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SOUTH DAKOTA SEARCH REQUEST UCC II APPROVED STANDARD FORM Secretary of State 500 E. Capitol · Pierre, SD 57501-5070 605-773-4422 · FAX 605-773-4550 PAD Account # _____________________ A. NAME OF REQUESTOR: B. RETURN TO: (Requesting Party Name and Address) A1. PHONE NUMBER C. DEBTOR NAME to be searched Must include the debtor's complete name and address. Only ONE debtor name is Individual Name allowed per request. Organization Name For Filing Officer Use. D1. SEARCH REQUEST ONLY (CERTIFIED) Select one of the following options: D2. BOTH SEARCH AND COPIES Select one of the following options: ACTIVE (includes terminations) ALL Copy update from (date) ___________________ ACTIVE (includes terminations) ALL D3. COPY REQUEST ONLY for exact copies of each page of the above named debtor's filings. Select one of the following options: ACTIVE (includes terminations) ALL Copy update from (date) ___________________ D4. SPECIFIED COPY REQUEST Check if copy is UCC1 or UCC3. If copy is a UCC-3, you must list the Original UCC-1 File Number UCC-1 UCC-3 Date Filed Document Number Original Filing Number Delivery Instructions : ________________________________________________________________________________________________________________ Specify if other than regular mail UCC II INSTRUCTIONS: 1. 2. 3. Please Type or Print Clearly in Ink. Check the appropriate box to designate whether this form is being used as an Search Request, Both for a Search Request and copy's or Copy Request. Search Request fee is $20.00 per debtor name. Copy fee is $1.00 per page. Payment is required at the time of processing. American LegalNet, Inc. www.FormsWorkFlow.com UCC II South Dakota Search Request Form (Rev. 09/25/2008)