KRIS W. KOBACH
Secretary of State
image of the Kansas Secretary of State seal
STATE OF KANSAS
Memorial Hall, 1st Floor
120 SW 10th Avenue
Topeka, KS 66612-1594
(785) 296-4564
www.sos.ks.gov

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UCC Secured Party Listing Request

To request a Secured Party search fill out the form below, print, and send to our office with a cover sheet stating the payment type and any appropriate account information.

Kansas Secretary of State
Attn: UCC Searches
120 SW 10th Avenue
Topeka, KS 66612

Fax # 785-296-4570

The Secured Party Search request is $150.00 per name searched. Payment must be submitted with request. The payment methods we accept are: check, prepaid account, and Visa or MasterCard.

Your request will be processed by our records department and returned to you via your selected method within 3 business days (allow 7-10 days for U.S. Postal Service).

Secured Party Information

*Secured Party Name:
*Secured Party City:
   
*Requester First Name:
*Requester Last Name:
*Address 1:
Address 2:
*City:
*State:
*Zip:
*Phone:
Fax Number:
Email:
(*required if selecting
'Receive via email' below)		  

Receive via: Email (within 48 hours) U.S. Postal Service (7 - 10 days)
Notice

K.S.A. 45-230 prohibits using names and addresses derived from public records for certain commercial purposes. This includes using public records to sell property or services. Persons are also prohibited from obtaining public records with the intention of making the records available to a third party for such purposes. Violation of this law is punishable as a civil offense with a penalty of $500 per violation.

The undersigned hereby requests access to the records described above and certifies that the undersigned has a right of access to the records. The undersigned further certifies that the information obtained from the records will not be used for a prohibited purpose.

Type your name below to request a records search and to indicate that you have read and understand the conditions outlined in the above notice.

Your Name:* Date:*