INFORMATION REQUEST FOLLOW INSTRUCTIONS (front and back) CAREFULLY A. NAME & PHONE OF CONTACT [optional] B. RETURN TO: (Name and Address) FILING OFFICE ACCT # 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 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: 2a. SEARCH RESPONSE 2b. COPY REQUEST 2c. SPECIFIED COPIES ONLY CERTIFIED (Optional) Select one of the following two options: Select one of the following two options: ALL (Check this box to request a response that is complete, including filings that have lapsed.) ALL CERTIFIED (Optional) UNLAPSED CERTIFIED (Optional) UNLAPSED Record Number 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. 4b. 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) NATIONAL INFORMATION REQUEST (FORM UCC11) (REV. 05/09/01) 2001 © American LegalNet, Inc. INFORMATION REQUEST FOLLOW INSTRUCTIONS (front and back) CAREFULLY A. NAME & PHONE OF CONTACT [optional] B. RETURN TO: (Name and Address) FILING OFFICE ACCT # 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 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: 2a. SEARCH RESPONSE 2b. COPY REQUEST 2c. SPECIFIED COPIES ONLY CERTIFIED (Optional) Select one of the following two options: Select one of the following two options: ALL (Check this box to request a response that is complete, including filings that have lapsed.) ALL CERTIFIED (Optional) UNLAPSED CERTIFIED (Optional) UNLAPSED Record Number 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. 4b. 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 (2) NATIONAL INFORMATION REQUEST (FORM UCC11) (REV. 05/09/01) 2001 © American LegalNet, Inc. INFORMATION REQUEST FOLLOW INSTRUCTIONS (front and back) CAREFULLY A. NAME & PHONE OF CONTACT [optional] B. RETURN TO: (Name and Address) FILING OFFICE ACCT # 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 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: 2a. SEARCH RESPONSE 2b. COPY REQUEST 2c. SPECIFIED COPIES ONLY CERTIFIED (Optional) Select one of the following two options: Select one of the following two options: ALL (Check this box to request a response that is complete, including filings that have lapsed.) ALL CERTIFIED (Optional) UNLAPSED CERTIFIED (Optional) UNLAPSED Record Number 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. 4b. 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.) REQUESTOR COPY NATIONAL INFORMATION REQUEST (FORM UCC11) (REV. 05/09/01) 2001 © American LegalNet, Inc. Instructions for National Information Request (Form UCC11) 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. This item is optional. 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 organization's name (1a) or an individuals name (1b). Enter Debtors exact full legal name. Dont abbreviate. 1a. Organization Debtor. Organization means an entity having a legal identity separate from its owner. 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 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