COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..... .. STATE .OF. SOUTH.DAKOTA FINANCING STATEMENT – UCC 1 Fee $_________________ : APPROVED STANDARD FORM Index No. Account # _____________ Secretary of State 500 E. Capitol Ÿ Pierre, SD 57501-5070 Ÿ 605-773-4422 : Calendar No. PLEASE TYPE THE INFORMATION ON THIS FORM ACCORDING TO ALL INSTRUCTIONS PRINTED ON THE BACK OF THE UCC 1 FORM NOTE: Type smaller than 8 point is not acceptable. This is an:example of 8 point type. JUDICIAL SUBPOENA 1. SECURED PARTY NAME AND ADDRESS insert only one secured party namePlaintiff(s) (1a or 1b) 1a. ORGANIZATION’S NAME -against- or 1b. INDIVIDUAL’S LAST NAME : FIRST NAME 1c. MAILING ADDRESS MIDDLE NAME : CITY 2. ASSIGNEE OF SECURED PARTY NAME AND ADDRESS insert only one assignee name (2a or 2b) 2a. ORGANIZATION’S NAME or STATE POSTAL CODE COUNTRY : Defendant(s) FIRST NAME : ...................................................... 2b. INDIVIDUAL’S LAST NAME 2c. MAILING ADDRESS SUFFIX MIDDLE NAME CITY STATE SUFFIX POSTAL CODE COUNTRY 3. DEBTOR’S EXACT FULL LEGAL NAME – insert only one debtor (3a or 3b) – do not abbreviate or combine names. 3a. ORGANIZATION’S NAME or THE PEOPLE OF THE STATE OF NEW YORK 3b. INDIVIDUAL’S LAST NAME FIRST NAME CITY TO 3c. MAILING ADDRESS 3d. TAX ID # SSN OR EIN ADD’S INFO RE ORGANIZATION DEBTOR MIDDLE NAME STATE 3e. TYPE OF ORGANIZATION 3f. JURISDICTION OF ORGANIZATION SUFFIX POSTAL CODE COUNTRY 3G. ORGANIZATIONAL ID#, if any o NONE 4. ADDITIONAL DEBTOR’S EXACT FULL LEGAL NAME – insert only one debtor name (4a or 4b) – do not abbreviate or combine names. GREETINGS: 4a. ORGANIZATION’S NAME or 4b. INDIVIDUAL’S LAST NAME FIRST NAME MIDDLE NAME SUFFIX WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before 4c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY , the Honorable at the Court located at 4f. JURISDICTION OF ORGANIZATION County ADD’S INFO RE 4e. TYPE OF ORGANIZATION of 4d. TAX ID # SSN OR EIN 4G. ORGANIZATIONAL ID#, if any ORGANIZATION in roomDEBTOR , on the day of , 20 , at o'clock in the noon, and at any recessed o NONE 5. This Financing adjourned date, to testify(or items) of property: If collateral a crops, the crops this action on growing or are to the or Statement covers the following types and give evidence as is witness in described below are the part of be grown on, OR if collateral is goods which are or are to become fixtures, the below goods are affixed or to be affixed to: Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable o PROCEEDS of collateral are also covered. Check (X) if covered: Court in County, day of , 20 , one of the Justices of the o PRODUCTS of collateral are also covered. Use the following spaces only for Farm Products requiring EFFECTIVE FINANCING STATEMENT (EFS) FARM PRODUCT CODE YEAR QUANTITY COUNTY CODE LOCATION IN COUNTY OR FURTHER DESCRIPTION (Attorney must sign above and type name below) Attorney(s) for Pay proceeds to Debtor and Secured Party unless otherwise checked: o Secured Party only o Debtor only Check only if applicable and check only one box. o Debtor is a TRANSMITTING UTILITY o Filed in connection with a Manufactured Home Transaction – effective 30 years. o Filed in conjunction with a Public-Finance TransactionOffice and P.O. Address – effective 30 years Signature(s) of Debtor(s) Check to REQUEST SEARCH REPORT(S) on Debtor(s) oAll Debtors o Debtor 1 Signature of Secured Party Telephone No.: Facsimile No.: Number oE-Mail Address: of Additional Sheets, if any: Debtor 2 UCC 1 FORM Mobile Tel. No.: Revised 7/01/01 American LegalNet, Inc. www.USCourtForms.com 1. COURT UCC 1 - INSTRUCTIONS COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. Debtor name: Enter only one Debtor name in item 3, an organization's name (3a) or an : PLEASE TYPE THIS FORM. Verify all information on the form for accuracy and Index No. correct spelling. Information will be entered on the computer and any error in the debtor’s name, social security number, taxpayer ID number, organization information, or the EFS codes entered incorrectly will result in reporting errors. 