Change Statement

Fee: $25.00 plus disbursement of $11.50

Please fill out the following fields as required and click on the Submit Form button at the bottom of this page. You will receive a confirmation message on the next page.

Financing Change Statement
Party Registering Change Information
Code Number (if known)
Registering Party Surname
First Name and Initials
Company Name
Address
City
Province
Country
Postal Code
Email (REQUIRED)
Applicant Phone Number (include Area Code)
Applicant FAX Number
Contact Person Name
Client File Reference
Identification of Registration to be Changed
Base Registration No.
Individual Last Name	Base Debtor
Full First Name
Second Name
Business Name
Type of Change
Select One	Secured Party Transfer, Debtor Transfer, Debtor Release, Partial Discharge of Collateral, Addition of Collateral, Substitution of Collateral, Amendment / Other Change, Registry Correction
Details of Amendment / Other Change
Deletions Information - A.
Block No.
Secured Party Code OR
Secured Party Name
Trust Indenture Indicator	Enter 'T' to delete Trust Indenture Indicator
Deletions Information - B.
Block No. AND
Business Debtor Name OR
Individual Debtor Last Name
Full First Name
Second Name
Deletions Information - C.
Block No.
Serial No. / Dept. of Transport No.	Vehicle Collateral: Motor Vehicle, Manufactured Home, Boat , Outboard Motor, Trailer or Aircraft
M. H. Reg. No.
Deletions Information - D.
General Collateral	Other than collateral described above by serial no.
Additions Information - A.
Code OR
Secured Party Name
AND Address
City
Prov.
Postal Code
Trust Indenture Indicator	Enter 'T' to add Trust Indenture Indicator
Additions Information - B.
Business Debtor Name OR
Individual Debtor Last Name
Full First Name
Second Name
Birthdate	YYYY Mon. DD format
AND Address
City
Prov.
Postal Code
Additions Information - C.
Type	Vehicle Collateral: Motor Vehicle, Manufactured Home, Boat , Outboard Motor, Trailer or Aircraft
Serial No. / Dept. of Transport No.
Year
Make and Model
M. H. Reg. No.
Additions Information - D.
General Collateral	Other than collateral described above by serial no.
Other Information
Instructions or notes
Contact Information
How do you want to be advised?	Email as a PDF, Phone and follow up with Postal Mail, FAX, Postal Mail
Payment Information
Payment Method	On Account, Credit Card, Cash to Representative, Cheque to Representative Apply for a BEST Account now!
If paying On Account, Number
If paying by Credit Card	VISA, MasterCard
Credit Card Number	i.e. 1234 1234 1234 1234
Card Security Code	i.e. 123
Name on Credit Card	i.e. John Q Public
Expiry Date	i.e. 12/06 (MM/YY)

Having trouble? Phone 250-386-2399
and we would be pleased to assist you!

BEST Search & Registry Ltd.
Head Office: #3 - 1312 Stanley Avenue, Victoria, BC, Canada V8S 3S6
Tel: 250-386-2399, Fax: 250-386-2377
E-Mail: info@BEST-Search-and-Registry.com
Website: www.BEST-Search-and-Registry.com

BEST
Search &
Registry
Ltd.