Debtor Request for Certified Statement from Secured Party
TO:
________________________
____________________________
____________________________
____________________________
Attention:
__________________
FROM:
______________________
____________________________
____________________________
____________________________
Attention:
__________________
Dated:
___________________________
Pursuant to Section
9-208 of the Uniform Security Code, ____________________, as debtor, requests
that the Secured Party, __________________________, provide:
A statement of account,
indicating the aggregate amount of unpaid indebtedness as of _______________________.
Approval of the following statement of collateral as constituting a correct
statement of the collateral claimed by Secured Party as of
______________________.
See Exhibit
"1" to this form.
The statement above is
(check one):
__ Accepted as correct
__ Incorrect, our
corrections or response are attached hereto
Dated:
____________________________________
________________________,
by:
___________________________________________________
An Authorized Officer
Title:
___________________________________________
_________________________,
by:
__________________________________________________
An Authorized Officer
Title:
_____________________________________
Free Download Link: Debtor Request for Certified Statement from Secured Party
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