UCC Notice Of Refusal

UCC NOTICE OF REFUSAL FROM: TO: (NAME OF FILING PARTY) COUNTY CLERK OF SUPERIOR COURT Date and time the record would have been filed, had it been accepted: : GENERAL AM/PM (MM/DD/YYYY) The record has not been communicated by a method or medium authorized by this filing office. An amount at least equal to the filing fee was not submitted. Filing office is unable to read or decipher the information INITIAL FINANCING STATEMENT AMENDMENT OR INFORMATION STATEMENT Failure to provide the name of the debtor. Failure to indicate whether the debtor is an individual or an organization. If identified as an individual, failure to provide the last name of the debtor. Failure to provide a mailing address for the debtor. Failure to provide a name and mailing address for the secured party of record. In the case of an assignment reflected on an initial o financing statement, failure to provide a name and mailing address for the assignee. Failure to identify a file number of an initial financing statement to which it relates. Identifies an initial financing statement for which effectiveness has lapsed. Identifies more than one initial financing statement Indicates that it is presented to accomplish more than one action Continuation Failure to file within the six-month window prior to lapse. Assignment Failure to provide a name for the assignee. Failure to provide a mailing address for the assignee. Fee Paid Form of payment: Comments: Amendment of Party Information New Debtor If identified as an individual, failure to provide the surname of the debtor. Failure to provide a mailing address for the debtor. New Secured Party Failure to provide name and mailing address for the secured party of record Refusal to accept a record may be found in O.C.G.A. §11-9-516 Rev. 07/01/13 American LegalNet, Inc. www.FormsWorkFlow.com