UCC-1 Financing Statement - Diverse Industries Inc

Diverse Industries Inc

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Uniform Commercial Code Financing Statement form. Used to perfect a security interest in collateral.

Warning: UCC filings are legal documents with significant consequences. Consult with a qualified attorney before filing.

UCC-1 Financing Statement

Debtor Information

Name of Debtor *

Address *

City *

State *

ZIP Code *

Debtor Type

Secured Party Information

Name of Secured Party *

Address *

City *

State *

ZIP Code *

Collateral Description

Description of Collateral *

Additional Information

Filing Type

Filing Office

Remarks

Authorized Signer

Name *

Title

Signature *

Date *

Important Notes

UCC-1 forms must be filed with the appropriate state office, typically the Secretary of State.
Collateral descriptions must be specific enough to provide notice to third parties.
Filing fees vary by state and filing type.
Consult with legal counsel to ensure proper completion and filing.

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