UCC FINANCING STATEMENT AMENDMENT ADDENDUM
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
11. INITIAL FINANCING STATEMENT FILE # (same as item 1a on Amendment form) 12. NAME OF PARTY AUTHORIZING THIS AMENDMENT (same as item 9 on Amendment form) 12a. ORGANIZATION'S NAME
OR
12b. INDIVIDUAL'S LAST NAME FIRST NAME
MIDDLE NAME, SUFFIX
13. MISCELLANEOUS:
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THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
405
FILING OFFICE COPY -- NATIONAL UCC FINANCING STATEMENT AMENDMENT ADDENDUM (FORM UCC3Ad) (REV. 8/02)
Instructions for National UCC Financing Statement AMENDMENT Addendum (Form UCC3Ad)
11. 12. 13.
Enter information exactly as given in item 1a on Amendment form. Enter information exactly as given in item 9 on Amendment form. If space on Amendment form is insufficient or you must provide additional information, enter additional information in item 13.
Send completed form and fee to: Secretary of State Corporation Division UCC Section 255 Capitol St. NE, Suite 151 Salem, OR 97310-1327