Fill and Sign the Information Request Ucc 11pdf Fpdf DOC Docxmississippi

FILING OFFI CER COPY – NATI ONAL I NFORM ATI ON REQUEST (FORM UCC 11)) (Rev 5/09/01) CA Secret ary of Stat e (REV. 9/ 1/02) INFO RMA TION RE QUES T FOLL OW INST RUCTI ONS (front and back) C AREFUL LY A. NAME & PHONE OF CONT ACT FILING OFFICE ACCT # B. RETURN TO: (Name and Address) THIS SPAC E FOR FIL ING OFFIC ER USE ONLY 1. DEBT OR NAME to w hich thi s request rela tes – insert only one deb tor name (1a or 1 b) – do not abbrev iate or combine names 1a. ORGAN IZATION NAME 1b. INDI VIDUAL LAST NAME FIRST NAME MIDDLE NAME SUFFIX 2. INFORM ATION OPTI ONS RELATING TO UCC FILINGS AND OTHE R NOTICE S FILED IN FILING OFFICE THAT INCL UDE AS A DE BTOR THE NAME IDE NTIFIE D IN ITE M 1 For 2a and 2b, ma rk th is b ox to requ est a Sear ch tha t is COM PLETE to include lapsed and un lapsed filing s. UNLESS MARKED , SEARCH MAY BE INCOMPLETE . 2a. SEARCH RESPO NSE with copi es o f ALL re cord s fou nd. Please CERTIFY all copie s (additi ona l $5.00 fee per rec ord). 2b. SEARCH RESPONSE onl y. 2c. COPIES ON LY. Please co mpl ete the information bel ow, as ap propr iate. For UCC3 r eco rds, include the t ype of UCC3 and corr esponding fi ling dat e. File Number # of copi es # of Ce rtified copies (add’ l fee appl ies) File Date (use for UCC3 only ) Filing T ype – Fi nanci ng State ment, Cont. , Te rm., Assign. , Amend. 3. C ALIFORN IA SE CRET ARY OF S TATE’S OFFICE OFFERS THESE ADDITION AL SE ARCHING OPTI ONS - (Please see i nstr uctions) : 3a. SEA RCH TO REF LECT – Please run the search after t he filing document accompan ying this request has been filed. 3b. SEARCH LIMI TED T O THE FOLLOWING AD DRESS : ___ ___ ___ _____ _______ ___ ___ __ _____ ____ ______ ____________ ______ _____ _______ ___ ________ _______ 3c. SEARCH LIMI TED F ROM THIS DAT E: 4. DELIVERY INS TRUCTI ONS 4a. Pick Up ( Only if req uest w as original ly delivered to our Public Counter) 4b. Other: ______ ______ _________ ____ _________ ____ _________ ____ _________ ____ _________ ____ _________ ____ _________ ____ _____ Specify desired method; Complet ed prepai d airbill and packaging must accompan y this request, if applicable. ____________ ___ ____________ ___ ____________ ___ ____________ ___ ____________ ___ ____________ ___ ____________ ___ ____________ ___ _______ _____ ___ _ _ INSTRU CTI ONS F OR I NFOR MATI ON R EQUE ST (FOR M UCC 11) Please ty pe or laser-pri nt this form. Be sure it is completel y legible. Read all instructions. Follo w instructions completely . Fill in form very ca refull y; mistakes ma y have important legal consequences. If you have q uestions, consult your attorne y. The filing office cannot give legal advice. Do not in sert anything in th e open spa ce in the upper portion of this form; it is reserved for filin g office use. Whe n pro perly compl eted, send form together with a separate, clearly marked SEARCH copy, with required fee, to the fili ng office. A. To assi st filing office co mmunication wi th reque sto r, the info rmatio n in item A may be provide d. This item is option al. B. Enter name a nd mailing a ddress of requ estor in item B. This item is REQ UIRE D. 1. Debto r Na me to which thi s requ est relate s: Enter only one de btor n ame in item 1 , EITHER an orga nization’ s name (1a ) or an individual’ s name (1b ). The name e ntered i s the name u sed to produ ce a se arch re port. It is recomme nded that the search be requested agai nst the EXACT LE GAL DEBTOR NAME. The filing office will conduct the search under the name given i n either Item 1a or 1b. **The inform ation for 1 a and 1b is offered as a gui de for compl eting this for m using the EXACT LEG AL DE BTO R NAME. Ther e ma y be records on file in which the Exact Le gal Deb tor Name was no t us ed. You may wish to submit a sep arate UCC11 for each po ssible name variation. 