PO Box 80927 Lincoln NE 68501 | 402-484-5071 | info@groundclearancellc.com


UCC Filing Request – File

Liens are filed in the state a company is incorporated. Though it is your responsibility to have this information we will verify with the state. If the company is a DBA or not a legal entity the lease and lien should be in the legal name of the individual. Liens on individuals are to be filed in the state of primary residence.


Requestor (secured party / lessor)

Your company name:

Personal Contact* :

E-mail* :

Address* :

City* :

State / Province* :

Postal Code* :

Phone* :

Purchase Order # :

Optional


Debtor / Lessee

Legal name of individual / business* :

Additional Names:

Optional

Address* :

City* :

State / Province* :

Postal Code* :

Additional Addresses:

Optional

Equipment year / make / model / serial:

Date of Sale:

OR

Lease / Rental Start Date

Lease / Rental End Date

State to file within

Other information:


 UCC Filing Request: starting at $30

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 File Termination at end of lease term: starting at $10

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How were you referred to Ground Clearance:

 Yes. Ground Clearance can use your company name in their marketing.


By checking this box you are agreeing to the terms of service and requesting lien search services be performed on your behalf.*


The party requesting Ground Clearance LLC file a UCC-1 is responsible for the legality of the filed document.
The debtor/lessee has been notified a lien will be filed in conjunction with the rental/lease of the equipment specified below.

A 3% fee is added to all credit and charge card payments.

If you are filing without the right to file or for fraudulent or other “less-than-legal” purposes, Ground Clearance LLC, the owner(s), agents, and/or any representatives of Ground Clearance LLC are held harmless and will not be named in any suit.

It is the duty of the requester to provide the correct legal name and address of the lessee. If lessee is a legal company, the lien shall be filed in the state of incorporation. IIf lessee is an individual it is your responsibility to provide the state of primary residence. Ask the lessee. At your written request the lien will be filed in other locations. Additional fees will apply for each jurisdiction filed.

By checking the box and submitting the form, you agree to pay the invoiced filing fee in advance of the filing. A copy of the filing will be forwarded to you as soon as it is filed and Ground Clearance receives a copy from the filing office.