Free UCC11(Texas) - Texas

INFORMATION REQUEST

FOLLOW INSTRUCTIONS (front and back) CAREFULLY A. NAME & PHONE OF CONTACT AT REQUESTOR [optional] B. RETURN TO: (Name and Address)
CLIENT ACCOUNT #

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THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1. DEBTOR'S EXACT FULL LEGAL NAME - 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 FILING OFFICE THAT INCLUDE AS A DEBTOR NAME THE NAME IDENTIFIED IN ITEM 1:
CHECK THIS BOX to request a response that is COMPLETE, including filings that have lapsed; if you do not check this box, search response may be incomplete. 2a.

INFORMATION REQUEST RESPONSE WITH FULL COPIES (CERTIFIED) Filing office requested to furnish a search report listing all financing statements, related records, and
other notices, showing date and time of filing and name and address of each Secured Party named therein, and also furnish an exact CERTIFIED COPY of ALL reported records (including all attachments).

2b.

INFORMATION REQUEST RESPONSE WITHOUT COPIES Filing office requested to furnish a search report (as described in 2a above) listing all reported records, but
to furnish NO COPIES of reported records.

2c.

exact copy of the FIRST PAGE ONLY of all reported records. 2d.

INFORMATION REQUEST RESPONSE WITH PARTIAL COPIES Filing office requested to furnish a search report (as described in 2a above) and also to furnish an

SPECIFIED COPIES ONLY Filing office requested to furnish an exact copy of each page of the financing statements, related records, and other notices (including all attachments)
that are identified below by record number. Certain filing offices require additional identifying information please complete if required.

CERTIFIED COPY REQUEST Filing office requested to furnish CERTIFIED copies per request indicated in this item 2d. Record Number Date Record Filed (if required) Type of Record and Additional Identifying Information (if required)

3. FILING OFFICE MAY OFFER THE FOLLOWING ADDITIONAL SERVICES (SEE INSTRUCTION 3):
3a.

LISTING RELATING TO DEBTOR AT SPECIFIED CITY AND STATE ONLY Filing office requested to furnish a search report listing all financing statements, related
records, and other notices on file in filing office that include the Debtor's name identified in item 1 above and show that Debtor's address in the city and state indicated here:

3b.

LISTING RELATING TO SECURED PARTY AT SPECIFIED CITY AND STATE ONLY Filing office requested to furnish a search report listing all financing statements, related records, and other notices (regardless of Debtor name) on file in filing office that include the Secured Party's name and show that Secured Party's address in the city and state indicated here:

4. DELIVERY INSTRUCTIONS (request will be filled by mail sent to address shown in item B unless otherwise instructed here):
4a. 4b. 4c.

FAX Delivery Filing office requested to fax results of this Information Request to fax number indicated here: ( Pick Up Other

)

Specify desired method here (if available from this office); provide delivery information (e.g., delivery service's name, addressee's account # with delivery service, addressee's phone #, etc.)

FILING OFFICE COPY (1) INFORMATION REQUEST (FORM UCC11) (TEXAS) (REV. 05/09/01)

Office of the Secretary of State of Texas

Instructions for Information Request (Form UCC11) (Texas)
Please type or laser-print this form. Be sure it is completely legible. Read all Instructions. Follow Instructions completely. Fill in form very carefully; mistakes may have important legal consequences. If you have questions, consult your attorney. Filing office cannot give legal advice. Do not insert anything in the open space in the upper portion of this form; it is reserved for filing office use. When properly completed, send form parts 1 and 2 (labeled Filing Office Copy (1) and (2)), with required fee, to filing office. Always detach Requestor Copy. Filing office may offer additional information options. Contact filing office or use form specially designed by filing office to obtain additional information options. A. To assist filing officers that might wish to communicate with requestor, requestor may provide information in item A, including Client Account #. These items are optional, but filers are encouraged to complete this item to assist filing officers in responding to this request. B. Enter name and address of requestor in item B. This item is NOT optional. 1. Debtor name: Enter only one Debtor name in item 1, an organizations name (1a) or an individuals name (1b). Enter Debtor's exact full legal name. Dont abbreviate.

1a. Organization Debtor. Organization means any Debtor other than a natural person. A partnership is an organization; a sole proprietorship is not an organization, even if it does business under a trade name. If Debtor is a partnership, enter exact full legal name of the partnership; you need not enter names of partners as additional Debtors. If Debtor is a registered organization (e.g., corporation, limited partnership, limited liability company), it is advisable to examine Debtors current filed charter documents to determine Debtor's correct name, organization type, and jurisdiction of organization. 1b. Individual Debtor. Individual means a natural person; this includes a sole proprietorship, whether or not operating under a trade name. Dont use prefixes (Mr., Mrs., Ms.). Use suffix box only for titles of lineage (Jr., Sr., III) and not for other suffixes or titles (e.g., M.D.). Use married womans personal name (Mary Smith, not Mrs. John Smith). Enter individual Debtors family name (surname) in Last Name box, first given name in First Name box, and all additional given names in Middle Name box. For both organization and individual Debtors: Don't use Debtors trade name, DBA, AKA, FKA, Division name, etc. in place of or combined with Debtors legal name (e.g., DO NOT use Simpson Motor Inc. DBA Cornelia Car City or John Smith DBA Smiths Coffee Shop). Search results in response to such an information request may not reveal effective initial financing statements on file that correctly use the legal name of the Debtor. 2. Check the box under the item 2 heading (in addition to checking one of the boxes for 2a, 2b, or 2c) unless you wish to limit the information request response to those items on file which have not lapsed with respect to all Secured Parties of record. It is strongly recommended that you check this box; if you do not, the search response may be incomplete (it may fail to list all filings against the named Debtor) and you may fail to learn information that might be of value to you. After checking the box under the item 2 heading, check only one of the boxes for 2a, 2b, or 2c, whichever of these corresponds to the response you wish to receive. 3. Some filing offices offer service options in addition to those offered in item 2. These may be shown on the face of this form or may otherwise be publicized by the particular filing office. Caution: if any of these additional service options introduces a search criterion (e.g., limiting search to named Debtor at an address in a specified city and state) that narrows the scope of the search, this may result in an incomplete search (that fails to list all filings against the named Debtor) and you may fail to learn information that might be of value to you. Delivery Instructions: Unless otherwise instructed, filing office will mail information to the name and address in item B. If information will be picked up from the filing office, check the Pick Up box . Contact filing office concerning availability of fax service or other delivery options. For other than mail, pick up, or FAX, check the Other box and specify the other delivery method that you are requesting. If requesting delivery service, provide delivery service's name and requestor's account number to bill for delivery charge. Filing office will not deliver by delivery service unless prepaid waybill or account number for billing is provided. Secretary of State offers all of the additional information services in item 4. Contact county clerk to determine whether any of the additional services are offered by that office. Provide additional information as indicated for all additional services requested.

4.