Notification of Affidavit of Uccl Financing Statement: #Ujmid"""""4T

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notification of affidavit of uccl financing statement


(exercise of constitution for the united states of america - secured rights)

prince noble james bey


14700 harding street oak park michigan 48237
empjamesbey@gmail.com

to
BLANKS LAW
DANIEL BLANK
Bingham farms michigan 48025

notice to agent is notice to principal and notice to principal is notice to agent

greetings,

i am prince noble j ames bey, a moorish american national, in capitas nolo, in propria persona, sui juris, in
proprio solo in proprio heredes

i am an aboriginal indi genous sovereign moorish american national and i am exercising all my rights at th is
time and at all points in time.

whereas you, as the DANIEL BLANK d/b/a president of BLANK LAW PC have been found in violation
of the treaty of peace and friendship of 1786 and 1836 and the constitution for the united states of america
1789 and 1791.

you are hereby notified that an affidavit of uni versal commercial code l financi ng statement lien has been
placed on you in both your personal and professional capacity.

see attached for further details.

attached are the following affidavit of written initial universal commercial code financing statement - fixture
fil ing, land and commercial liens

affidavit of uccl financing statement [BLANK LAW PC)

link to actual document from source of link, etc. website or scrib.com

for the "supreme laws of the land" and additional supporting lawful commands and directives visit website
www.moorishan1ericanconsulate.org and down load the fo llowi ng:

affidavit of sovereign american gold standard lawful command [credit instrument number
aboriginal and indigenous peoples' documents: northwest amexem / north africa / north america / 'the moroccan empire' -
cont inental un ited states: 'temple or the moon and , un': non - domestic, non - resident., non-subject - being the rightful heirs and
inheritors of the land .
page I of 2 macn-a035 notification an d due process of affid av it of ucct financi ng statem ent mac n-
rxxxxxxxxx
C

201908020729 08 .02 .2019) -


https ://www.scribd.com/document/420652385/macn-r000000390-affidavit-of-sovereign-american-
gold-standard-lawfu1-command-credit-instrument-number-20l908020729-08-02-2019
2018-01-04 te1111ination of corporate trusteeship
https ://wwvv .scribd.com/document/4098 864 29/macn-r000000 102-affidavi t-of-termination-of-
trusteeshi p
2018-06-09 notice of existence of the moorish american consulate at northwest amexem
https://www.scribd.com/docwnent/409861218/macn-r000000118-notice-of-existence-of-the-moorish-
american-consulate
treaty of peace and friendship between morocco and the united states of america 1787 and 1836 still in
force
[I 78711836 morocco empire treaty of peace and commerce between the moorish empire and the united
states government service corporation)
https ://www.scribd.com/document/409862273/macnOOOOOO l 29-treaty-of-peace-and-friendship-1787-
and- l 836-with-certified-cover
av trust
macn-r333333333 trust declaration of the moorish divine and national movement of the world, january
21, 2018
https://www.scribd.com/document/409887283/macn-r333333333-trust-declaration-moorish-divine-
and-national-movement-of-the-world-jan-21-20l 9
macn-r999999999 declaration of trust of the moorish national republic federal government
https://www.scribd.com/document/409887923/macn-r999999999-declaration-of-trust-of-the-moorish-
nati onal-republic-federal-goverrunent
macn-r000000 199 the declaration of independence and the constitution for the united states of america
1791
https://www.scribd .com/document/4123 74087 /macn-r000000 199-the-declaration-of-independence-
and-the-constitution-for-the-united-states-of-america-1776
macn-r000000200 the original constitution for the united states of america 1789 and 1791
https ://www.scribd.com/document/4123 73 8 l 3/macn-r000000200-the-original-consti tution-for-the-
un ited-states-of-america-1789-and-1791
macn-r000000193 the zodiac constitution by cm bey
https://www.scribd.com/document/412363214/macn-rOOOOOO 193-zodiac-constitution-by-cm-bey
macn-r0000002 l l articles of confederation of 1777
https://www.scribd.com/document/413458615/macn-r000000211-aiiicles-of-confederation-of- l 777

nothing in this lawful docum ent is consent to any jurisdiction other than the jurisdiction of my ancestral
moorish estate.

