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: A1. PHONE NUMBER
B. RETURN TO: (Requesting Party Name and Address)
C. DEBTOR NAME to be searched – Must include the debtor’s complete name and address. Only ONE debtor name is
allowed per request. Organization Name
Individual Name
For Filing Officer Use.
D1. SEARCH REQUEST ONLY (CERTIFIED) Select one of the following options: ACTIVE (includes terminations) ALL
D2. BOTH SEARCH AND COPIES Select one of the following options:
ACTIVE (includes terminations) ALL Copy update from (date) ___________________
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. Please Type or Print Clearly in Ink.
2. 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.
3. Search Request fee is $20.00 per debtor name. Copy fee is $1.00 per page. Payment is required at the time of processing.
UCC II South Da
kota Search Request Form (Rev. 09/25/2008)
Current UCC Online Subscriber:
Yes
No
