SOUTH DAKOTA COPY REQUEST APPROVED STANDARD FORM Secretary of State
500 E. Capitol · Pierre, SD 57501-5070 605-773-4422 · FAX 605-773-4550 PAD Account # _____________________
Clear Form
HELP
A. NAME OF REQUESTOR: B. RETURN TO: (Requesting Party Name and Address)
A1. PHONE NUMBER
C. DEBTOR NAME to be searched Must include the debtor's complete name and address. Only ONE debtor name is Individual Name allowed per request. Organization Name
For Filing Officer Use. D. SPECIFIED COPY REQUEST Check if copy is UCC1 or UCC3. If copy is a UCC-3, you must list the Original UCC-1 File Number UCC-1 UCC-3 Date Filed Document Number Original Filing Number
Delivery Instructions : ________________________________________________________________________________________________________________
Specify if other than regular mail
UCC II INSTRUCTIONS:
1. 2. Please Type or Print Clearly in Ink. Copy fee is $1.00 per page. Payment is required at the time of processing.
South Dakota UCC Copy Request Form (Rev. 09/25/2008)