Free Uniform Commercial Code (UCC) - Information Request UCCN1 - Tennessee


File Size: 44.1 kB
Pages: 1
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State: Tennessee
Category: UCC Forms
Author: mjackson
Word Count: 537 Words, 3,595 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://state.tn.us/sos/forms/uccn11.pdf

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Preview Uniform Commercial Code (UCC) - Information Request UCCN1
INFORMATION REQUEST
FOLLOW INSTRUCTIONS CAREFULLY A. NAME & PHONE OF CONTACT AT REQUESTOR [optional] B. RETURN TO: (Name and Address)

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 FILED IN YOUR OFFICE THAT INCLUDE AS A DEBTOR THE DEBTOR NAME INDICATED IN ITEM 1:
2a.

SEARCH CERTIFICATE -- Please furnish a certificate/report listing ALL (regardless of Debtor's address and Social Security or Tax ID #) active financing statements, related subsequent filings including statements of assignment, and other notices, showing the date and time of filing and the name and address of each Secured Party named therein. SEARCH CERTIFICATE and ALL COPIES -- Please furnish search certificate/report (as described in 2a above) and exact copies of each page of ALL financing statements,
related subsequent filings including statements of assignment, and other notices, including ALL attachment pages.

2b.

2c.

SEARCH CERTIFICATE and PARTIAL COPIES (ALL FILINGS--FIRST PAGES ONLY) -- Please furnish search certificate/report (as described in 2a above) and exact copies of the FIRST PAGE ONLY of ALL financing statements, related subsequent filings including statements of assignment, and other notices. SPECIFIED COPIES ONLY -- Please furnish exact copies of each page of the financing statements, related subsequent filings including statements of assignment, or other notices
(including all attachments) that are identified below by document locator number. Certain filing offices require additional identifying information -- please complete if required.

2d.

Document Locator #

Date Document Filed

Additional Identifying Information (if required)

3. DELIVERY INSTRUCTIONS (request will be filled by mail to address shown in item B unless otherwise instructed here):
Pick Up Other Specify other desired method here -- verify that desired method is available in this state -- and include other pertinent delivery information (e.g., courier name, addressee's account number with courier, addressee's telephone number, etc.)

4. THE FILING OFFICE MAY OFFER THE FOLLOWING ADDITIONAL SERVICES:
4a. 4b.

CERTIFIED COPY REQUEST -- Please furnish certified copies per request indicated in item 2d above. COPIES FOR SPECIFIED TIME PERIOD ONLY -- Please furnish exact copies of all financing statements, related subsequent filings including statements of assignment, and
other notices that include the Debtor name indicated in item 1 filed after and prior to .

4c.

COPIES FOR SPECIFIED ADDRESS ONLY -- Please furnish exact copies of each page of all financing statements, related subsequent filings including statements of
assignment, and other notices that include the Debtor name identified in item 1 and show as that Debtor's address the address indicated here:

4d.

LISTING RELATING TO SPECIFIED SECURED PARTY ONLY -- Please furnish a listing of ALL financing statements, related subsequent filings including statements of assignment, and other notices (regardless of Debtor name) filed in your office that include the Secured Party at the city and state indicated here:

4e.

FAX DELIVERY -- Please fax results of this information request to fax number indicated here:

(

)

Office of the Secretary of State of Tennessee Web Form

FILING OFFICE COPY (1) -- NATIONAL INFORMATION REQUEST (FORM UCC11) MODIFIED) (TN) (REV. 06/04/01)