Okla. Stat. tit. 12A, § 12A-1-9-521: Uniform form of written financing statement and

amendment.

UNIFORM FORM OF WRITTEN FINANCING STATEMENT AND AMENDMENT

(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 subsection (b) of

Section 1-9-516 of this title:

UCC FINANCING STATEMENT

FOLLOW INSTRUCTIONS

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

_____________________________________________

B. E-MAIL CONTACT AT FILER (optional)

C. SEND ACKNOWLEDGMENT TO: (Name and Address)

________________________________________

________________________________________ THE ABOVE SPACE IS FOR

________________________________________ FILING OFFICE USE ONLY

1. DEBTOR'S NAME – provide only one Debtor name (1a or 1b) – (use

exact, full name; do not omit, modify, or abbreviate any word

in the Debtor's name)

1a. ORGANIZATION'S NAME

_______________________________________________________________

OR 1b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME

_______________________________________________________________

ADDITIONAL NAME(S)/INITIAL(S) THAT ARE PART OF THE NAME OF THIS

DEBTOR SUFFIX

________________________________________ _______________

1c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

_______________________________________________________________

2. DEBTOR'S NAME – provide only one Debtor name (2a or 2b)(use

exact, full name; do not omit, modify, or abbreviate any word

in the Debtor's name)

2a. ORGANIZATION'S NAME

_______________________________________________________________

OR 2b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME

_______________________________________________________________

ADDITIONAL NAME(S)/INITIAL(S) THAT ARE PART OF THE NAME OF THIS

DEBTOR SUFFIX

________________________________________ _______________

2c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

_______________________________________________________________

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

______________________________________________________________

OR 3b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME

_______________________________________________________________

ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

________________________________________ __________________

3c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

_______________________________________________________________

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 instructions)

[ ] being administered by a Decedent's

Personal Representative.

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

[ ] Public-Finance Transaction

[ ] Manufactured-Home Transaction

[ ] A Debtor is a Transmitting Utility

6b. Check only if applicable and check only one box:

[ ] Agricultural Lien [ ] Non-UCC Filing

7. ALTERNATIVE DESIGNATION (if applicable):

[ ] Lessee/Lessor

[ ] Consignee/Consignor

[ ] Seller/Buyer

[ ] Bailee/Bailor

[ ] Licensee/Licensor

8. OPTIONAL FILER REFERENCE DATA

_______________________________________________________________

UCC FINANCING STATEMENT (Form UCCI)

UCC FINANCING STATEMENT ADDENDUM

FOLLOW INSTRUCTIONS

9. NAME OF FIRST DEBTOR (same as item 1a or 1b on Financing

Statement)

9a. ORGANIZATION'S NAME

_______________________________________________________________

OR 9b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME

_________________________ __________________________

ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

________________________________________ _______

________________________________________ THE ABOVE SPACE IS FOR

________________________________________ FILING OFFICE USE ONLY

10. ADDITIONAL DEBTOR'S NAME – provide only one Debtor name (10a or

__________

OR 9b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME

_________________________ __________________________

ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

________________________________________ _______

________________________________________ THE ABOVE SPACE IS FOR

________________________________________ FILING OFFICE USE ONLY

10. ADDITIONAL DEBTOR'S NAME – provide only one Debtor name (10a or

10b) - (use exact, full name; do not omit, modify, or

abbreviate any word in the Debtor's name)

10a. ORGANIZATION'S NAME

_______________________________________________________________

OR 10b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME

___________________________ ___________________________

ADDITIONAL NAME(S)/INITIAL(S) THAT ARE PART OF THE NAME OF THIS

DEBTOR SUFFIX

________________________________________ _______________

10c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

_______________________________________________________________

11. [ ] ADDITIONAL SECURED PARTY'S NAME or [ ] ASSIGNOR SECURED

PARTY'S NAME – provide only one name (11a or 11b)

11a. ORGANIZATION'S NAME

_______________________________________________________________

OR 11b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME

_______________________________________________________________

ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

_______________________________________________ _______

11c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

_______________________________________________________________

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 filing

15. Name and address of a RECORD OWNER of the real estate described

in item 16 (if Debtor does not have record interest):

