State Information Request {UCC11-U}

New Hampshire UCC Form 11-U Information Request A. Name and Phone of Contact Person at Requestor B. Return to: (name and address) 1. DEBTOR NAME to be searched ­ Insert only one debtor name in 1A or 1B. Do not combine names. 1A. ORGANIZATION NAME 1B. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 2. INFORMATION OPTIONS relating to UCC filings and other notices that include as a debtor, the name indicated in item 1. Select one of the following: 2a. 2b. 2c. Certified Search Response Without Copies (Check this box to request a response without copies that is complete and includes all filings that are on file.) Certified Search With Copies (Check this box to request a response with copies of all filings that are on file.) Specified Copies only Record Number CERTIFIED JACKET (optional) Date record Filed (if required) Unlapsed 3. Type of Service Requested: Lapsed Both 3a. Service (applicable only to State UCC office) (check one only) Routine ($10 plus $1 per copy) 24-Hour Expedited ($25 plus $1 per copy) Same-Day Expedited ($35 plus $1 per copy) 3b. Cost of copies will not exceed the indicated maximum below: (check one) $25.00 $100.00 $50.00 no limit Completed: American LegalNet, Inc. www.FormsWorkflow.com