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  • Secured Party Creditor ID Card Application: Right Thumb Print

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    lacardo burden
    277 views1 page
    This document appears to be an application for a secured party creditor ID card. It requests personal information about the secured party creditor such as name, address, date of birth, physical description, as well as details about a UCC-1 financing statement filing. It provides instructions for submitting a passport-style color photograph and places for the applicant's signature and thumbprint. By signing, the applicant agrees not to misuse the ID card and indemnifies the agent creating the document.

    Original Description:

    Original Title

    SPC-ID

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    This document appears to be an application for a secured party creditor ID card. It requests personal information about the secured party creditor such as name, address, date of birth, physical description, as well as details about a UCC-1 financing statement filing. It provides instructions for submitting a passport-style color photograph and places for the applicant's signature and thumbprint. By signing, the applicant agrees not to misuse the ID card and indemnifies the agent creating the document.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    277 views1 page

    Secured Party Creditor ID Card Application: Right Thumb Print

    Uploaded by

    lacardo burden
    This document appears to be an application for a secured party creditor ID card. It requests personal information about the secured party creditor such as name, address, date of birth, physical description, as well as details about a UCC-1 financing statement filing. It provides instructions for submitting a passport-style color photograph and places for the applicant's signature and thumbprint. By signing, the applicant agrees not to misuse the ID card and indemnifies the agent creating the document.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    Secured Party Creditor ID Card Application

    SPC Full Name: _______________________________________


    Debtors Full Name: ____________________________________
    Address:_____________________________________________
    City: ________ State: _________ Zip:_________ Phone: (___)___-_____
    Email:__________________________________________________
    DOB: __-___-_____ Hair Color: _____________ Eye Color:__________• Sex:
    Weight: ______________ Height:______________

    Date of UCC-1 filing: ___-___-_____ Expiration Date: ___-___-_____ or  no expiration


    State UCC-1 filed in: ___________________ Filing Number of UCC-1: ___________________
    Copy of UCC-1 filing Receipt you received from online filing or mail-in filing

    A Color Photo Meeting the Below Criteria (please note that the photo can be submitted either by
    mail or through e-mail)

    1. Color photos of a front view of your head and shoulders is required


    2. Original photo only, bigger is better. Minimum size is 1 11/16" x 2 1/8" Maxim size
    should not exceed 8.5” by 11” (please note we will return your photo with your ID.) If
    submitted by e-mail please make sure that your photo is at least 300 DPI.
    3. Photos must be taken against a plain white background without shadows. Passport
    photo is best.
    4. Look directly into the camera with a natural expression.
    5. Tinted prescription glasses maybe worn as long as the eyes are clearly visible.
    6. A photo in which you are wearing a hat or head covering or anything that interferes with
    the photo's value in providing a means of identifying you is not acceptable.

    Photos that do not meet the above specifications, or that do not allow a clear and positive
    identification (image that are too dark, too light or blurry) will not be accepted. You want this
    photo to be as close a likeness to yourself as you can get it so that you are able to easily and
    effectively use it for identification.

    Place your
    Right Thumb Print
    in red ink inside the box
    Place your signature inside the box above Using a WITHOUT Your print
    BLACK - BOLD tipped pen or felt tipped pen below Touching Or Crossing
    – WITHOUT Your Signature Touching Or Crossing Over The Lines.
    Over The Lines, be sure it is straight and easy to
    read Please take your time signing, make it look
    professional and readable.

    I by the above signature and seal agree not to misuse the document created by
    my agent on my behalf and further indemnify Sovereign Filing Solutions as my
    agent from harm in any and all ways in the use and/or the misuse of the
    foresaid and verify that the aforesaid information is true to best knowledge and
    ability.

    ID Application P a g e | 1 of 1

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