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Date (dd/mm/yy)
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Name
of firm or customer code*
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Author*
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Your
client name or matter number
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OPTIONAL
INFORMATION REQUIRED TO THIS REGISTRATION
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I
require a post registration confirmation search of the debtor |
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I
require a verification statement to be sent to the debtor pursuant
to section 148 of the PPSA (address taken from verification statement) |
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I
require a pre registration search of the debtor |
| We require the following information
to complete a discharge. NB: We will hold the below listed ID's,
Pin's and Password's if the financing statement was registered by
us for you. Please advise. |
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Secured Party ID
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Secured Party Password
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Financing Statement No
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Financing Statement PIN
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Name of Secured party and or
Debtor for cross reference
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Special Instructions
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Send
completed confirmation by
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| If first time using our services please provide the following
contact details: |
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Email
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Phone
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Fax
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DX
or postal
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Physical address
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