FILING OFFICE COPY — UCC FINANCING STATEMENT AMENDMENT ADDITIONAL PARTY (Form UCC3AP) (Rev. 08/22/11)
UCC FINANCING STATEMENT AMENDMENT ADDITIONAL PARTY
FOLLOW INSTRUCTIONS
20. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
19. INITIAL FINANCING STATEMENT FILE NUMBER: Same as item 1a on Amendment form
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
OR
20a. ORGANIZATION'S NAME
20b. INDIVIDUAL'S SURNAME
ADDITIONAL NAME(S)/INITIAL(S)
FIRST PERSONAL NAME
SUFFIX
21. ADDITIONAL DEBTOR'S NAME: Provide only one Debtor name (21a or 21b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name)
26. MISCELLANEOUS:
OR
21b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
POSTAL CODE
21c. MAILING ADDRESS CITY
ADDITIONAL NAME(S)/INITIAL(S)
STATE
SUFFIX
COUNTRY
21a. ORGANIZATION'S NAME
24. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (24a or 24b)
OR
24b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
POSTAL CODE
24c. MAILING ADDRESS CITY
ADDITIONAL NAME(S)/INITIAL(S)
STATE
SUFFIX
COUNTRY
24a. ORGANIZATION'S NAME
22. ADDITIONAL DEBTOR'S NAME: Provide only one Debtor name (22a or 22b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name)
OR
22b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
POSTAL CODE
22c. MAILING ADDRESS CITY
ADDITIONAL NAME(S)/INITIAL(S)
STATE
SUFFIX
COUNTRY
22a. ORGANIZATION'S NAME
23. ADDITIONAL DEBTOR'S NAME: Provide only one Debtor name (23a or 23b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name)
OR
23b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
POSTAL CODE
23c. MAILING ADDRESS CITY
ADDITIONAL NAME(S)/INITIAL(S)
STATE
SUFFIX
COUNTRY
23a. ORGANIZATION'S NAME
25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
OR
25b. INDIVIDUAL'S SURNAME
FIRST PERSONAL NAME
POSTAL CODE
25c. MAILING ADDRESS CITY
ADDITIONAL NAME(S)/INITIAL(S)
STATE
SUFFIX
COUNTRY
25a. ORGANIZATION'S NAME
International Association of Commercial Administrators (IACA)