STG UCC Financing Statement 1

UCC FINANCING STATEMENT

FOLLOW INSTRUCTIONS (front and back) CAREFULLY

SAMPLE FORM

A. NAME & PHONE OF CONTACT AT FILER (optional)

___________________________________________________________

B. SEND ACKNOWLEDGEMENT TO: (Name and Address)

1. DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (1a or 1b) - do not abbreviate or combine names

1a.. ORGANIZATION'S NAME

OR

1b. INDIVIDUAL'S LAST NAMEFIRST NAMEMIDDLE NAMESUFFIX

1c. MAILING ADDRESSCITYSTATEPOSTAL CODECOUNTRY

1d. TAX ID# SSN OR EINADD'L INFO RE ORGANIZATION DEBTOR

1e. TYPE OF ORGANIZATION

1f. JURISDICTION OF ORGANIZATION

1g. ORGANIZATIONAL ID#, if any

NONE

2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (2a or 2b) - do not abbreviate or combine names

2a. ORGANIZATION'S NAME

OR

2b. INDIVIDUAL'S LAST NAMEFIRST NAMEMIDDLE NAMESUFFIX

2c. MAILING ADDRESSCITYSTATEPOSTAL CODECOUNTRY

2d. TAX ID# SSN OR EINADD'L INFO RE ORGANIZATION DEBTOR

2e. TYPE OF ORGANIZATION

2f. JURISDICTION OF ORGANIZATION

2g. ORGANIZATIONAL ID#, if any

NONE

3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S/P) - insert only one secured party name (3a or 3b)

3a. ORGANIZATION'S NAME

OR

3b. INDIVIDUAL'S LAST NAMEFIRST NAMEMIDDLE NAMESUFFIX

3c. MAILING ADDRESSCITYSTATEPOSTAL CODECOUNTRY

4. This FINANCING STATEMENT covers the following collateral:

5. ALTERNATIVE DESIGNATION (if applicable):

  • LESSEE/LESSOR
  • CONSIGNEE/CONSIGNOR
  • BAILEE/BAILOR
  • SELLER/BUYER
  • AG. LIEN
  • NON-UCC FILING

6.  This FINANCING STATEMENT is to be filed (for record) in the REAL ESTATE RECORDS Attach Addendum (if applicable)

7. Check to REQUEST SEARCH REPORT(S) on Debtor(s) [ADDITIONAL FEE] [optional]

  • All Debtors
  • Debtor 1
  • Debtor 2

FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98)

No guidelines are available for this form at this time.