(a) A filing office that accepts written records may not refuse to accept a written initial financing statement in the following form and format except for a reason set forth in § 36-9-516(b):

UCC FINANCING STATEMENTFOLLOW INSTRUCTIONSA. NAME & PHONE OF CONTACT AT FILER (optional) B. EMAIL CONTACT AT FILER (optional) C. SEND ACKNOWLEDGMENT TO: (Name and Address) THE ABOVE SPACE IS FORFILING OFFICE USE ONLY1. DEBTOR’S NAME: Provide only one Debtor name (1a or 1b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’ s name); if any part of the Individual Debtor’s name will not fit in line 1b, leave all of item 1 blank, check here [ ] and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad)1a. ORGANIZATION’S NAME 1b. INDIVIDUAL’S SURNAMEFIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) THAT ARE PART OF THE NAME OF THISDEBTORSUFFIX 1c. MAILING ADDRESS CITYSTATEPOSTAL CODECOUNTRY 2. DEBTOR’S NAME: Provide only one Debtor name (2a or 2b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’ s name); if any part of the Individual Debtor’s name will not fit in line 2b, leave all of item 2 blank, check here [ ] and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad)2a. ORGANIZATION’S NAME OR2b. INDIVIDUAL’S SURNAMEFIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) THAT ARE PART OF THE NAME OF THISDEBTORSUFFIX 2c. MAILING ADDRESS CITYSTATEPOSTAL CODECOUNTRY 3. SECURED PARTY’S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b)3a. ORGANIZATION’S NAME OR3b. INDIVIDUAL’S SURNAMEFIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S)SUFFIX 3c. MAILING ADDRESS CITYSTATEPOSTAL CODECOUNTRY 4. COLLATERAL: This financing statement covers the following collateral: 5. Check only if applicable and check only one box:Collateral is[ ] held in a Trust (see UCC1Ad, Item 17 and Instructions)[ ] being administered by a Decedent‘s Personal Representative6a. Check only if applicable and check only one box:[ ] Public-Finance Transaction[ ] Manufactured-Home Transaction[ ] A Debtor is a Transmitting Utility6b. Check only if applicable and check only one box:[ ] Agricultural Lien[ ] Non-UCC Filing7. ALTERNATIVE DESIGNATION (if applicable):[ ] Lessee/Lessor[ ] Consignee/Consignor[ ] Seller/Buyer[ ] Bailee/Bailor[ ] Licensee/Licensor8. OPTIONAL FILER REFERENCE DATA: [UCC FINANCING STATEMENT (Form UCC1)]UCC FINANCING STATEMENT ADDENDUMFOLLOW INSTRUCTIONS9. NAME OF FIRST DEBTOR: Same as item 1a or 1b on Financing Statement; if line 1b was left blank because Individual Debtor name did not fit, check here [ ]9a. ORGANIZATION’S NAME OR9b. INDIVIDUAL’S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S)SUFFIX THE ABOVE SPACE IS FORFILING OFFICE USE ONLY10. DEBTOR’S NAME: Provide (10a or 10b) only one additional Debtor name or Debtor name that did not fit in line 1b or 2b of the Financing Statement (Form UCC1)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name) and enter the mailing address in line 10c10a. ORGANIZATION’S NAME OR10b. INDIVIDUAL’S SURNAMEFIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) THAT ARE PART OF THE NAME OF THISDEBTORSUFFIX 10c. MAILING ADDRESS CITYSTATEPOSTAL CODECOUNTRY 11. [ ] ADDITIONAL SECURED PARTY’S NAME or[ ] ASSIGNOR SECURED PARTY’S NAME: Provide only one name (11a or 11b)11a. ORGANIZATION’S NAME OR11b. INDIVIDUAL’S SURNAMEFIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S)SUFFIX 11c. MAILING ADDRESS CITYSTATEPOSTAL CODECOUNTRY 12. ADDITIONAL SPACE FOR ITEM 4 (Collateral) 13. [ ] This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL ESTATE RECORDS (if applicable)14. This FINANCING STATEMENT:[ ] covers timber to be cut [ ] covers as-extracted collateral [ ] is filed as a fixture filing15. Name