upon my inherited status, i prince noble james bey, being a descendant of the ancient moabites in other
respect known as american - al moroccan - moor, standing squarely affirmed upon my oath to the ' five
points of light' - fuue, t,udf,,, peace, ~ , and ju<itia; being competent (in my own proper person) to attest
to this affidavit upon which i place my autograph; whereas, i state, proclaim, and declare the fo llowing to be
true, correct, not mi sleading, and not intended to be presented for any misre resented, ' colored' or improper
use or purpose.

i am: - - ~~ ~ ~- ~~::.::::::,~L4::::.:
r_~~:='::::::c.__~~:___:""
prince noble ja
omnia iura rcservantis
empjamesbey@gmaiI .com
tant um est umum exitum
"amen, dico vobis, qurec umquc alligavcriti s super tcrra m crunt ligntn ct ego in caclo et qu ucc umquc solvcritis super tcrrnm crunt soluta ct in caelo"
"amen, dico vobis, qua:cumque alligavcritis super tcrram cnm t ligatn cl ego in caclo et qu nccumque solvcritis super tcrram cnmt solutn et in caelo' 1
"amen. dico vobis, qua:cumquc alligavcriLis super tcrram crunl ligata ct ego in cac lo cl quaccumquc solverit is super tcrram erunt so luta et in caelo"

aboriginal and indigenous peoples' documents: northwest a mcxem / 11orth africa / north a merica / 'the moroccan empire' -
continental united states: 'temple of the n,oon and •un': non - domestic, non - rcsiden~ non-subject - being the rightful heirs and
inheritors of the land .
page 2 of 2 macn-a035 not.ification and due process of affi dav it of ucc l fi nan cing stat em ent macn-
rxxxxxx xxx
C

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fixtu re filing, land and commercial lien
na t ional safe harbor program ucc § 9-521 w hereby nationa ls w ho file w rit t en uccl claims can fil e uccs in any state.

[~ 2..:?/2-ozo
To :(BLANK LAW PC I and all derivatives thereof

DANIEL BLANK/Daniel Blank dba PRESIDENT


NICOLE BLANK BECKER/Nicole Blank Becker dba PRESIDENT , L/f. Z.5
Jof<>O 7e(r?7 rc..l(L ls/na,/,en,.., -p,n,,,r/ J'f/[ 1 ?)
And all as§igns ,agents an«'tbeirs · '
mail: documents or requests for copies can be submitted to:
cc: [mayor muriel bowser]
john a wilson building
1350 pennsylvania avenue, nw
washington, de 20004
eom@dc.gov
7019 0700 0001 1699 9779/9590 9402 5560 9249 4520 21
cc: [district of colurnbia government corporation]
recorder of deeds
1101 4 th street, sw, 5th floor
washington, de 20024
ida.williams@dc.gov

cc: [office of tax and revenue - jeffrey dewitt]


1101 4th st sw #270
washington, de 20024
ocfo@dc.gov

from : moorish american consulate


moorish national republic federal government
prince noble james bey
care of 14700 harding street
near. [oak park michigan republic zip exempt]
affidavit of written initial universal commercial code financing statement fixture filing
§ 28:9-521. universal form of written financing statement
re: this is an in itial universal commerical code fixture filing per de official codes
§ 28:9-501, § 28 :9-502, § 28 :9-516a, § 28 :9-516b, § 28 :9-520c, § 28:9-521 and all other applicable codes
concerning secured party creditors and initial filings.
§ 28:9-521 universal form of written financing statement - a filing office that accepts written records
may not refuse to accept a written initial financing statement in this form and format except for a reason
set forth in § 28 :9-516(b) entitled "what constitutes filing; effectiveness of filing". (a) except as otherwise
provided in subsection (b), commun ication ofa record to a fil ing office and tender of the filing fee or
acceptance of the record by the filing office constitutes filing.
§ 28 :9-501 filing office.