2. individual’s name (3b). Enter Debtor’s exact full legal name. Don’t abbreviate. Organization Debtor. “Organization” means an entity having a legal identity separate from : Calendar No. its owner. A partnership is an organization; a sole proprietorship is not an organization, even if it does business under a trade name. If Debtor is a partnership, enter exact full SDCL 57A-9-02 requires the social security number for each individual debtor, the legal name of partnership; you need not enter names of partners as additional Debtors. If : debtor’s internal revenue service (IRS) employer identification number of each Plaintiff(s) is a registered organization (e.g., corporation, limited partnership, limited liability Debtor business, corporation, tradename, d/b/a etc., to be listed. company), it is advisable to examine Debtor’s current filed charter documents to determine -against: Debtor's correct name, organization type, and jurisdiction of organization. An additional fee will be charged to all standard forms containing an attachment. JUDICIAL SUBPOENA 3. 4. Submit the completed and properly signed statement to the Central Filing System together with the proper filing fee*. You must file in the state of formation of an entity, not the state of the location of the asset. At the time of filing, the filing officer will return the original copy of the financing statement as an acknowledgement which can be used for a termination. Individual Debtor. “Individual” means a natural person; this includes a sole proprietorship, whether or not operating under a trade name. Don’t use prefixes (Mr., Mrs., Ms.). Use : suffix box only for titles of lineage (Jr., Sr., III) and not for other suffixes or titles (e.g., M.D.). Use married woman’s personal name (Mary Smith, not Mrs. John Smith). Enter : individual Debtor’s family name (surname) in Last Name box, first given name in First Name box, and all additional given names in Middle Name box. Defendant(s) For both organization : individual Debtors: Don’t use Debtor’s trade name, DBA, AKA, and . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FKA,. Division .name, etc. in place of or combined with Debtor’s legal name; you may add .. .... .... ∗ FILING FEES: (UCC 1) Financing Statement Financing Statement with Assignment Acknowledgement Termination such other names as additional Debtors if you wish (but this is neither required nor recommended). $20 $20 NO FEE THE PEOPLE OF THE STATE OF NEW YORK Add $2 for each additional Debtor name. $4 additional for each standard form with an attachment. TO PLEASE NOTE: Agencies may set up an account with the Secretary of State to pre-pay filing fees. For information please contact the UCC Division of the Office of the Secretary of State at (605) 773-5006. “Additional information re organization Debtor” is always required. Type of organization and jurisdiction of organization as well as Debtor’s exact legal name can be determined from Debtor’s current filed charter document. Organizational ID #, if any, is assigned by the agency where the charter document was filed; this is different from tax ID #; this should be entered preceded by the 2-character U.S. Postal identification of state of organization if one of the United States (e.g., CA12345, for a California corporation whose organizational ID # is 12345); if agency does not assign organizational ID #, check box in item 3g indicating “none.” Please use the following code numbers to complete the FARM PRODUCTS section of the form (If your product is not listed, please contact the Secretary of State’s Office): GREETINGS: 1001 1002 1003 1005 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 buckwheat 2016 sudan 3205 broccoli 3600 mushrooms 5604 game birds spring wheat 2100 hay 3206 cauliflower 5001 beef cattle/calves 5605 ostrich WE COMMAND YOU, that 3207business and excuses being laid buffalo you and each ofmink and pelts before all lima beans winter wheat 2200 ensilage 5002 aside, 5701 you attend straw the Honorable 2300 potatoes 3208 green beans at the 5003 bison 5702 rabbits Court barley County of 2400 sugar beets 3209 garbanzo beans 5101 sheep & lambs 5703 fox and pelts located at rye (including triticale) 2500 dry beans 3210 carrots 5102 wool 5704 lynx, bobcat, pelts on the day of3211 turnips , 20 , at o'clock noon, and at&any recessed oats in room 2600, sweet corn 5103 goats in the 5705 coyote pelts sorghum grain 2700 onions 3212 asparagus 5104 llamas or adjourned date, to testify and give evidence as a witness in this action on the part of the 5750 dogs flaxseed 2800 mint 3213 spinach & collards 5200 hogs 5751 cats safflower 2901 popcorn 3214 pumpkin & squash 5301 dairy cattle 5752 gerbils field corn 2902 sunflower seeds 3215 watermelon 5302 milk 5801 bees / hives alfalfa 3000 soybeans 3216 muskmelon 5303 cream 5802 honey Your failure to comply with this subpoena is punishable as a 5401 horses of court and5803 beeswax you liable to contempt will make clover 3001 field peas 3217 cantaloupe millet the party on whose grass for seed subpoena was issued for a maximum penalty of $50 and all 5901 fish 3101 behalf this 3301 apples 5402 mules damages sustained as a milo result of your failure to comply. 