{"data":{"id":"us-wa/rcw-62a.9a-521","jurisdiction":"us-wa","citation":"RCW 62A.9A-521","heading":"Uniform form of written financing statement and amendment.","body":"(a) Initial financing statement form. 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 RCW 62A.9A-516(b):\nUCC FINANCING STATEMENT\nFOLLOW INSTRUCTIONS\nA.\nNAME \u0026 PHONE OF CONTACT AT FILER (optional)\nB.\nEMAIL CONTACT AT FILER (optional)\nC.\nSEND ACKNOWLEDGMENT TO: (Name and Address)\nTHE ABOVE SPACE IS FOR FILING OFFICE USE ONLY\n1.\nDEBTOR'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.\nORGANIZATION'S NAME\nOR\n1b.\nINDIVIDUAL'S SURNAME\nFIRST PERSONAL NAME\nADDITIONAL NAME(S)/INITIAL(S) THAT ARE PART OF THE NAME OF THIS DEBTOR\nSUFFIX\n1c.\nMAILING ADDRESS\nCITY\nSTATE\nPOSTAL CODE\nCOUNTRY\n2.\nDEBTOR'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.\nORGANIZATION'S NAME\nOR\n2b.\nINDIVIDUAL'S SURNAME\nFIRST PERSONAL NAME\nADDITIONAL NAME(S)/INITIAL(S) THAT ARE PART OF THE NAME OF THIS DEBTOR\nSUFFIX\n2c.\nMAILING ADDRESS\nCITY\nSTATE\nPOSTAL CODE\nCOUNTRY\n3.\nSECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY) - provide only one secured party name (3a or 3b)\n3a.\nORGANIZATION'S NAME\nOR\n3b.\nINDIVIDUAL'S SURNAME\nFIRST PERSONAL NAME\nADDITIONAL NAME(S)/INITIAL(S)\nSUFFIX\n3c.\nMAILING ADDRESS\nCITY\nSTATE\nPOSTAL CODE\nCOUNTRY\n4.\nCOLLATERAL: This Financing Statement covers the following collateral:\n5.\nCheck only if applicable and check only one box:\nCollateral is\n□ held in Trust (see Instructions)\n□ being administered by a Decedent's Personal Representative.\n6a.\nCheck only if applicable and check only one box:\n□ Public-Finance Transaction\n□ Manufactured-Home Transaction\n□ A Debtor is a Transmitting Utility\n6b.\nCheck only if applicable and check only one box:\n□ Agricultural Lien\n□ Non-UCC Filing\n7.\nALTERNATIVE DESIGNATION (if applicable):\n□ Lessee/Lessor\n□ Cosignee/Cosignor\n□ Seller/Buyer\n□ Bailee/Bailor\n□ Licensee/Licensor\n8.\nOPTIONAL FILER REFERENCE DATA\n[UCC FINANCING STATEMENT (FORM UCC1)] (REV. 09/30/10)\nUCC FINANCING STATEMENT ADDENDUM\nFOLLOW INSTRUCTIONS\n9.\nNAME OF FIRST DEBTOR (same as item 1a or 1b on Financing Statement)\n9a.\nORGANIZATION'S NAME\nOR\n9b.\nINDIVIDUAL'S SURNAME\nFIRST PERSONAL NAME\nADDITIONAL NAME(S)/INITIAL(S)\nSUFFIX\nTHE ABOVE SPACE IS FOR FILING OFFICE USE ONLY\n10.\nADDITIONAL 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.\nORGANIZATION'S NAME (exact, full name, without any modifications)\nOR\n10b.\nINDIVIDUAL'S SURNAME\nFIRST PERSONAL NAME\nADDITIONAL NAME(S)/INITIAL(S) THAT ARE PART OF THE NAME OF THIS DEBTOR\nSUFFIX\n10c.\nMAILING ADDRESS\nCITY\nSTATE\nPOSTAL CODE\nCOUNTRY\n11.\n□ ADDITIONAL SECURED PARTY'S NAME or □ ASSIGNOR SECURED PARTY'S NAME - provide only one name (11a or 11b)\n11a.\nORGANIZATION'S NAME\nOR\n11b.\nINDIVIDUAL'S SURNAME\nFIRST PERSONAL NAME\nADDITIONAL NAME(S)/INITIAL(S)\nSUFFIX\n11c.\nMAILING ADDRESS\nCITY\nSTATE\nPOSTAL CODE\nCOUNTRY\n12.\nADDITIONAL SPACE FOR ITEM 4 (Collateral)\n13.\n□ This FINANCING STATEMENT is to be filed (for record) (or recorded) in the REAL ESTATE RECORDS (if applicable)\n14.\nThis FINANCING STATEMENT:\n□ covers timber to be cut\n□ covers as-extracted collateral\n□ is filed as a fixture filing\n15.\nName and address of a RECORD OWNER of real estate described in item 16 (if Debtor does not have a record interest)\n16.