Form Ucc-4 - Request For Information Or Copies - Secretary Of State Of Idaho printable pdf download

Customer account number

STATE OF IDAHO - REQUEST FOR INFORMATION OR

COPIES - UCC-4

Mail to: Secretary of State, UCC Division, 700 W Jefferson, PO Box 83720, Boise, ID 83720-0080, PH 208-334-3191

Instructions

Enter your Secretary of State customer number (if known) in the block at the top right. If the fee is to be charged to your pre-paid

account, the customer number must be entered.

Enter the name of the Debtor (or Producer) exactly as you want it to be searched. Enter only one name.

In the Address block, you may enter either a complete address or a city name to limit the scope of the search. You may enter "Any

address" if you want all filings against the Debtor name without regard to location.

Debtor, Producer or Purchaser of Agricultural Products on whom

Name and address of requesting party

information is requested.

(Enter only one name)

Name:

SSN/TIN (if known):

Address:

Contact Person:

Phone #:

Special Instructions:

INFORMATION REQUEST

COPY REQUEST

Filing officer: Please furnish a certificate showing any presently effective

Filing officer: If this box is checked, please

notices of the types indicated below relating to the above named Debtor or

provide a copy of the documents reported on

Producer. (Check box(es) for type(s) of notices to be reported on certifi-

the certificate.

cate. Check one or more. If no boxes are checked, it will be assumed you

want all types.)

Filing officer: If this box is checked, please

UCC financing statements (other than farm products)

provide a copy of first page only of the

Government Liens (IRS, indigent, employment, state tax, etc.)

documents reported on the certificate. (This

option is not available for faxed reports).

Effective financing statements (EFS) pertaining to farm products

Liens in crops, for seed or farm labor

Liens on agricultural products, after sale/delivery to purchasers

Signature of Requesting Party

If only one notice type is checked in the information request, enter $6.00. If more than one is checked, enter $10.00.

If Agricultural Products information request, enter $5.00.

If copies are requested, enter $6.00.

If the request is not typed or is submitted without the standard form, enter $4.00.

If expedited service is requested, enter $10.00. Also please complete 4A below

Pay this amount (unless you are charging it to your pre-paid account)

Total:

Filing Office Use Only

If Expedited, please indicate how you want the search handled by

checking the appropriate box.

Mail to requesting party.

Call when ready

Courier company & account #

Fax #

per page fax fee invoiced separately.

Form Ucc-4 - Request For Information Or Copies - Secretary Of State Of Idaho

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