATIONAL ID #, if any
OR
UCC FINANCING STATEMENT ADDITIONAL PARTY
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
19. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT
19a. ORGANIZATION'S NAME
19b. INDIVIDUAL'S LAST NAME
20. MISCELLANEOUS:
MIDDLE NAME,SUFFIX
FIRST NAME
FIRST NAME
CITY STATE
22e. TYPE OF ORGANIZATION
COUNTRY
22. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (22a or 22b) - do not abbreviate or combine names
22c. MAILING ADDRESS
OR
22a. ORGANIZATION'S NAME
22b. INDIVIDUAL'S LAST NAME
22d. SEE INSTRUCTIONS 22f. JURISDICTION OF ORGANIZATION
MIDDLE NAME
POSTAL CODE
SUFFIX
ADD'L INFO RE
ORGANIZATION
DEBTOR
NONE
22g. ORGANIZATIONAL ID #, if any
FIRST NAME
CITY
STATE
23e. TYPE OF ORGANIZATION
COUNTRY
23. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (23a or 23b) - do not abbreviate or combine names
23c. MAILING ADDRESS
OR
23a. ORGANIZATION'S NAME
23b. INDIVIDUAL'S LAST NAME
23d. SEE INSTRUCTIONS 23f. JURISDICTION OF ORGANIZATION
MIDDLE NAME
POSTAL CODE
SUFFIX
ADD'L INFO RE
ORGANIZATION
DEBTOR
NONE
23g. ORGANIZATIONAL ID #, if any
24. ADDITIONAL SECURED PARTYS NAME (or Name of TOTAL ASSIGNEE) - insert only one name (24a or 24b)
OR
24c. MAILING ADDRESS CITY STATE
SUFFIX
MIDDLE NAME
FIRST NAME
24b. INDIVIDUAL'S LAST NAME
24a. ORGANIZATION'S NAME
POSTAL CODE COUNTRY
OR
25c. MAILING ADDRESS CITY STATE
SUFFIX
MIDDLE NAME
FIRST NAME
25b. INDIVIDUAL'S LAST NAME
25a. ORGANIZATION'S NAME
POSTAL CODE
COUNTRY
25. ADDITIONAL SECURED PARTYS NAME (or Name of TOTAL ASSIGNEE) - insert only one name (25a or 25b)
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Not Applicable
Not Applicable
Not Applicable
Instructions for UCC Financing Statement Additional Party (Form UCC1AP)
Use this form to continue adding additional Debtor or Secured Party names as needed when filing a UCC Financing Statement (Form UCC1).
19. Insert name of first Debtor shown on Financing Statement to which this Additional Party relates, exactly as shown in item 1 of Financing
Statement.
20. Miscellaneous: Under certain circumstances, additional information not provided on Financing Statement may be required. Also, some states have
non-uniform requirements. Use this space to provide such additional information or to comply with such requirements; otherwise, leave blank.
21-23. If this Additional Party adds additional Debtors, complete items 21, 22, and 23 in accordance with Instruction 1 of Financing Statement and give
complete information for each additional Debtor. Be sure to complete either the organizations name or individuals name items.
24-25. If this Additional Party adds additional Secured Parties, complete items 24 and 25 in accordance with Instruction 3 of Financing Statement and
give complete information for each additional Secured Party.
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UCC FINANCING STATEMENT ADDITIONAL PARTY (New York State)

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Completed 13 April 2022

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