{"data":{"id":"us-ne/neb.-u.c.c.-9-521","jurisdiction":"us-ne","citation":"Neb. U.C.C. § 9-521","heading":"Uniform form of written financing statement and amendment.","body":"(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 section 9-516(b):\nUCC FINANCING STATEMENT\nFOLLOW INSTRUCTIONS\nA. NAME \u0026 PHONE OF CONTACT AT FILER (optional)\n________________________________\nB. E-MAIL CONTACT AT FILER (optional)\n________________________________\nC. SEND ACKNOWLEDGMENT TO: (Name and Address)\n________________________________\nTHE ABOVE SPACE IS FOR\nFILING OFFICE USE ONLY\n1. 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)\n1a. ORGANIZATION'S NAME\n________________________________\nOR\n1b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME\n________________________________ ____________________________\nADDITIONAL NAME(S)/INITIAL(S) THAT ARE\nPART OF THE NAME OF THIS DEBTOR SUFFIX\n________________________________ _____________\n1c. MAILING ADDRESS\n________________________________________\nCITY STATE POSTAL CODE COUNTRY\n__________ __________ __________ __________\n2. 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)\n2a. ORGANIZATION'S NAME\n________________________________\nOR\n2b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME\n________________________________ ____________________________\nADDITIONAL NAME(S)/INITIAL(S) THAT ARE\nPART OF THE NAME OF THIS DEBTOR SUFFIX\n________________________________ _____________\n2c. MAILING ADDRESS\n________________________________________\nCITY STATE POSTAL CODE COUNTRY\n__________ __________ __________ __________\n3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY) - provide only one Secured Party name (3a or 3b)\n3a. ORGANIZATION'S NAME\n________________________________\nOR\n3b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME\n________________________________ ____________________________\nADDITIONAL NAME(S)/INITIAL(S) SUFFIX\n________________________________ _____________\n3c. MAILING ADDRESS\n________________________________________\nCITY STATE POSTAL CODE COUNTRY\n__________ __________ __________ __________\n4. COLLATERAL: This financing statement covers the following collateral:\n________________________________\n5. Check only if applicable and check only one box:\nCollateral is ____ held in a Trust (see Instructions)\n____ being administered by a Decedent's Personal\nRepresentative.\n6a. Check only if applicable and check only one box:\n____ Public-Finance Transaction\n____ Manufactured-Home Transaction\n____ A Debtor is a Transmitting Utility\n6b. Check only if applicable and check only one box:\n____ Agricultural Lien ____ Non-UCC Filing\n7. ALTERNATIVE DESIGNATION (if applicable): ____ Lessee/Lessor ____ Consignee/Consignor ____ Seller/Buyer ____ Bailee/Bailor ____ Licensee/Licensor\n8. OPTIONAL FILER REFERENCE DATA\n________________________________________\n[UCC FINANCING STATEMENT (Form UCC1)]\nUCC FINANCING STATEMENT ADDENDUM\nFOLLOW INSTRUCTIONS\n9. NAME OF FIRST DEBTOR (same as item 1a or 1b on Financing Statement)\n9a. ORGANIZATION'S NAME\n________________________________\nOR\n9b. INDIVIDUAL'S SURNAME\n________________________________\nFIRST PERSONAL NAME\n________________________________\nADDITIONAL NAME(S)/INITIAL(S) SUFFIX\n________________________________ _____________\nTHE ABOVE SPACE IS FOR\nFILING OFFICE USE ONLY\n10. 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)\n10a. ORGANIZATION'S NAME\n________________________________\nOR\n10b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME\n________________________________ ____________________________\nADDITIONAL NAME(S)/INITIAL(S) THAT ARE\nPART OF THE NAME OF THIS DEBTOR SUFFIX\n________________________________ _____________\n10c. MAILING ADDRESS\n________________________________\nCITY STATE POSTAL CODE COUNTRY\n__________ __________ __________ __________\n11. ____ ADDITIONAL SECURED PARTY'S NAME or ____ ASSIGNOR SECURED PARTY'S NAME - provide only one name (11a or 11b)\n11a. ORGANIZATION'S NAME\n________________________________\nOR\n11b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME\n________________________________ ____________________________\nADDITIONAL NAME(S)/INITIAL(S) SUFFIX\n________________________________ _____________\n11c. MAILING ADDRESS\n________________________________________\nCITY STATE POSTAL CODE COUNTRY\n__________ __________ __________ __________\n12. ADDITIONAL SPACE FOR ITEM 4 (Collateral)\n________________________________\n13. ____ This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL ESTATE RECORDS (if applicable)\n14. This FINANCING STATEMENT: _____ covers timber to be cut _____ covers as-extracted collateral _____ is filed as a fixture filing\n15. Name and address of a RECORD OWNER of real estate described in item 16 (if Debtor does not have a record interest):\n________________________________\n16. Description of real estate:\n________________________________\n17. MISCELLANEOUS:\n________________________________\n[UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad)]\n(b) A