4000 W. Clearwater, Suite C

Kennewick, WA 99336

509-783-0835

800-377-UCCS

FAX: 509-783-9607

Email: Searches@AgWestUCC.com


UCC SEARCH REQUEST


Please provide the following contact information:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Phone
FAX
E-mail

PLEASE FURNISH US AN INSTANT UCC SEARCH ON THE FOLLOWING DEBTOR(S):

Debtor 1:

First Name
Last Name
Middle Initial
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code

Debtor 2:

First Name
Last Name
Middle Initial
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code

Debtor 3:

First Name
Last Name
Middle Initial
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code

Debtor 4:

First Name
Last Name
Middle Initial
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code

When search is completed, please:

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Special instruction/remarks:



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Revised: October 09, 2003

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