3102 alfalfa for seed 3302 plums 5501 chickens 6001 deer durum 3103 mustard 3401 strawberries 5502 eggs 6002 elk rape seed 3201 green peas 3402 raspberries 5601 turkeys 6100 worms canola 3202 tomatoes 3501 sod 5602 ducksone of the Justices cattle semen 6201 of the Witness, Honorable , cane 3203 lettuce 3502 nursery stock (trees & shrubs) 5603 geese 6202 horse semen Court in County, day offlowers & potted plants , 20 3204 cucumbers 3503 YEAR: For a crop grown in soil, the calendar year in which it is harvested or to be harvested. For animals, the calendar year in which they are born or acquired. For poultry or eggs, the calendar year in which they are sold or to be sold. If “year” and “quantity” are left blank, perfection continues for all crops for every year the statement is effective, and for all crop years during the effective period of the statement. (Attorney must sign above and type name below) QUANTITY: Number of bushels, head of livestock, or other commonly used identifier. Specify the units. COUNY CODE: Use the code below which is the same as the license plate county code. The county where produced and where located should be listed. Aurora.................................. 10 Beadle ................................. 04 Bennett................................ 11 Bon Homme ........................ 12 Brookings ............................ 06 Brown .................................. 03 Brule .................................... 13 Buffalo ................................. 14 Butte .................................... 15 Campbell ............................. 16 Charles Mix ......................... 17 Clark .................................... 18 Clay ..................................... 19 Codington............................ 05 Corson ................................. 20 Custer .................................. 21 Davison................................ 08 Day ...................................... 22 Deuel ................................... 23 Dewey.................................. 24 Douglas................................ 25 Edmunds ............................. 26 Fall River.............................. 27 Faulk .................................... 28 Grant.................................... 29 Gregory................................ 30 Haakon ................................ 31 Hamlin ..................................32 Hand.....................................33 Hanson.................................34 Harding.................................35 Hughes.................................36 Hutchinson ...........................37 Hyde.....................................38 Jackson................................39 Jerauld .................................40 Jones....................................41 Kingsbury .............................42 Lake .....................................43 Lawrence .............................09 Lincoln ................................. 44 Lyman.................................. 45 Attorney(s) for McCook ............................... 46 McPherson .......................... 47 Marshall ............................... 48 Meade.................................. 49 Mellette ................................ 50 Office and P.O. Address Miner.................................... 51 Minnehaha........................... 01 Moody.................................. 52 Pennington .......................... 02 Telephone No.: Perkins................................. 53 Facsimile No.: Potter ................................... 54 Roberts ................................55 Sanborn ...............................56 Shannon ..............................65 Spink ....................................57 Stanley .................................58 Sully .....................................59 Todd.....................................67 Tripp.....................................60 Turner ..................................61 Union....................................62 Walworth..............................63 Yankton................................07 Ziebach ................................64 E-Mail Address: LOCATION IN COUNTY: If the “location in county” portion of the EFS is left blank, the statement will pertain Tel. of the product in the listed county. This can be Mobile to all No.: used for further description of the collateral. American LegalNet, Inc. www.USCourtForms.com ,