and address of a RECORD OWNER of real estate described in item 16 (if Debtor does not have a record interest): 16. DESCRIPTION OF REAL ESTATE 17. MISCELLANEOUS [UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad)](b) A filing office that accepts written records may not refuse to accept a written record in the following form and format except for a reason set forth in § 36-9-516(b):UCC FINANCING STATEMENT AMENDMENTFOLLOW INSTRUCTIONSA. NAME & PHONE OF CONTACT AT FILER (optional) B. EMAIL CONTACT AT FILER (optional) C. SEND ACKNOWLEDGMENT TO: (Name and Address) THE ABOVE SPACE IS FORFILING OFFICE USE ONLY1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. [ ] This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or recorded) in the REAL ESTATE RECORDSFiler: attach Amendment Addendum (Form UCC3Ad) and provide Debtor’ s name in item 132. [ ] TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement3. [ ] ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9 For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 84. [ ] CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the additional period provided by applicable law5. [ ] PARTY INFORMATION CHANGE:Check one of these two boxes:This Change affects [ ] Debtor or [ ] Secured Party of recordANDCheck one of these three boxes to:[ ] CHANGE name and/or address: Complete item 6a or 6b; and item 7a or 7b and item 7c[ ] ADD name: Complete item 7a or 7b, and item 7c[ ] DELETE name: Give record name to be deleted in item 6a or 6b6. CURRENT RECORD INFORMATION: Complete for Party Information Change-provide only one name (6a or 6b)6a. ORGANIZATION’S NAME OR6b. INDIVIDUAL’S SURNAMEFIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S)SUFFIX 7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change-provide only one name (7a or 7b) (use exact full name; do not omit, modify, or abbreviate any part of the Debtor’s name)7a. ORGANIZATION’S NAME OR7b. INDIVIDUAL’S SURNAMEFIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) THAT ARE PART OF THE NAME OF THISDEBTORSUFFIX 7c. MAILING ADDRESS CITYSTATEPOSTAL CODECOUNTRY 8. [ ] COLLATERAL CHANGE:Also check one of these four boxes:[ ] ADD collateral[ ] DELETE collateral[ ] RESTATE covered collateral[ ] ASSIGN collateralIndicate collateral:9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)If this is an Amendment authorized by a DEBTOR, check here [ ] and provide name of authorizing Debtor9a. ORGANIZATION’S NAME OR9b. INDIVIDUAL’S SURNAMEFIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S)SUFFIX 10. OPTIONAL FILER REFERENCE DATA [UCC FINANCING STATEMENT AMENDMENT (Form UCC3)]UCC FINANCING STATEMENT AMENDMENT ADDENDUM FOLLOW INSTRUCTIONS11. INITIAL FINANCING STATEMENT FILE NUMBER: Same as item 1a on Amendment form 12. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form12a. ORGANIZATION’S NAME OR12b. INDIVIDUAL’S SURNAMEFIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S)SUFFIX THE ABOVE SPACE IS FORFILING OFFICE USE ONLY13. Name of DEBTOR on related financing statement (Name of a current Debtor of record required for indexing purposes only in some filing offices-see Instruction item 13): Provide only one Debtor name (13a or 13b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name); see Instructions if name does not fit13a. ORGANIZATION’S NAME OR13b. INDIVIDUAL’S SURNAMEFIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S)SUFFIX 14. ADDITIONAL SPACE FOR ITEM 8 (Collateral) 15. This FINANCING STATEMENT AMENDMENT: [ ] covers timber to be cut [ ] covers as-extracted collateral [ ] is filed as a fixture filing16. Name and address of a RECORD OWNER of real estate described in item 17 (if Debtor does not have a