Instructions for UCC Financing Statement Addendum (Form UCC1Ad)
Please type or laser-print this form. Be sure it is completely legible. Read and follow all Instructions; use of the correct name for the Debtor is crucial.
Fill in form very carefully; mistakes may have important legal consequences. If you have questions, consult your attorney. The filing office cannot give
legal advice.
ITEM INSTRUCTIONS
9. Name of first Debtor. Enter name of first Debtor exactly as shown in item 1 of Financing Statement (Form UCC1) to which this Addendum relates.
The name will not be indexed as a separate debtor. The Debtor name in this section is intended to cross-reference this Addendum with the related
Financing Statement (Form UCC1).
If the box in item 1 of the Financing Statement (Form UCC1) was checked because Individual Debtor name did not fit, the box in item 9 of this
Addendum should be checked.
10. Additional Debtor’s name. If this Addendum adds an additional Debtor, complete item 10 in accordance with Instruction 1 of Financing
Statement (Form UCC1). For additional Debtors, attach either an additional Addendum or Additional Party (Form UCC1AP) and follow Instruction
1 of Financing Statement (Form UCC1) for determining and formatting additional names.
11. Additional Secured Party’s name or Assignor Secured Party’s name. If this Addendum adds an additional Secured Party, complete item 11
in accordance with Instruction 3 of Financing Statement (Form UCC1). For additional Secured Parties, attach either an additional Addendum
or Additional Party (Form UCC1AP) and complete applicable items in accordance with Instruction 3 of Financing Statement (Form UCC1). In
the case of a full assignment of the Secured Party’s interest before the filing of this financing statement, if filer has provided the name and mailing
address of the Assignee in item 3 of Financing Statement (Form UCC1), filer may enter Assignor Secured Party’s name and mailing address in
item 11.
12. Additional Collateral Description. If space in item 4 of Financing Statement (Form UCC1) is insufficient or additional information must be
provided, enter additional information in item 12 or attach additional page(s) and incorporate by reference in item 12 (e.g., See Exhibit A). Do
not include social security numbers or other personally identifiable information.
13-16. Real Estate Record Information. If this Financing Statement is to be filed in the real estate records and covers timber to be cut, covers as-
extracted collateral, and/or is filed as a fixture filing, complete items 1-4 of the Financing Statement (Form UCC1), check the box in item 13, check
the appropriate box in item 14, and complete the required information in items 15 and 16. If the Debtor does not have an interest of record, enter
the name and address of the record owner in item 15. Provide a sufficient description of real estate in accordance with the applicable law of the
jurisdiction where the real estate is located in item 16. If space in items 15 or 16 is insufficient, attach additional page(s) and incorporate by
reference in items 15 or 16 (e.g., See Exhibit A), and continue the real estate record information. Do not include social security numbers or other
personally identifiable information.
17. Miscellaneous. Under certain circumstances, additional information not provided on the Financing Statement (Form UCC1) may be required.
Also, some states have non-uniform requirements. Use this space or attach additional page(s) and incorporate by reference in item 17 (e.g., See
Exhibit A) to provide such additional information or to comply with such requirements; otherwise, leave blank. Do not include social security
numbers or other personally identifiable information.