. . I mncn-rxxxxuxn_anid nl'il of uni versal com mcrical code I fi nancing slalement IBLANK LAW Pq
abongmal and indigenous peoples' documcnt.s: nonhwest amexem / nonhwcst arrica / north americu / 'the north gate' - the moroccnn empire _
conlinental united stales; 'temple ortl1c moon and sun' I 'turtle island': non - domestic, non - rcsidcnL non- subject;
- moor- / n111 11 r- - heine the riehlfi tl heirs and nrimoecniture hirthri £? ht - inherito~ nrthe land
§ 28:9-501 filing office.
except as otherwise provided in subsection (b), if the local law of the district governs perfection ofa
security interest or agricultural lien, the office in which to fi le a fi nancing statement to perfect the security
interest or agricultural lien is:
(I) the recorder of'deeds, if(b) the financing statement is filed as a fixture filing and the collateral is goods
that are or are to become fixtu res; or
(2) the mayor in all other cases, including a case in which the collateral is goods that are or are to become
fixtures and the financing statement is not fil ed as a fixture filing .
(b) the office in which to file a financing statement to perfect a security interest in collateral, including
fixtures, ofa transmitting utility is the office of the mayor. the financing statement also constitutes a
fixture filing as to the collateral indicated in the financing statement which is or is to become fixtures .
§ 28:9-515 duration and effectiveness offinancing statement; effect oflapsed financing statement. (f) if
a debtor is a transmitting utility and a filed initial financi ng statement so indicates, the financing statement
is effective until a termination statement is filed.
§ 28:9-521 : universal form of written financing statement and amendment.
ucel financing statement
following instructions

a. name & phone of contact at filer (optional)


prince noble james bey

b. email contact at filer (optional)


noblejamesbey@gmail.com

c. send acknowledgement to: (name and address)


moorish american consulate
moorish national republic federal government
sharon tracey gale bey, mohammedan vizir Oudge]
care of 444 township line road, box 712
near [havertown pennsylvania republic] zip exempt north arnerica
"the above space is for

"filing office only


1. debtor's name: provide only one debtor name (la or lb) (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 l ] and provide the individual debtor
information in item 19 of the finance statement addendum form (form uccl ad)

la. organization's name


[BLANK LAW PC]
or

lb. individual's surname first personal name

additional name(s)/initial(s) that are part of the name of this debtor suffix
DANIEL BLANK/Daniel Blank dba president

le. property address


30 150 telegraph road suite 444
city state postal code country
Bingham farms Michigan 48025

2.·rydebtor's • provide only one debtor name (1 a or 1b) (use exact , full name·, do ot om1't,
bb name:
11
mo d1 , or a rev1ate any part of the debtor's name; if any part of the individual debtor's name will
not fit
. _ 2 n~ac~-rxu.1111u_~ffid avit of univrrsal com meri c11I code I fi nnnci ng s111tcment fBLANK LAW PC1
abongmal and indigenous peoples documcnLS: nor1J111csl amcxem / nonhwcsl africa / north amcrica / 'the nonh gal•' • u ,
contmcnlal -united states; 'temple. of the moon
. and .sun· / 'turtle
. ·,slru1d' ·. non - domcs1·1c, non - res1'dcnt, non
f.;
- icsubJcct:
m?roccan empire-
moo~ I muur'li -heine rhc n ehlful heir. mul nnmneeniturc hirthrieht - inheritor-. nf 1hc land
,
C

2. debtor 's name: provide only one dcbto1· name (la or lb) (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 fi t

in line lb, leave all of item lblank, check here [ J and provide the individual debtor information in
item 10 of the finance statement addendum form form ucclad