filing office that accepts written records may not refuse to accept a written record in the following form and format except for a reason set forth in section 9-516(b):\nUCC FINANCING STATEMENT AMENDMENT\nFOLLOW INSTRUCTIONS\nA. NAME \u0026 PHONE OF CONTACT AT FILER (optional)\n________________________________\nB. E-MAIL CONTACT AT FILER (optional)\n________________________________\nC. SEND ACKNOWLEDGMENT TO: (Name and Address)\n________________________________\nTHE ABOVE SPACE IS FOR\nFILING OFFICE USE ONLY\n1a. INITIAL FINANCING STATEMENT FILE NUMBER\n________________________________\n1b. ____ This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or recorded) in the REAL ESTATE RECORDS.\nFiler: attach Amendment Addendum (Form UCC3Ad) and provide Debtor's name in item 13.\n2. ____ TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement\n3. ____ 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\n4. ____ CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the additional period provided by applicable law\n5. ____ PARTY INFORMATION CHANGE:\nCheck one of these two boxes:\nThis Change affects ____ Debtor or ____ Secured Party of record.\nAND\nCheck one of these three boxes to:\n____ CHANGE name and/or address: Complete item 6a or 6b, and item 7a or 7b and item 7c.\n____ ADD name: Complete item 7a or 7b, and item 7c.\n____ DELETE name: Give record name to be deleted in item 6a or 6b.\n6. 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)\n6a. ORGANIZATION'S NAME\n________________________________\nOR\n6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME\n________________________________ ____________________________\nADDITIONAL NAME(S)/INITIAL(S) SUFFIX\n________________________________ _____________\n7. 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)\n7a. ORGANIZATION'S NAME\n________________________________\nOR\n7b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME\n________________________________ ____________________________\nADDITIONAL NAME(S)/INITIAL(S) THAT ARE\nPART OF THE NAME OF THIS DEBTOR SUFFIX\n________________________________ _____________\n7c. MAILING ADDRESS\n________________________________________\nCITY STATE POSTAL CODE COUNTRY\n__________ __________ __________ __________\n8. ____ COLLATERAL CHANGE:\nAlso check one of these four boxes:\n____ ADD collateral ____ DELETE collateral ____ RESTATE covered collateral ____ ASSIGN collateral\nIndicate collateral:\n9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT - provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)\nIf this is an Amendment authorized by a DEBTOR, check here ____ and provide name of authorizing Debtor\n9a. ORGANIZATION'S NAME\n________________________________\nOR\n9b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME\n________________________________ ____________________________\nADDITIONAL NAME(S)/INITIAL(S) SUFFIX\n________________________________ _____________\n10. OPTIONAL FILER REFERENCE DATA\n________________________________\n[UCC FINANCING STATEMENT AMENDMENT (Form UCC3)]\nUCC FINANCING STATEMENT AMENDMENT ADDENDUM\nFOLLOW INSTRUCTIONS\n11. INITIAL FINANCING STATEMENT FILE NUMBER (same as item 1a on Amendment form)\n________________________________\n12. NAME OF PARTY AUTHORIZING THIS AMENDMENT (same as item 9 on Amendment form)\n12a. ORGANIZATION'S NAME\n________________________________\nOR\n12b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME\n________________________________ ____________________________\nADDITIONAL NAME(S)/INITIAL(S) SUFFIX\n________________________________ _____________\nTHE ABOVE SPACE IS FOR\nFILING OFFICE USE ONLY\n13. 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)\n13a. ORGANIZATION'S NAME\n________________________________\nOR\n13b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME\n________________________________ ____________________________\nADDITIONAL NAME(S)/INITIAL(S) SUFFIX\n________________________________ _____________\n14. ADDITIONAL SPACE FOR ITEM 8 (Collateral)\n________________________________\n15. This FINANCING STATEMENT AMENDMENT: ____ covers timber to be cut ____ covers as-extracted collateral ____ is filed as a fixture filing\n16. Name and address of a RECORD OWNER of real estate described in item 17 (if Debtor does not have a record interest):\n________________________________\n17. Description of real estate\n________________________________\n18. MISCELLANEOUS:\n________________________________\n[UCC FINANCING STATEMENT AMENDMENT ADDENDUM (Form UCC3Ad)]","path":["Uniform Commercial Code","Article 9"],"source_url":"https://nebraskalegislature.gov/laws/ucc.php?code=9-521","current_through":"Laws 2026","vintage":"","retrieved_at":"2026-09-17T21:01:12Z","sha256":"b88ec67804f6325307398c10a8e1661019adc5577eea46e7134f7cdbb3b385b3","source_id":"us-ne","stale":true,"prev":"us-ne/neb.-u.c.c.-9-520","next":"us-ne/neb.-u.c.c.-9-522"},"notice":"GroundRules: Original legal text. Not legal advice."}