Request for Information UCC Custom Searches Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Request for Information UCC Custom Searches Form. This is a Oregon form and can be use in Custom Searches And Lists Secretary Of State.
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Tags: Request for Information UCC Custom Searches, 417, Oregon Secretary Of State, Custom Searches And Lists
Phone: (503) 986-2212
Fax: (503) 373-1166
UCC Custom Searches - Request for Information
Secretary of State - Corporation Division - 255 Capitol St. NE, Suite 151 - Salem, OR 97310-1327 - http://www.FilingInOregon.com
CUSTOMER INFORMATION
NAME OF CUSTOMER:
AREA CODE & PHONE NUMBER:
BUSINESS NAME:
MAILING ADDRESS (Street Address, City, State, Zip):
TYPE OF BUSINESS:
BUSINESS W EBSITE ADDRESS:
BUSINESS E-MAIL ADDRESS:
DESCRIBE HOW THIS INFORMATION WILL BE USED:
FORMAT
Tab delimited text format
Excel Format
UCC CUSTOM SEARCHES $50.00 – Available in on CD-ROM or by E-Mail. Limit One Name per search fee.
SECURED PARTY NAME:
If you wish to limit the secured party listed on the line above to certain cities or zipcodes (Limit 5) Please fill in the appropraiate line below
You must indicate wheather you want to search on Debtor or Secure Party Cities/zipcodes. If you DO NOT Indicate the search will be performed an
secure party cities/zipcodes.
SECURED PARTY CITIES OR ZIPCODES
DEBTOR CITIES OR ZIPCODES
OTHER SEARCH: $50.00
OTHER SEARCH - Please list other information such as lien type, product codes (available for EFS Lien types only) or additional
search requirements:
DELIVERY - if lists are not e-mailed, please choose delivery option:
Pick-up in person
E-Mail to the following address
Mail to above address
PAYMENT - PREPAYMENT REQUIRED.
Make check payable to "Corporation Division", or you may fax this request with payment by VISA or MasterCard to 503-373-1166
Please charge $
VISA OR MASTERCARD #:
to my Visa/MasterCard.
Expiration Date:
SIGNATURE:
417 (08/09)
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