record interest): 17. DESCRIPTION OF REAL ESTATE 18. MISCELLANEOUS [UCC FINANCING STATEMENT AMENDMENT ADDENDUM (Form UCC3Ad)]UCC FINANCING STATEMENT AMENDMENTFOLLOW INSTRUCTIONSA. NAME & PHONE OF CONTACT AT FILER (optional) B. EMAIL CONTACT AT FILER (optional) C. SEND ACKNOWLEDGMENT TO: (Name and Address) THE ABOVE SPACE IS FORFILING OFFICE USE ONLY1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. [ ] This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or recorded) in the REAL ESTATE RECORDSFiler: attach Amendment Addendum (Form UCC3Ad) and provide Debtor’ s name in item 132. [ ] TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement3. [ ] ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9 For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 84. [ ] CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the additional period provided by applicable law5. [ ] PARTY INFORMATION CHANGE:Check one of these two boxes:This Change affects [ ] Debtor or [ ] Secured Party of recordANDCheck one of these three boxes to:[ ] CHANGE name and/or address: Complete item 6a or 6b; and item 7a or 7b and item 7c[ ] ADD name: Complete item 7a or 7b, and item 7c[ ] DELETE name: Give record name to be deleted in item 6a or 6b6. CURRENT RECORD INFORMATION: Complete for Party Information Change-provide only one name (6a or 6b)6a. ORGANIZATION’S NAME OR6b. INDIVIDUAL’S SURNAMEFIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S)SUFFIX 7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change-provide only one name (7a or 7b) (use exact full name; do not omit, modify, or abbreviate any part of the Debtor’s name)7a. ORGANIZATION’S NAME OR7b. INDIVIDUAL’S SURNAMEFIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) THAT ARE PART OF THE NAME OF THISDEBTORSUFFIX 7c. MAILING ADDRESS CITYSTATEPOSTAL CODECOUNTRY 8. [ ] COLLATERAL CHANGE:Also check one of these four boxes:[ ] ADD collateral[ ] DELETE collateral[ ] RESTATE covered collateral[ ] ASSIGN collateralIndicate collateral:9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)If this is an Amendment authorized by a DEBTOR, check here [ ] and provide name of authorizing Debtor9a. ORGANIZATION’S NAME OR9b. INDIVIDUAL’S SURNAMEFIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S)SUFFIX 10. OPTIONAL FILER REFERENCE DATA [UCC FINANCING STATEMENT AMENDMENT (Form UCC3)]UCC FINANCING STATEMENT AMENDMENT ADDENDUMFOLLOW INSTRUCTIONS11. INITIAL FINANCING STATEMENT FILE NUMBER: Same as item 1a on Amendment form 12. NAME OF PARTY AUTHORIZING THIS AMENDMENT:Same as item 9 on Amendment form12a. ORGANIZATION’S NAME OR12b. INDIVIDUAL’S SURNAMEFIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S)SUFFIX THE ABOVE SPACE IS FORFILING OFFICE USE ONLY13. Name of DEBTOR on related financing statement (Name of a current Debtor of record required for indexing purposes only in some filing offices-see Instruction item 13): Provide only one Debtor name (13a or 13b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name); see Instructions if name does not fit13a. ORGANIZATION’S NAME OR13b. INDIVIDUAL’S SURNAMEFIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S)SUFFIX 14. ADDITIONAL SPACE FOR ITEM 8 (Collateral) 15. This FINANCING STATEMENT AMENDMENT: [ ] covers timber to be cut [ ] covers as-extracted collateral [ ] is filed as a fixture filing16. Name and address of a RECORD OWNER of real estate described in item 17 (if Debtor does not have a record interest): 17. DESCRIPTION OF REAL ESTATE 18. MISCELLANEOUS [UCC FINANCING STATEMENT AMENDMENT ADDENDUM (Form UCC3Ad)]

Terms Used In South Carolina Code 36-9-521

  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Decedent: A deceased person.