UCC FINANCING STATEMENT ADDENDUM
Follow Instructions Carefully
9. NAME OF FIRST DEBTOR (1a OR 1b) ON RELATED FINANCING STATEMENT 9a. ORGANIZATION'S NAME OR 9b. INDIVIDUAL'S LAST NAME 10. MISCELLANEOUS FIRST NAME MIDDLE NAME/SUFFIX
ABOVE SPACE FOR FILING OFFICE USE ONLY 11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (11a or 11b) - do not abbreviate or combine names 11a. ORGANIZATION'S NAME OR 11b. INDIVIDUAL'S LAST NAME 11c. MAILING ADDRESS ADD'L INFO RE ORGANIZATION DEBTOR 12. OR 12b. INDIVIDUAL'S LAST NAME 12c. MAILING ADDRESS 13. 14. This FINANCING STATEMENT covers timber to be cut or collateral, or is filed as a FIRST NAME CITY MIDDLE NAME STATE POSTAL CODE SUFFIX COUNTRY
NONE
FIRST NAME CITY 11e. TYPE OF ORGANIZATION
MIDDLE NAME STATE POSTAL CODE
SUFFIX COUNTRY
11f. JURISDICTION OF ORGANIZATION
11g. ORGANIZATIONAL ID#, if any
ADDITIONAL SECURED PARTY'S or
12a. ORGANIZATION'S NAME
ASSIGNOR S/P'S NAME - insert only one name (12a or 12b)
as-extracted
16. Additional collateral description:
fixture filing.
Description of real estate:
15.
Name and address of a RECORD OWNER of above-described real estate (if Debtor does not have a record interest): 17. Check only if applicable and check only one box. Debtor is a
Trust or
Trustee acting with respect to property held in trust or Decedent's Estate
18. Check only if applicable and check only one box.
Debtor is a TRANSMITTING UTILITY Filed in connection with a Manufactured-Home Transaction - effective 30 years.
NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) - COLORADO (REV. 07/18/07)