\nDescription of real estate\n17.\nMiscellaneous\n[UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad)] (REV. 09/30/10)\n(b) Amendment form. 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 RCW 62A.9A-516(b):\nUCC FINANCING STATEMENT AMENDMENT\nFOLLOW INSTRUCTIONS\nA.\nNAME \u0026 PHONE OF CONTACT AT FILER (optional)\nB.\nEMAIL CONTACT AT FILER (optional)\nC.\nSEND ACKNOWLEDGMENT TO: (Name and Address)\nTHE ABOVE SPACE IS FOR FILING OFFICE USE ONLY\n1a.\nINITIAL FINANCING STATEMENT FILE NUMBER\n1b.\nThis FINANCING STATEMENT AMENDMENT is to be filed (for record) (or recorded) in the REAL ESTATE RECORDS. Filer: attach Amendment Addendum (Form UCC3 Ad) and provide Debtor's name in item 13.\n2.\n□ 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.\n□ 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.\n□ 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.\n□ 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.\nCURRENT 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.\nORGANIZATION'S NAME\nOR\n6b.\nINDIVIDUAL'S SURNAME\nFIRST PERSONAL NAME\nADDITIONAL NAME(S)/INITIAL(S)\nSUFFIX\n7.\nCHANGED 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.\nORGANIZATION'S NAME\nOR\n7b.\nINDIVIDUAL'S SURNAME\nFIRST PERSONAL NAME\nADDITIONAL NAME(S)/INITIAL(S) THAT ARE PART OF THE NAME OF THIS DEBTOR\nSUFFIX\n7c.\nMAILING ADDRESS\nCITY\nSTATE\nPOSTAL CODE\nCOUNTRY\n8.\n□ COLLATERAL CHANGE:\nAlso check one of these four boxes:\n□ ADD collateral\n□ DELETE collateral\n□ RESTATE covered collateral\n□ ASSIGN collateral\nIndicate collateral:\n9.\nNAME 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.\nORGANIZATION'S NAME\nOR\n9b.\nINDIVIDUAL'S SURNAME\nFIRST PERSONAL NAME\nADDITIONAL NAME(S)/INITIAL(S)\nSUFFIX\n10.\nOPTIONAL FILER REFERENCE DATA\n[UCC FINANCING STATEMENT AMENDMENT (FORM UCC3)] (REV. 09/30/10)\nUCC FINANCING STATEMENT AMENDMENT ADDENDUM\nFOLLOW INSTRUCTIONS\n11.\nINITIAL FINANCING STATEMENT FILE NUMBER (same as item 1a on Amendment form)\n12.\nNAME OF PARTY AUTHORIZING THIS AMENDMENT (same as item 9 on Amendment form)\n12a.\nORGANIZATION'S NAME\nOR\n12b.\nINDIVIDUAL'S SURNAME\nFIRST PERSONAL NAME\nADDITIONAL NAME(S)/INITIAL(S)\nSUFFIX\nTHE ABOVE SPACE IS FOR FILING OFFICE USE ONLY\n13.\nName 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.\nORGANIZATION'S NAME\nOR\n13b.\nINDIVIDUAL'S SURNAME\nFIRST PERSONAL NAME\nADDITIONAL NAME(S)/INITIAL(S)\nSUFFIX\n14.\nADDITIONAL SPACE FOR ITEM 8 (Collateral)\n15.\nThis FINANCING STATEMENT AMENDMENT:\n□ covers timber to be cut\n□ covers as-extracted collateral\n□ is filed as a fixture filing\n16.\nName and address of a RECORD OWNER of real estate described in item 17 (if Debtor does not have a record interest)\n17.\nDescription of real estate\n18.\nMISCELLANEOUS:\nUCC FINANCING STATEMENT AMENDMENT ADDENDUM (FORM UCC1) (REV. 09/30/10)","path":["Title 62A","Chapter 62A.9A"],"source_url":"https://app.leg.wa.gov/rcw/default.aspx?cite=62A.9A-521","current_through":"July 15, 2026","vintage":"","retrieved_at":"2026-09-06T03:39:28Z","sha256":"71bfe8f36992f68d13b408e0568a0c9d58fec4dd0e7e9c135366b7fc6c0f305e","source_id":"us-wa","stale":false,"prev":"us-wa/rcw-62a.9a-520","next":"us-wa/rcw-62a.9a-522"},"notice":"GroundRules: Original legal text. Not legal advice."}