#1700
@001 Please state the name of secured party [CREDITOR]:
@002 Please state the name of the debtor [BORROWER]:
@170 Please describe the property secured (precisely):
#1701/#1702 This is a:
Standard security agreement
Hypothecation by third party
#if#1701
@172 State the reason for debt (for example: A Note)
@173 State the original principal amount of debt:
@174 State the date of execution of the underlying agreement:
#endif
#if#1702
@171 State the name of the third party debtor:
@175 State the reason for debt (for example: A Note)
@176 State the original principal amount of debt:
@177 State the original date of execution of agreement:
#endif
#1703 Do you desire a cross collateralization clause?
#1704/#1705 This security agreement will be:
A first lien
A junior lien
#if#1705
@178 Please state the nature of senior liens:
@179 Please state the total of junior liens:
#endif
#1706