State Of Idaho- Request For Information Or Copies-Ucc-4
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1STATE OF IDAHO - REQUEST FOR INFORMATION OR COP-
Reset Form
IES - UCC-4
Mail to:
Secretary of State, UCC Division, 700 W Jefferson, PO Box 83720, Boise ID 83720-0080
Telephone: 208-334-3191 Fax: 208-334-2847
Instructions
1.
Enter your Secretary of State customer number (if known) in the
requesting party section. If the fee is to be charged to your pre-paid
account, the customer number must be entered.
2.
Enter the name of the Debtor (or Producer) exactly as you want it to be
searched. Enter only one name.
3.
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
Name and address of requesting party
Products on whom information is requested.
Organization or
Indiv. Last Name
First Name
Suffix
Middle Name
Address
Customer account number
Contact Person
City
State
Zip
Phone #
COPY REQUEST
INFORMATION REQUEST
Filing officer: Please furnish a certificate showing any presently effective
notices of the types indicated below relating to the above named Debtor or
Filing officer: If this box is checked,
Producer. (Check box(es) for type(s) of notices to be reported on certificate.
please provide a copy of the documents
Check one or more. If no boxes are checked, it will be assumed you want
reported on the certificate.
all types.)
UCC financing statements (other than farm products) (*)See note below.
Government Liens (IRS, indigent, employment, state tax, etc.)
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
Include all active filings. Checking this box will cause your search results to include lapsed filings within one year of lapse date.
Signature of Requesting Party:
1.
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. (*) NOTE: If you are requesting basic search
only, the fee is $12.00 regardless of whether it is info. only, info. with copies or expedited service requested.
$
2.
If copies are requested, enter $6.00.
$
3.
If the request is not typed, enter $4.00.
4.
If expedited service is requested, enter $10.00.
Indicate how you want the search handled by checking the appropriate box.
$
Mail to requesting party
Courier company & account # __________________
Call when ready _________________
Fax # _________________
$
Pay this amount
(If charging to your pre-paid account, please be sure you have filled in your customer account number.)
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Rev. 06/2011
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