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UCC 1 Bailor Bailee Sample
UCC 1 Bailor Bailee Sample
(123) 555-1212
1. DEBTORS EXACT FULL LEGAL NAME insert only one debtor name (1a or 1b) do not abbreviate or combine names
1a. ORGANIZATIONS NAME
OR
1b. INDIVIDUALS LAST NAME
FIRST NAME
MIDDLE NAME
Smith
John
Henry
CITY
STATE
P.O. Box 21
The City
ADDL INFO RE
ORGANIZATION
DEBTOR
SUFFIX
POSTAL CODE
COUNTRY
90210
CA
2. ADDITIONAL DEBTORS EXACT FULL LEGAL NAME insert only one debtor name (2a or 2b) do not abbreviate or combine names
2a. ORGANIZATIONS NAME
OR
2b. INDIVIDUALS LAST NAME
ADDL INFO RE
ORGANIZATION
DEBTOR
FIRST NAME
MIDDLE NAME
SUFFIX
CITY
STATE
COUNTRY
POSTAL CODE
NONE
3. SECURED PARTYS NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S/P) insert only one secured party name (3a or 3b)
3a. ORGANIZATIONS NAME
OR
JOHN H SMITH
3b. INDIVIDUALS LAST NAME
FIRST NAME
MIDDLE NAME
CITY
STATE
The City
SUFFIX
POSTAL CODE
CA
COUNTRY
90210
LESSEE/LESSOR
CONSIGNEE/CONSIGNOR
BAILEE/BAILOR
SELLER/BUYER
FILING OFFICE COPY NATIONAL UCC FINANCING STATEMENT (FORM UCC1) CALIFORNIA (REV. 01/01/08)
AG. LIEN
All Debtors
NON-UCC FILING
Debtor 1
Debtor 2
OR
FIRST NAME
Smith
John
Henry
10. MISCELLANEOUS:
11. ADDITIONAL DEBTORS EXACT FULL LEGAL NAME insert only one name (11a or 11b) do not abbreviate or combine names
11a. ORGANIZATIONS NAME
OR
11b. INDIVIDUALS LAST NAME
ADDL INFO RE
ORGANIZATION
DEBTOR
12.
FIRST NAME
MIDDLE NAME
SUFFIX
CITY
STATE
COUNTRY
POSTAL CODE
NONE
timber to be cut or
as-extracted
FIRST NAME
MIDDLE NAME
SUFFIX
CITY
STATE
COUNTRY
POSTAL CODE
fixture filing.
Trust or
FILING OFFICE COPY NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) CALIFORNIA (REV. 01/01/08)
Decedents Estate