_______________________________________________________________

16. Description of real estate:

_______________________________________________________________

17. MISCELLANEOUS:

______________________________________________________________

(b) A filing office that accepts written records for filing may

not refuse to accept a written financing statement amendment in the

following form, except for a reason set forth in subsection (b) of

Section 1-9-516 of this title:

UCC FINANCING STATEMENT AMENDMENT

FOLLOW INSTRUCTIONS

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

_______________________________________________________________

B. E-MAIL CONTACT AT FILER (optional)

_______________________________________________________________

C. SEND ACKNOWLEDGMENT TO: (Name and Address)

_______________________________________

_______________________________________ THE ABOVE SPACE IS FOR

_______________________________________ FILING OFFICE USE ONLY

1a. INITIAL FINANCING STATEMENT FILE NUMBER

_______________________________________________________________

1b. [ ] This FINANCING STATEMENT AMENDMENT is to be filed (for

record) (or recorded) in the REAL ESTATE RECORDS.

Filer: attach Amendment Addendum (Form UCC3Ad) and provide

Debtor's name in item 13.

2. [ ] TERMINATION: Effectiveness of the Financing Statement

identified above is terminated with respect to security

interest(s) of Secured Party authorizing this Termination

Statement.

3. [ ] 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 8.

4. [ ] CONTINUATION: Effectiveness of the Financing Statement

identified above with respect to security interest(s) of

Secured Party authorizing this Continuation Statement is

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 8.

4. [ ] CONTINUATION: Effectiveness of the Financing Statement

identified above with respect to security interest(s) of

Secured Party authorizing this Continuation Statement is

continued for the additional period provided by applicable law.

5. [ ] PARTY INFORMATION CHANGE:

Check one of these two boxes:

This Change affects [ ] Debtor or [ ] Secured Party of

record.

AND

Check 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

6b.

6. CURRENT RECORD INFORMATION: Complete for Party Information

Change – provide only one name (6a or 6b) (use exact, full

name; do not omit, modify, or abbreviate any word in the

Debtor's name).

6a. ORGANIZATION'S NAME

_______________________________________________________________

OR 6b. INDIVIDUAL'S SURNAME FIRST 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 word in

the Debtor's name).

7a. ORGANIZATION'S NAME

_______________________________________________________________

OR 7b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME

_______________________________________________________________

ADDITIONAL NAME(S)/INITIAL(S) THAT ARE PART OF THE NAME OF THIS

DEBTOR SUFFIX

_______________________________________________________________

7c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

_______________________________________________________________

8. [ ] COLLATERAL CHANGE:

_______________________________________________________________

Also check one of these four boxes:

[ ] ADD collateral [ ] DELETE collateral [ ] RESTATE

covered collateral [ ] ASSIGN collateral

Indicate 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 Debtor.

9a. ORGANIZATION'S NAME

_______________________________________________________________

OR 9b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME

_______________________________________________________________

ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

___________________________________ _____________

10. OPTIONAL FILE REFERENCE DATA

_______________________________________________________________

UCC FINANCING STATEMENT AMENDMENT (FORM UCC3)

UCC FINANCING STATEMENT AMENDMENT ADDENDUM

FOLLOW INSTRUCTIONS

11. 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 form).

12a. ORGANIZATION'S NAME

_______________________________________________________________

OR 12b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME

_______________________________________________________________

ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

________________________________________ _____________

________________________________________ THE ABOVE SPACE IS FOR

________________________________________ FILING OFFICE USE ONLY

13. Name of DEBTOR on related financing statement (Name of a

current Debtor of record required for indexing purposes only in

_________________________________________________

ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

________________________________________ _____________

________________________________________ THE ABOVE SPACE IS FOR

________________________________________ FILING OFFICE USE ONLY

13. 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 for item 13 – insert only

one Debtor name (13a or 13b) (use exact, full name; do not

omit, modify, or abbreviate any word in the Debtor's name).

13a. ORGANIZATION'S NAME.

_______________________________________________________________

OR 13b. INDIVIDUAL'S SURNAME FIRST 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 filing.

16. 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)

(c) A form that a filing office may not refuse to accept under

subsection (a) or (b) of this section must conform to the format

prescribed for the form by the National Conference of Commissioners

on Uniform State Laws.