1a. Orga nization Debto r: “O rga nizatio n” me ans an e ntity having a legal i dentit y sepa rate from its o wne r. A partnership i s an entity; a sole prop rieto rship is not an org anization, even if it does b usin ess un de r a trade n ame. If a debtor is a partne rship, e nter exact full legal name o f the partnership. If debtor is a regi ste red orga nizatio n (e.g., corpo ration, limite d partnership, li mited liability company), it is advisable to examine De btor’s current filed char ter docum ents to determi ne Debto r’s co rrect name. For both Org anization an d Individual De btors : Do not use Debtor’s trade name, DBA, AKA, F KA, DIVISION name, et c. in place of or co mbined with Debto r’s le gal name (i.e., DO NOT use “Simpso n Motor Inc. DBA Corneli a Ca r Ci ty.) Search results in respon se to su ch a sea rch re que st may not reveal finan cing stateme nts on file tha t correctly use the legal na me of the debtor. 1b. Individual De btor: “Individual” me an s a natural p erso n, this inclu des a sol e pro prietorship, wh ether o r not o peratin g und er a trade na me . Do not use prefixes (Mr., Mrs., and M s.). Us e suffix box only for title of lineage (Jr., Sr., III) and not for other suffixes or title (e.g., MD, CPA). Use ma rrie d woman’ s pe rso nal name (Ma ry Smith, not Mrs. John S mith). Enter individual de btor’s family n ame (surnam e) in La st Na me box , first given name i n First Name box, and all a dditional give n name s in Mid dle Nam e bo x. Information O ptions: For 2a and 2b, ma rk thi s box to receive a se arch respo nse that is com plete and in clu des la psed and unl ap sed filings. Unle ss m arked, th e sea rch may be incom plet e. To reque st a SEARCH, c hoose either : 2a -Thi s option results in a compl ete search at ANY A DDRESS and includes copi es of all the filings reflected on the sea rch re sp onse. Search es in clud e unl apsed an d la pse d fili ngs. Mark the ce rtify box to rece ive certified copie s. Please e nclose a $5.0 0 fee for ea ch co py certified. 2b - Thi s opti ons will result in a search response with no copies. 3a - The search report will not be prod uced until the accompanying docum ent and all other document s received on that day have bee n filed and ca n be ce rtified. 3b - Limits th e debtor sea rch to a sp ecifi c street add ress. Plea se in dicate a com plete add ress. This filing office doe s not offer s earc hes by CITY. 3c - Limit s the debtor sea rch to a sp ecifi c date range. Please indi cate the startin g date to be searche d. To reque st COPIES, choose: 2c - Complet e the grid for each sp ecifi c record to be copied. The UCC1 file number must be referen ced. There i s a limit of 10 file numbe rs per UCC1 1. Co mp lete the gri d as in stru cte d on the form . 4. Req uests will be returned by mail to the party indicat ed in Item B, unle ss oth erwise req uested. Please e nclose the ap pro priate fees. If the exact amo unt is not kn own, you may encl ose eithe r a blan k ch eck p ayable to the Secretary of State or a ch eck with the n otation “Not to excee d $__ _” (u su ally $3 5.00 is suffici ent). Once the exact fees have been d etermi ned, the filing officer will co mplete the ch eck for the co rre ct amou nt. A detailed billing sh eet wil l be returned with the requ este d information. Se arch fee $10.00 Copy fee $1.00 for each face p age of re cord + $ .50 for ea ch attachmen t page Certified co pies $5.00 addition al fee for each re co rd that is certi fied