OR
FIRST PERSONAL NAME SUFFIX
1a. ORGANIZATION'S NAME
1b. INDIVIDUAL'S SURNAME
ADDITIONAL NAME(S)/INITIAL(S)
1. DEBTOR'S NAME to be searched: Provide only one Debtor name (1a or 1b) (use exact full name; do not omit, modify or abbreviate any part of the Debtor's name)
B. E-MAIL CONTACT AT FILER (optional)
A. NAME & PHONE OF CONTACT AT FILER (optional)
FILING OFFICE COPY (1) — INFORMATION REQUEST (Form UCC11) (Texas) (Rev. 07/19/12)
2. INFORMATION OPTIONS relating to UCC filings and other notices on file in the filing office that include the Debtor name identified in item 1:
INFORMATION REQUEST
FOLLOW INSTRUCTIONS
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
FILING OFFICE ACCT #
C. RETURN TO: (Name and Address)
INFORMATION REQUEST RESPONSE WITHOUT COPIES Filing office requested to furnish a search report (as described in 2b) listing all reported records, but to furnish NO
COPIES of reported records
2c.
2b. INFORMATION REQUEST RESPONSE WITH FULL COPIES (CERTIFIED) Filing office requested to furnish a search report listing all financing statements, related records, and
other notices, showing date and time of filing and name and address of each Secured Party named therein, and also furnish an exact CERTIFIED COPY of ALL reported records (including all attachments)
2d. INFORMATION REQUEST RESPONSE WITH PARTIAL COPIES (CERTIFIED) Filing office requested to furnish a search report (as described in 2b) and also to furnish an
exact CERTIFIED COPY of the FIRST PAGE ONLY of all reported records
5. DELIVERY INSTRUCTIONS (request will be filled by mail sent to address shown in item C unless otherwise instructed here):
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.)
3.
SPECIFIED COPIES ONLY Filing office requested to furnish an exact copy of each page of the financing statements, related records, and other notices (including all attachments) that are identified
below by record number. Certain filing offices require additional identifying information — please complete if required
Record Number
Date Record Filed (if required)
Type of Record and Additional Identifying Information (if required)
5a.
FAX Delivery
Filing office requested to fax results of this Information Request to fax number indicated here:
5b.
( )
CERTIFIED COPY REQUEST Filing office requested to furnish CERTIFIED copies per request indicated in this item 3
LISTING RELATING TO DEBTOR AT SPECIFIED CITY AND STATE ONLY Filing office requested to furnish a search report listing all financing statements, related records,
and other notices on file in filing office that include the Debtor's name identified in item 1 and show that Debtor's address in the city, state, and country indicated here:
2a.
5c.
4.
OR
4a. ORGANIZATION'S NAME
4c. CITY
4b. INDIVIDUAL'S SURNAME
STATE
SUFFIX
COUNTRY
ADDITIONAL NAME(S)/INITIAL(S)
FIRST PERSONAL NAME
LISTING RELATING TO SECURED PARTY Filing office requested to furnish a search report listing all financing statements, related records, and other notices (regardless of Debtor
name) on file in filing office that include the Secured Party's name identified in item 4a or 4b. If a specified city, state, and country are being requested (optional), show that Secured Party's address in item 4c
CITY
STATE COUNTRY
Print
Reset
Office of the Secretary of State of Texas
Instructions for Information Request (Form UCC11) (Texas)
Please type or laser-print this form. Be sure it is completely legible. Read and follow all Instructions, especially Instruction 1; use of the correct name
for the Debtor is crucial.
Fill in form very carefully; mistakes may have important legal consequences. If you have questions, consult your attorney. The filing office cannot give
legal advice.
Send completed form parts 1 and 2 (labeled Filing Office Copy (1) and (2)) to the filing office, with the required fee.
ITEM INSTRUCTIONS
A and B. To assist filing offices that might wish to communicate with filer, filer may provide information in item A and item B. These items are optional.
C. Provide name and address of requestor in item C. This item is NOT optional.
1. Debtor’s name. Enter only one Debtor name in item 1 -- either an organization's name (1a) or an individual’s name (1b). Enter Debtor's
correct
name. Do not abbreviate words that are not already abbreviated in the Debtor’s name.
1a. Organization Debtor Name. “Organization Name” means the name of an entity that is not a natural person. A sole proprietorship is not an organization,
even if the individual proprietor does business under a trade name. If Debtor is a registered organization (e.g., corporation, limited partnership,
limited liability company), it is advisable to examine Debtor’s current filed public organic records to determine Debtor's correct name. Trade name
is insufficient. If a corporate ending (e.g., corporation, limited partnership, limited liability company) is part of the Debtor’s name, it must be included.
Do not use words that are not part of the Debtor’s name.
1b. Individual Debtor Name. “Individual Name” means the name of a natural person; this includes the name of an individual doing business as a sole
proprietorship, whether or not operating under a trade name. The term includes the name of a decedent where collateral is being administered
by a personal representative of the decedent. The term does not include the name of an entity, even if it contains, as part of the entity’s name,
the name of an individual. Prefixes (e.g., Mr., Mrs., Ms.) and titles (e.g., M.D.) are generally not part of an individual name. Indications of lineage
(e.g., Jr., Sr., III) generally are not part of the individual’s name, but may be entered in the Suffix box. Enter individual Debtor’s surname (family
name) in Individual’s Surname box, first personal name in First Personal Name box, and all additional names in Additional Name(s)/Initial(s) box.
If a Debtor’s name consists of only a single word, enter that word in Individual’s Surname box and leave other boxes blank.
For both organization and individual Debtors. Do not use Debtor’s trade name, DBA, AKA, FKA, division name, etc. in place of or combined with
Debtor’s correct name; filer may add such other names as additional Debtors if desired (but this is neither required nor recommended).
2. Information Options.
2a. To request a "Listing Relating to Debtor at Specified City and State Only" check box 2a and enter the city, state, and country in item 2a. This type
of request will introduce a search criterion that narrows the scope of the search, which may result in an incomplete search (that fails to list all
filings against a named Debtor) and requestor may fail to learn information that might be of value.
2b-2d. Check appropriate box (2b, 2c, or 2d) to specify whether search response should include all copies, no copies or partial copies.
3. Specified Copies Only. To request specified copies only, check the "Specified Copies Only" box and provide the record number(s) as requested.
To request certified copies for record number(s) identified in item 3, also check the "Certified Copy Request" box.
4. Listing relating to Secured Party. To request a listing for a named Secured Party, check this box. Enter only one Secured Party name in item
4 -- either an organization's name (4a) or an individual's name (4b). If a specified city, state, and country is being requested (optional), enter that
Secured Party's address in item 4c.
5. Delivery Instructions. Unless otherwise instructed, filing office will mail information to the name and address in item C. Check appropriate box
(5a, 5b, or 5c) if optional delivery method is being requested.
5a. To request information to be faxed to the requestor, check the "FAX Delivery" box and provide fax number in specified area.
5b. To request information to be picked up from the filing office, check the "Pick Up" box.
5c. For other than mail, pick up or FAX, check the "Other" box and specify the other delivery method that is being requested. If requesting delivery
service, provide delivery service's name and requestor's account number to bill for delivery charge. Filing office will not deliver by delivery service
unless prepaid waybill or account number for billing is provided.
If requesting information from a county clerk filing office, contact county clerk to determine what services are offered by that office.