2a. organization' s name


BLANKLAWPC
or

2b. individual's surname first personal name

additional namc(s)/initial(s) that arc part of the name of this debtor suffix
DANIEL BLANK/Daniel Blank dba PRESIDENT
NICOLE BLANK BECKER/Nicole Blank Becker dba PRESIDENT

2c. mailing address


30150 telegraph road suite b444

city state postal code country


Bingham farms Michigan 48025
42.509030 -83.281850

3. secured first party creditor (or name of assignee of assignor secured party): provide only one
secured party name (3a or 3b)
moorish national republic federal government

3a. organization's name

3b. appellation
prince noble jarnes bey
additional name(s)/initial(s) suffix

3c. mailing location


14700 harding
[city state postal code country]
near. [oak park michigan] zip exempt
without the united states of america
4. collateral: this financing statement covers the following collateral:
this financing statement covers the follo wing collateral: the collateral covered by this financing statement is
the indebtedness of the debtor to the secured (first) party creditor in the sum certain amount of:
$ ! ,000,000,000,000,000 in gold backed lawful tender due for each parcel the debtor is occupying upon the
land to which prince noble james bey and all moorish american nationals of the moorish national republic
federal government, the moorish american consulate and the moorish divine and national movement of the
world are heirs to pursuant to the treaty of peace and friendship 1786 and 1836 and the american mandate
for the land, previously held in the united nations trusteeship system (1946) in geneva switzerland, and the
constitution for the united states 1791. nunc pro tune. this true bill in commerce has been executed pursuant
to the following universal commercial codes that govern the private secured first party creditor. charges are
also calculated pursuant to the fraud and other violations committed against the moorish an1erican nationals
at north america as well as indebtedness for de bt engaged into before the said constitution and for occupying
the land of the moorish american natio nals . the said treaty is the attached library of congress certified
publication entitled the public statutes at large of the united states of america, volume 8 pages I 00 through
J 05, certified september 26, 1990, signed and sealed by library of congress photoduplication service acti ng
chief shirley m . berry on november 8, 2007. charges are addit ionally calculated pursuant to all writs and
affidavits (statements of truth in law, amity, trade & commerce) filed by the moorish an1erican nationals
where the abovementioned debtors have caused inj ury to the estate of the secured ftrst party crecLitor at any
and all times on the land pursuant to the said treaty. proof of service of each wri t and affidavit is attached.
creditors notice against the liable parties is the judgement. res judicata. stare decisis. right of the sec ured

J macn-rx xxxnxu_offidavi l of universal comme rical code I finan cing stalrmrn l !BLANK LAW PC!
aboriginal and indigenous peoples' documcn1s: northwcsl amcxem / northwcsl africa / north nmcrica / 'the north gate· - the moroccan empi re -
contincnta1 unilcd states; 'temple or the moon and sun· / 'tunic island' · non - domeslic. non - resident, non - subject:
- mnor(; / m 1111r(; - hcine the riQhtfu l hei r,; and nrim n!!cnit urc hirth ri ehl - inheri1or;; nf thc lnnd
C

-
party creditor. additionally, this claim is filed pursuant to international commercial claims, aboriginal &
imperial claims (antiquitous claims). this is a filing to encumber land, property, real estate, and all
conunercial transactions by debtor (all principals and agents) also pursuant to *ucc 9-607 collection and
enforcement by secured party*ucc 9-203 attaclunent and enforceability of security interest*ucc 9-609
secured party 's right to take possession after default. all contracts with the united states corporation company
are cancelled effective september 11 , 2018 .
new contracts with the moorish national republic federal government for the debtors are as follows:
all debtors nan1ed above have current contracts with the moorish american nationals at north america which
is the treaty of peace and friendship 1786/1836, the constitution for the united states 1791 and this uccl
financing statement whose document number is 7019 0700 0001 1699 9779
the moorish american consulate record number for this lawful document is macn-rxxxxx1466 and
downloadable from the followin g website link:

the tem1s of your contract with the moorish national republic federal government, the moorish american
consulate and the rnoorish american nationals is that the moorish american nationals are to be respected as
the secured first party creditors at all times and now the new heirs to [BLANK LAW PC) and all of its
intellectual property and holdings. contract particulars are to be discussed as soon as this notification is
confirmed received by [DANIEL BLANK/Daniel Blank dba PRESIDENT OF BLANK LAW PC)
the only flag that will fly at north america, morocco is the moorish american flag [red with five pointed green
star] and all "us banners of amity and conunerce" are outlawed and are ' commanded to be 'removed
inunediately. all indigenous people who are not of the moorish nation (melanin dominant) birthright and
bl oodline are subjects of the moorish american nationals. all immigrants who do not pledge sincere
allegiance to the moorish flag will be imested and detained and/or deported . all who pledge allegiance to the
moorish national republic federal government and the moorish american flag will be made subjects and are
mandated to protect and serve the rnoorish american nationals upon our land .
the property with all acreage is now the property of the moorish national republic federal government, the
moorish american consulate and the moorish american nationals. the property is to be turned over to prince
noble james bey with the keys and codes to all of the buildings no later than July 30,2020. the moorish
american government will begin using the property at that time. anyone who obstructs, hinders, encumbers,
speaks against, or resists the mandates of this affidavit will be seized by the grand army of the republic,
form erly known as the united states military, and detained in a jail cell indefinitely. prince noblejames bey,
the moorish national republic federal government, and the moorish American nationals are the creditors and
[BLANK LAW PC] , are the debtors to the moors. as with all property at northwest arnerica, if at any time a
moorish american national should send by mail, deliver, hand, send, or state a notification to the residence
of any foreigner, european, or inunigrant stating that you are to vacate the premises of any property at north
america, along with providing a copy of the treaty of peace and friendship 1786/1836 and a copy of the
moorish american consulate notice of existence, you are to vacate the premises at once without question or
hesitation. the moorish national republic federal government will provide remedy to you at our discussion.
we remain in honor and governing accordingly.

the property has been conveyed into the moorish national republic federal government trust under record
number macn-r999999999, along with the private trust of prince noble james bey under record number
macn-rxxxxx1466 which can be downloaded along with a copy of the declaration of trust of the moorish
national republic federal at www.moorishamericanconsulate.org/public notice.

all utilities and living services at morocco are at no charge or feudal fee to the moorish american nationals.
the moori sh national republic federal government is the only government with superior jurisdiction at north
america. only gold and silver are to be used as currency in payment of debts. fiat currency, federal reserve
debt notes are outlawed forever.
you will not charge the moori sh american nationals any currency, money, or otherwise as you are the deb tors
and the moorish ameri can nationals are the creditors.
5. check only if applicable and check only one box:
collateral is held in a trust (sec instructions)
o being administered by a decedent's personal representative.

6a. check only if applicable and check only one box:


o public-finance transaction o manufactured-home transaction
o xx a debtor is a transmitting utility
4 macn-rxunxxu affida vit ofuuivers• I commerirn l code I fin anci ng stalcmcn l I BLANK LAW PC)
aboriginaJ and indigenous pcoptcS· documents: northwest amcxcm / north wcsl ofrica / north mncrica / ' the north gntc' - the moroccn.n cmpm:- -
conlincntal united slates: ·temple or the moon untl sun' / ·1urtle island ': non - domestic, non · rcsidcn~ non - subject:
- mnof'. / mmir" - hcine lhc ri uhlfi1I heirs nnd nrin1oecni1·11rc hirthri elll - inheri tor~ nf 1hc lnnrl
6b. check only if applicable and check only one box:
o agricultural lien o non-ucc filing

7. alternative designation (if applicable):


o lessee/lessor o consignee/consignor o seller/buyer o bailer/bailor o licensee/licensor

