Dakota Fast File Subscription Form The following form must be submitted to and approved by the South Dakota Secretary of State Office before the institution will be given access to the Dakota Fast File System.The annual fee is $120 for each system your institution subscribers to. The fee must be included unless you are deducting it from an existing PAD account. If you do not have a PAD account it will be necessary to establish one and deposit a sufficient sum into that account for payment of future filings. If you have any questions, please contact the UCC Division. Institution Information PAD Account Institution's Name Name of Authorized Representative First Name City Physical Mailing Address MI Last Name State Postal Code Country Phone Number Email Address Please check the system(s) to which the institution is subscribing Search ($120 annually) Tickler ($120 annually) File UCC Documents ($120 annually) *If you are using the search function and are a registered buyer, you are required to check the registered buyer box below By signing this form I agree that I have read and agree to the Dakota Fast File terms and conditions and the information describing the limitation for use of information accessed through this system. The authorized representative is responsible for submitting a user authorization form for each individual that will access this Dakota Fast File account. I am a registered Buyer of (please choose) Once the form is approved the institution will automatically be given a PAD account. The $120 annual fee's above cover the basic search and tickler functionality. If the institution will be performing certified searches or filing UCC documents money will have to be deposited into the PAD account that the Secretary of States Office has created for you. Dated (Signature of Authorized Representative) (Title) Return this completed form to the UCC by Fax, Mail, or you can click on the button below to email it UCC Division Office of Secretary of State 500 E Capitol Avenue, Pierre SD 57501 Phone: 605-773-4422 Fax: 605-773-4550 For Office Use Only: Master Account User Name Password Expiration Date DFF Subscription Form Revised 01/19/2011 American LegalNet, Inc. www.FormsWorkFlow.com