Free Acrobat Distiller, Job 2 - Colorado

INFORMATION REQUEST

UCC-11

An invoice will be sent along with the requested information. To access the Fee Schedule visit www.sos.state.co.us and select Business Center. Follow Instructions Carefully
A. NAME & PHONE OF CONTACT (optional) B. RETURN TO: (Name and Address)

Submit in Duplicate
FILING OFFICE ACCT #

ABOVE SPACE FOR FILING OFFICE USE ONLY 1. DEBTOR NAME to be searched - insert only one debtor name (1a or 1b) - do not abbreviate or combine names 1a. ORGANIZATION'S NAME OR 1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX

2. INFORMATION OPTIONS relating to UCC filings and other notices on file in the filing office that include as a Debtor name the name identified in item 1: (This response includes filings that have lapsed.) 2a. SEARCH RESPONSE REPORT WITH NO COPIES 2b. SEARCH RESPONSE WITH COPIES 2c. SEARCH RESPONSE WITH CERTIFIED COPIES 2d. CERTIFIED COPIES ONLY Record Number Date Record Filed Type of Record and Additional Identifying Information (if required)

3. ADDITIONAL INFORMATION:

4. DELIVERY INSTRUCTIONS 4a. Pick Up 4b. Fax to: 4c. Other:

(request will be completed and mailed to the address shown in item B unless otherwise instructed here):

FILING OFFICE COPY (1) -- INFORMATION REQUEST (FORM UCC-11) (REV. 04/24/2008)