8. optional filer reference data (maximum principal indebtedness)


the governing principle does extend to the american mandate for the land, held in geneva switzerland (1 948),
the w1ited nations american mandate for the land held in the united nations trusteeship (1948) and the
amendment xiii (20 sections) of the constitution for the united states of america, ratified: nov 18, 1865 by¾
of the several states. we, the moors at north america, claim trusteeship, heirship, executorship, administration
of, and beneficiary status of all land in the western hemisphere and all land as mandated by our ancient
aboriginal pharaonic ancestors.

notice to agent is notice to principal and notice to principal is notice to agent.

upon my inherited status, i prince noble james bey, being a descendant of the ancient moabites in other
respect known as american - al moroccan - moor, standing squarely affirmed upon my oath to the 'five
points of light' - t-. twd. fu4u. ~ , and j«4Ua; being competent (in my own proper person) to attest
to this affidavit upon which i place my signature; whereas, i state, proclaim, and declare the fo llowing to
be true, correct, not misleading, and not intended to be presented for any misrepresented, ' colored ' or
improper use or purpose.

prince noble james bey


moorish american national of northwest amexem
autograph- om nia iura rescrvantis
c/o 14700 harding
near. corporate [oak park michigan repub lic] zip exempt
northwest amexem - northwest africa - north america - the !)Orth !!.ale

5 mucn-rxx:unxn: affid a,•il of universal com mcrical code I fi n11 nci 11g s1n1c111cn1 IBLANK LAW rq
aboriginal and indigenous pcoplcS• documents: northwcsl amcxcm / northwest ofrica / north amcri cn / ·the north gate' · the moroccun empire•
conlinc111al un ilcd states: 'temple of the moon oml sun' / ·turtle island' : non - domestic, non· resident., 11011 - suhjcct;
- mnnrs / rmmrs · heine lhe rieh1flil heir. nncl nrimoecniture hirthriC! ht • inheritm.; nfthc lnncl
,ra~l
~ ~ ~~ea. at,~~ ~
""'°""'- tl,t,,,u,e "'1141uN14l •~,_e,,ie,,t o/, d,e .,,,f,i
UteuM I -,di 4llltlfk4 I 'd.e"""" tJ4fe'
u;,u,u,, dtlutu "'4MflUe4lld,
':§>a ~ te.fde o/, d,e - - " ' " " ~ ':§>a
d.e~U4tUjll!le~~ - utMo/,tMf4Mt
~ i.s.l.a.m. ~

cover letter for affidavit of uccl financing statement


(exercise of constitution for the united states of arnerica - secured rights)

prince noble jamcs bey


14 700 main street
Oak park michigan

n~tice to agent is notice to principal and notice to principal is notice to agent

for the ··supreme laws of the land" and additional supporting lawful commands and directives visit website
www.moorishamericanconsulate.org and download the fo llowing:

