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Request for Information UCC Custom Searches 417 - Oregon

Request for Information UCC Custom Searches Form. This is a Oregon form and can be used in Custom Searches And Lists Secretary Of State .
 Fillable pdf Last Modified 6/18/2012
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Phone: (503) 986-6358 Fax: (503) 986-2308 UCC Custom Searches - Request for Information Secretary of State - Corporation Division - 255 Capitol St. NE, Suite 151 - Salem, OR 97310-1327 - http://www.FilingInOregon.com CUSTOMER INFORMATION: NAME OF CUSTOMER: AREA CODE & PHONE NUMBER: BUSINESS NAME: MAILING ADDRESS (Street Address, City, State, Zip): TYPE OF BUSINESS: BUSINESS WEBSITE ADDRESS: DESCRIBE HOW THIS INFORMATION WILL BE USED: BUSINESS E-MAIL ADDRESS: FORMAT Tab delimited text format Excel Format SECURED PARTY NAME: One secured party name per search fee. CITY/ZIP SEARCH: $50 PER 5 CITIES OR ZIP CODES: \ SECURED PARTY CITIES/ZIPS: DEBTOR CITIES /ZIPS: If you wish to limit the secured party name search to cities or zips, please list them on the appropriate line above. Note: Your city/zip search will be done based on the line you enter the cities and zips on above. DELIVERY - if lists are not e-mailed, please choose delivery option: Email to the following address Pick up in person Mail to above address PAYMENT - PREPAYMENT REQUIRED. Make check payable to "Corporation Division", or you may fax this request with payment by VISA or MasterCard to 503-986-2308 Please charge $ to my Visa/MasterCard. Expiration Date: VISA OR MASTERCARD #: SIGNATURE: 417 (05/12) American LegalNet, Inc. www.FormsWorkFlow.com
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