GKL Registered Agents/Filings, Inc.

Please Print and FAX the completed form to: (775) 841-2065
UCC SEARCH FORM
Please provide the following contact information
Name
Firm Name
Street Address
City
State
Zip
Phone Fax
E-Mail Shipping Address: Please enter a shipping address if different than above.
Name
Firm Name
Street Address
City
State
Zip
Phone Order is to be placed in the following state: Nevada
Name of Debtor
Street Address
City
State
Check here if you want the search run at any address
Social Security or Federal Tax ID Number
Type of Search UCC Search Only
UCC Search & Copies
Non-Certified Online Printout
Order to be sent by:
Regular Mail
Zip
Federal Express
Other Overnight Courier Recipient Account Number
Third Party Account Number
In addition to sending order by above method. Please fax me a copy.
Billing:
Bill My Customer Number Order to be filled by credit card
Credit Card #
Credit Card Type Visa
Expiration Date
(01) January
2014
Signature: _______________________________ Date: _________
Name on Card
Billing Address
City
State
Zip
Special Instructions