affidavit of sovereign american gold standard lawful command [credit instrument number
201908020729 08.02.2019)
https://www.scribd.com/document/420652385/macn-r000000390-affidavit-of-sovereign-american-
go ld-standard-lawful-command-credit-instrument-number-20l908020729-08-02-2019
2018-01-04 termination of corporate trusteeship
https ://www .scri bd.com/ document/4098 864 29/macn-r000000 102-affida vit-o f-termi nation-of-
trusteesh ip
2018-06-09 notice of existence of the moorish american consulate at northwest amexem
https://www.scribd.com/document/409861 2 l 8/rnacn-r000000118-notice-of-existence-of-the-moorish-
am erican-consulate
treaty of peace and friendship between morocco and the united states of america 1787 and 1836 still in
force
[1787/1 836 morocco empire treaty of peace and commerce between the moorish empire and the united
states government service corporation]
https://www.scribd.com/document/409862273/macnOOOOOO 129-treaty-of-peace-and-friendshi p- 1787-
and-1 836-with-certified-cover
av trust
macn-r33333 3333 trust declaration of the moorish divine and national movement of the world, january
21 , 2018
https://www.scribd.com/document/409887283/macn-r333333333-trust-declaration-moorish-divine-
and-national -movement-of-the-world-jan-2l -2019
macn-r999999999 declaration of trust of the moorish national republic federal government
https://www.scribd.com/document/409887923/macn-r999999999-declaration-of-trust-of-the-moorish-
national-rcpubl ic-fedcral-government
macn-rO00000 199 the declaration of independence and the constitution for the united states of an1erica
l79J
https://www.scribd .com/document/412374087/macn-rOOOOOO 199-the-declaration-of-independence-
and-the-constitution-for-the-uni tcd-statcs-of-america-1776
macn-r000000200 the original constitution for the united states of america 1789 and 1791
https://www.scribd.com/document/4 l 23 73813/macn-r000000200-U1e-original-constitution-for-the-
united-states-of-america- l 789-and- l 79 l

a boriginal and indigenous peoples' documenls: rt0rlh\\ cst amexem / rionh a frica ,' north a merica / 'the moroccan empi re' -
cont inental uni ted states: 'temple of the moon and ,un': non - domestic. non - resident, non-subj ect - being the rightful hei rs and
inheritors of the land.
page I of 2 cover lette r for affidavit of uccl fi nancing statemen t ma cn-r0000004 I 8
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m,1~n-r0000002 I I art.ides of conli-dcration uf 1777
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'

UCC FINANCING STATEMENT


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

B. E-MAIL CONTACT AT FILER (optional)

C. SEND ACKNOWLEDGMENT TO: (Name and Address)

I 7

L _J
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY

1. DEBTOR'S NAME : Provide only l2ll§. Deblor name (1a or 1b) (use exact, full name; do not om!~ modify, or abbreviate any part of the Debtor's name); if any part of lhe Individual Debtor's
name will not fit In line 1b, leave all of ilam 1 blank, check here D and provide the Individual Debtor lnformalion In ttem 10 of the Financing Slatament Addendum (Form UCC1Ad)
1a. ORGANIZATION'S NAME

OR ADDITIONAL NAME(S)/INITIAL(S) SUFFIX


1b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME

1c. MAILING ADDRESS CITY STATE IPOSTAL CODE COUNTRY

2. DEBTOR'S NAME: Provide only l!Il§. Deblor name (2a or 2b) (use exec!, 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 D
and provide the Individual Debtor Information In Item 10 of the Financing Statement Addendum (Form UCC1Ad)

2a. ORGANIZATION'S NAME

OR
2b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

2c. MAILING ADDRESS CITY STATE rOSTAL CODE COUNTRY

3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY)· Provide only l!.!l! Secured Party name (3a or 3b)
3a. ORGANIZATION'S NAME

OR

-
3b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(SVINITIAL(S) SUFFIX

3c. MAILING ADDRESS CITY STATE IPOSTAL CODE COUNTRY

4 . COLLATERAL. This fi nancing statement covers the follow,ng collaleral.

5. Check !1!!!x If applicable and check IIWJ! one box: Collateral Is


held In a Trust (sea UCC1Ad, Item 17 and lnslrucllons) being administered by a Dacedenrs Personal Represenlallva
6a. Check gaJy_ ii applicable and check gaJy_ one box:
6b. Check l2!!ll£ If applicable and check Q!]]x one box:
0 Public-Finance Transaction Manufactured-Homa Transaction
0 A Dablor Is a Transmitting Ulllity 0 Agricultural Lian Non-UCC Filing
7 . ALTERNATIVE DESIGNATION (II applicable): Lessee/Lessor
A nDTl(UJAI CII co DC:CC0C't..lf'IC nATA ,
Consignee/Consignor Seller/Buyer 0 Ballae/Ballor 0 Llcensell/Llcensor

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