State of Utah DEPARTMENT OF COMMERCE Division of Corporations & Commercial Code Instructions for National UCC 11 Information Request Please type or laser-print this form. Be sure it is completely legible. Read and follow all instructions completely. A. Name & Phone of Contact [optional]: • Provide name & phone number if request will be picked up or in case the division has any questions. B. Return To: (Name and Address) • Provide name and address to which the request will be returned. 1. Debtor Name to be searched • Provide only one debtor name in either box 1a or 1b. • Provide EXACT debtor name to be searched. • Certified Search requests will be processed with the EXACT name submitted. If there are multiple variations to a debtors name on file, multiple UCC 11 Information Requests for certification must be submitted. The division will provide a “wild-card” search after certification that will show, if found, any variations of a debtors name. • Uncertified Search requests need only the debtors name (one per page). The division will provide a “wildcard” search that will pull all variations on the name submitted. 2. Information Options (boxes 2a, 2b and 2c) • Only the “Certified” and “All” boxes are recognized. • In order to certify a request one of the three certification boxes must be checked. • If no certification box is checked or only the “ALL” or “UNLAPSED” boxes are marked the request will be treated as an Uncertified Search. • Certification: o Box 2a. Search Response: Provides a Certification page, filing summary, and a Filing History. o Box 2b. Copy Request: Provides all of the above plus copies of the Records of Filing (data only) currently in the division system. Actual copies of documents will not be certified but may be requested on separate information request. o Box 3c. Specified Copies Only: Provide only one filing number to be certified in the box provided. Again, actual copies of documents will not be certified but may be requested. Multiple file numbers for certification on one request will cause the request to be rejected. • Uncertified: o Name requests as outlined above. o Specific file numbers may be listed in box 2c and/or box 3 3. Additional Services o This box may be used to list multiple uncertified file numbers and/or to request actual copies of the filings submitted. Please reference “Actual Images” when appropriate. 4. Delivery Instructions o Box 4a: Used if requester would like to pick-up the request. Please provide a name and phone number to be contacted. o Box 4b: To be used should another means of transmission is to be used. Under GRAMA {63-2-201}, all registration information maintained by the Division is classified as public record. For confidentiality purposes, the business entity physical address may be provided rather than the residential or private address of any individual affiliated with the entity. Mail In: PO Box 146705 Salt Lake City, UT 84114-6705 Walk In: 160 East 300 South, Main Floor Information Center: (801) 530-4849 Toll Free: (877) 526-3994 (within Utah) Fax: (801) 530-6438 American LegalNet, Inc. www.FormsWorkFlow.com INFORMATION REQUEST FOLLOW INSTRUCTIONS (front and back) CAREFULLY A. NAME & PHONE OF CONTACT [optional] FILING OFFICE ACCT # B. RETURN TO: (Name and Address) THE ABOVE SPACE IS 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 FIRST NAME 1b. INDIVIDUAL'S LAST 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: 2a. SEARCH RESPONSE CERTIFIED (Optional) Select one of the following two options: 2b. COPY REQUEST Record Number UNLAPSED CERTIFIED (Optional) Select one of the following two options: 2c. SPECIFIED COPIES ONLY ALL (Check this box to request a response that is complete, including filings that have lapsed.) ALL UNLAPSED CERTIFIED (Optional) Date Record Filed ( if required) Type of Record and Additional Identifying Information (if required) 3. ADDITIONAL SERVICES: 4. DELIVERY INSTRUCTIONS (request will be completed and mailed to the address shown in item B unless otherwise instructed here): 4a. Pick Up 4b. 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) — NATIONAL INFORMATION REQUEST (FORM UCC11) (REV. 05/09/01) American LegalNet, Inc. www.FormsWorkFlow.com INFORMATION REQUEST FOLLOW INSTRUCTIONS (front and back) CAREFULLY A. NAME & PHONE OF CONTACT [optional] FILING OFFICE ACCT # B. RETURN TO: (Name and Address) THE ABOVE SPACE IS 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 FIRST NAME 1b. INDIVIDUAL'S LAST 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: 2a. SEARCH RESPONSE CERTIFIED (Optional) Select one of the following two options: 2b. COPY REQUEST Record Number UNLAPSED CERTIFIED (Optional) Select one of the following two options: 2c. SPECIFIED COPIES ONLY ALL (Check this box to request a response that is complete, including filings that have lapsed.) ALL UNLAPSED CERTIFIED (Optional) Date Record Filed ( if required) Type of Record and Additional Identifying Information (if required) 3. ADDITIONAL SERVICES: 4. DELIVERY INSTRUCTIONS (request will be completed and mailed to the address shown in item B unless otherwise instructed here): 4a. Pick Up 4b. 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) — NATIONAL INFORMATION REQUEST (FORM UCC11) (REV. 05/09/01) American LegalNet, Inc. www.FormsWorkFlow.com INFORMATION REQUEST FOLLOW INSTRUCTIONS (front and back) CAREFULLY A. NAME & PHONE OF CONTACT [optional] FILING OFFICE ACCT # B. RETURN TO: (Name and Address) THE ABOVE SPACE IS 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 FIRST NAME 1b. INDIVIDUAL'S LAST 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: 2a. SEARCH RESPONSE CERTIFIED (Optional) Select one of the following two options: 2b. COPY REQUEST Record Number UNLAPSED CERTIFIED (Optional) Select one of the following two options: 2c. SPECIFIED COPIES ONLY ALL (Check this box to request a response that is complete, including filings that have lapsed.) ALL UNLAPSED CERTIFIED (Optional) Date Record Filed ( if required) Type of Record and Additional Identifying Information (if required) 3. ADDITIONAL SERVICES: 4. DELIVERY INSTRUCTIONS (request will be completed and mailed to the address shown in item B unless otherwise instructed here): 4a. Pick Up 4b. 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) — NATIONAL INFORMATION REQUEST (FORM UCC11) (REV. 05/09/01) American LegalNet, Inc. www.FormsWorkFlow.com