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UCC FINANCING STATEMENT

FOLLOW INSTRUCTIONS (front and back) CAREFULLY A. NAME & PHONE OF CONTACT AT FILER [optional] B. SEND ACKNOWLEDGEMENT TO: (Name and Address)

John Henry Doe c/o 1234 Creditor Street Huntington Beach, California Republic NON-DOMESTIC WITHOUT THE U.S. ZZZ

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1. DEBTORS EXACT FULL LEGAL NAME insert only one debtor name (1a or 1b) do not abbreviate or combine names
1a. ORGANIZATIONS NAME OR

Reset

THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY

PETER F DOE
1b. INDIVIDUALS LAST NAME FIRST NAME MIDDLE NAME SUFFIX

1c. MAILING ADDRESS

CITY

STATE

POSTAL CODE

COUNTRY

123 DEBTOR AVENUE


ADDL INFO RE ORGANIZATION DEBTOR 1e. TYPE OF ORGANIZATION

HUNTINGTON BEACH
1f. JURISDICTION OF ORGANIZATION

CA

92648

USA
NONE

1g. ORGANIZATIONAL ID#, if any

LEGAL ENTITY

USA

***-**-1234

2. ADDITIONAL DEBTORS EXACT FULL LEGAL NAME insert only one debtor name (2a or 2b) do not abbreviate or combine names
2a. ORGANIZATIONS NAME OR

JOHN H DOE
2b. INDIVIDUALS LAST NAME FIRST NAME MIDDLE NAME SUFFIX

2c. MAILING ADDRESS

CITY

STATE

POSTAL CODE

COUNTRY

1234 CREDITOR STREET


ADDL INFO RE ORGANIZATION DEBTOR 2e. TYPE OF ORGANIZATION

HUNTINGTON BEACH
2f. JURISDICTION OF ORGANIZATION

CA

92648
***-**-6789

USA
NONE

2g. ORGANIZATIONAL ID#, if any

LEGAL ENTITY

USA

3. SECURED PARTYS NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S/P) insert only one secured party name (3a or 3b)
3a. ORGANIZATIONS NAME OR 3b. INDIVIDUALS LAST NAME FIRST NAME MIDDLE NAME SUFFIX

Doe
3c. MAILING ADDRESS

John
CITY

Henry
STATE POSTAL CODE COUNTRY

c/o 1234 Creditor Street, Huntington Beach, California


4. This FINANCING STATEMENT covers the following collateral:

Non-domestic without the U.S.

ZZZ

THIS IS ACTUAL AND CONSTRUCTIVE NOTICE All the Debtors' interest in the Case/Account No. 2:10-CR-01234-JMM-SS, being held by in the United States District Court for the Central District of California, Western Division, is hereby Accepted as collateral for securing contractual obligations in favor of the Secured Party. The value of the Secured Party's claim is Fifty-five Million and 00/100 United States Dollars (USD $55,000,000.00). This is the entry of the DEBTORS into the Commercial Registry and Public Notice of a commercial transaction. The Secured Party hereby secures all rights, interests and titles in said property. VALUE: $55,000,000.00

5. ALTERNATIVE DESIGNATION [if applicable]: 6.

LESSEE/LESSOR

CONSIGNEE/CONSIGNOR

BAILEE/BAILOR

SELLER/BUYER

AG. LIEN

NON-UCC FILING Debtor 1 Debtor 2

This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL ESTATE RECORDS. Attach Addendum [if applicable] 8. OPTIONAL FILER REFERENCE DATA

7. Check to REQUEST SEARCH REPORT(S) on Debtor(s) [ADDITIONAL FEE] [optional]

All Debtors

CASE/ACCOUNT NO. 2:10-CR-01234-JMM-SS


FILING OFFICE COPY NATIONAL UCC FINANCING STATEMENT (FORM UCC1) CALIFORNIA (REV. 01/01/08)

UCC FINANCING STATEMENT ADDENDUM


FOLLOW INSTRUCTIONS (front and back) CAREFULLY 9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT
9a. ORGANIZATION NAME

PETER F DOE
OR
9b. INDIVIDUALS LAST NAME FIRST NAME MIDDLE NAME, SUFFIX

10. MISCELLANEOUS:

THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY

11. ADDITIONAL DEBTORS EXACT FULL LEGAL NAME insert only one name (11a or 11b) do not abbreviate or combine names
11a. ORGANIZATIONS NAME OR

FRANK J DOE
11b. INDIVIDUALS LAST NAME FIRST NAME MIDDLE NAME SUFFIX

11c. MAILING ADDRESS

CITY

STATE

POSTAL CODE

COUNTRY

1234 DEBTOR CIRCLE


ADDL INFO RE ORGANIZATION DEBTOR 11e. TYPE OF ORGANIZATION

HUNTINGTON BEACH
11f. JURISDICTION OF ORGANIZATION

CA

92646
***-**-2345

USA
NONE

11g. ORGANIZATIONAL ID#, if any

LEGAL ENTITY

USA

12.

ADDITIONAL SECURED PARTYS or


12a. ORGANIZATIONS NAME

ASSIGNOR S/Ps NAME insert only one name (12a or 12b)

OR 12b. INDIVIDUALS LAST NAME FIRST NAME MIDDLE NAME SUFFIX

12c. MAILING ADDRESS

CITY

STATE

POSTAL CODE

COUNTRY

13. This FINANCING STATEMENT covers collateral, or is filed as a 14. Description of real estate: fixture filing.

timber to be cut or

as-extracted

16. Additional collateral description:

15. Name and address of a RECORD OWNER of above-described real estate (if Debtor does not have a record interest):

17. Check only if applicable and check only one box. Debtor is a Trust or Trustee acting with respect to property held in trust or Decedents Estate

18. Check only if applicable and check only one box. Debtor is a TRANSMITTING UTILITY Filed in connection with a Manufactured-Home Transaction effective 30 years Filed in connection with a Public-Finance Transaction effective 30 years

FILING OFFICE COPY NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) CALIFORNIA (REV. 01/01/08)

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