Fill and Sign the Information Options Relating to Ucc Filings and Other Notices on File in the Filing Office that Include the Debtor Name

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潰瑩潮慬⤠䄮⁎䅍䔠☠偈低䔠但⁃低呁䍔⁁吠䙉䱅删⡯灴楯湡氩 INFORMATION REQUEST FOLLOW INSTRUCTIONS THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY FILING OFFICE ACCT # 䌮⁒䕔啒丠呏㨠 ⡎慭攠慮搠䅤摲敳猩 䥎䑉噉䑕䅌鉓⁆䥒協⁐䕒协乁䰠乁䵅 䥎䑉噉䑕䅌鉓⁁䑄䥔䥏乁䰠乁䵅⡓⤯䥎䥔䥁䰨匩 单䙆䥘 ㈮ 䥎䙏前䅔䥏丠佐呉低匠 牥污瑩湧⁴漠啃䌠晩汩湧猠慮搠潴桥爠湯瑩捥猠潮⁦楬攠楮⁴桥⁦楬楮朠潦晩捥⁴對桡琠楮捬畤攠瑨攠䑥扴潲慭攠楤敮瑩晩敤⁩渠楴敭‱㨠 ㉡⸠ 卅䅒䍈⁒䕓偏乓䔠 䍅剔䥆䥅䐠⡏灴楯湡氩 Select one of the following two options: ALL (Check this box to request a response that is complete, including filin\ gs that have lapsed.) UNLAPSED 2b. COPY REQUEST CERTIFIED (Optional) Select one of the following two options: ALL UNLAPSED 2c. SPECIFIED COPIES ONLY CERTIFIED (Optional) Record Number Type of Record and Additional Identifying Information (if required) Date Record Filed (if required) 3. ADDITIONAL SERVICES: 3a. EFS (Farm Product Filings) Please furnish a report listing all presently active EFS Filings, related subsequent filings, and other notices showing the date and time of filing and the name and address of each Secured Party named therein. 4. DELIVERY INSTRUCTIONS (request will be completed and mailed to the address shown in item C un\ less otherwise instructed here): 4a. Pick Up 4b. Other Specify desired method here (if available from this office); provide delivery information (e\ .g., delivery service's name, addressee's account # with d elivery service, addressee's phone #, etc.) International Association of Commercial Administrators (IACA) FILING OFFICE COPY (1) — INFORMATION REQUEST (Form UCC11) (Rev. 05/21/13) Instructions for Information Request (Form UCC11) Please type or laser-print this form. Be sure it is completely legible. Read and follow all Instructions, especially Instruction 1; use of the correct name for the Debtor is crucial. Fill in form very carefully; mistakes may have important legal consequen\ ces. If you have questions, consult your attorney. The filing office cannot give legal advice. Send completed form parts 1 and 2 (labeled Filing Office Copy (1) and\ (2)) to the filing office, with the required fee. Filing office may offer additional information options. Contact filing office or use form specially designed by filing office to obtain additional information options. ITEM INSTRUCTIONS A and B. To assist filing offices that might wish to communicate with filer, file\ r may provide information in item A and item B. These items are optional. C. Provide name and address of requestor in item C. This item is NOT optional. 1. Debtor’s name. Enter only one Debtor name in item 1 -- either an organization's name (1a) or an individual’s name (1b). \ Enter Debtor's correct name. Do not abbreviate words that are not already abbreviated in the Debto\ r’s name. 1a. Organization Debtor Name. “Organization Name” means the name of an entity that is not a n\ atural person. A sole proprietorship is not an organization, even if the individual proprietor does business under a trade name. If Debtor is a registered organization (e.g., corporation, limited partnership, limited liability company), it is advisable to examine Debtor’s curr\ ent filed public organic records to determine Debtor's correct name. Trade name is insufficient. If a corporate ending (e.g., corporation, limited partnership, limited \ liability company) is part of the Debtor’s name, it must be included. Do not use words that are not part of the Debtor’s name. 1b. Individual Debtor Name. “Individual Name” means the name of a natural person; this incl\ udes the name of an individual doing bu siness as a sole proprietorship, whether or not operating under a trade name. The term includes the name of a decedent where collateral is being administered by a personal representative of the decedent. The term does not include the name of an entity, even if it contains, as\ part of the entity’s name, the name of an individual. Prefixes (e.g., Mr., Mrs., Ms.) and titles (e.g., M.D.) are generall\ y not part of an individual name. Indications of lineage (e.g., Jr., Sr., III) generally are not part of the individual’s na\ me, but may be entered in the Suffix box. Enter individual Debtor’s surname (family name) in Individual’s Surname box, first personal name in First Pers\ onal Name box, and all additional names in Additional Name(s)/Initial(s) box. If a Debtor’s name consists of only a single word, enter that word in\ Individual’s Surname box and leave other boxes blank. For both organization and individual Debtors. Do not use Debtor’s trade name, DBA, AKA, FKA, division name, etc.\ in place of or combine d with Debtor’s correct name; filer may add such other names as additional D\ ebtors if desired (but this is neither required nor recomm ended). 2. Information Options. Information options relating to UCC filings and other notices on file i\ n the filing office that include as a Debtor name the name identified in item 1. Please note that it is permissible to select an option in 2a and also ch\ eck an option in 2b. Check the "CERTIFIED (Optional)" box appropriately in items 2a, 2b, or 2c. 2a. Check appropriate box in item 2a; the box "ALL" if you are requesting a \ search of all active records, including lapsed filings, or the box "UNLAPSED" if you are requesting a search of only active records that have not laps\ ed. 2b. Check appropriate box in item 2b to request copies of records appearing \ on the search response; the box "ALL" if you are requesting copies of all active records, including lapsed filings, or the box "UNLAPSED" if y\ ou are requesting copies of only active records that have not lapsed. 2c. Complete item 2c if you are ordering copies of specific records by recor\ d number. 3. Additional Services. Some filing offices offer service options in addition to those offered \ in item 2. These may be shown on the face of this form or may otherwise be publicized by the particular filing office. Caution: if any of these additional service options introduces a search criterion\ (e.g., limiting search to named Debtor at an address in a specified cit\ y and state) that narrows the scope of the search, this may result in an incomplete search (that fails to list all filings against the named Debtor) and y\ ou may fail to learn information that might be of value t o you. 3.a. In Nebraska, the UCC 11 Information Request form may be used to search E\�FS filings under Neb. Rev. Stat. Sec. 52-1301 et. seq. The cost for an EFS filings search is $4.50 4. Delivery Instructions. Unless otherwise instructed, filing office will mail information to the\ name and address in item C. Contact filing office concerning availability of other delivery options. Check appropriate box (4a or 4b) if optional services are available fr\ om the filing office and are being requested. 4a. If information is to be picked up from the filing office, check the "Pic\ k Up" box. 4b. For other than mail or pick up, check the "Other" box and specify the ot\ her delivery method that is being requested. If requesting delivery service, provide delivery serivce's name and requestor's account number to bill f\ or delivery charge. Filing office will not deliver by delivery service unless prepaid waybill or account number for billing is provided.