OFFICE OF THE SECRETARY OF STATE STATE CAPITOL NORTH ANNEX 325 DON GASPAR, SUITE 301 SANTA FE, NEW MEX ICO 87503 (505) 827-3615 FAX: (505) 827-3611 REQUEST FOR COPIES OF UCC FILING (records filed prior to June 30,1998) Date: Company: Mailing Address: Phone Num ber: FAX Num ber: Please do not request copies for more than one file number per form File Number: Debtor Name:
3/31/2008 1:32 pm
Person Placing Ord er:
Identify a nd ente r the mic rofilm nu mber fo r the rec ords yo u are req uesting: Financing Statement Amendment Amendment Amendment Assignment Assignment Partial Release Partial Release Continuation Continuation Termination Do you want these copies certified? Hold copies for pickup Fax Copies Special Instructions: Yes No Mail Copies
Please verify that all information is accurate. Requests that contain errors will be returned for correction or clarification. Payment must be rec eive d prio r to yo ur reque st being filled. If y ou hav e not a lready mad e arra ngem ent for p aym ent of y our req uest, our office will contact yo u to advise y ou of the total cost o f your request and to m ake arrang ements for pa yment.
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