STATE OF IDAHO - FORM UCC-1F FARM PRODUCTS FINANCING STATEMENT Customer SOS Account Number CONTACT INFORMATION (name and phone number) SEND ACKNOWLEDGEMENT TO: (name and address OR name and email address) 1a. DEBTOR OR Address Organization's Name Individual's Last Name First Name This block for Filing Office use only. See instructions, fee schedule and tables of codes on the instruction page. To include additional information use form UCC-1Fa. Middle Name Suffix City State ID Zip SSN/TIN [last 4 digits only] 1b. DEBTOR Organization's Name OR Address Individual's Last Name First Name Middle Name Suffix City State ID Zip SSN/TIN [last 4 digits only] 1c. DEBTOR OR Address Organization's Name Individual's Last Name First Name Middle Name Suffix City State ID Zip SSN/TIN [last 4 digits only] 2. Secured Party Name and Address Organization's Name OR Address Individual's Last Name First Name Middle Name Suffix City State ID Amount, if necessary Zip 3. Farm Products Item Product No. Code 1 2 3 4 Enter at least one product code and county code for each item of collateral. Only farm products are permitted in this section. Product Name (optional) County Code(s) Crop Year(s), if less than all Unit Add. Info Debtor Signatures [optional if signed agreement exists granting a lien on the farm product(s)] 1. 2. 3. Rev. 03/2016 Signature of Secured Party TERMINATION STATEMENT-The Secured Party no longer claims a security interest under the financing statement. Date Signature of Secured Party / Assignee of Record American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS DEBTOR: 1. 2. 3. 4. 5. 6. SECURED PARTY: Enter only one debtor name and address per debtor block exactly as it is to be indexed.The term "suffix" as used in the Debtor's name includes "Sr.", "Jr.", "III"", etc. Only the requrested debtor information may be entered in the debtor blocks. Enter only the last four (4) digits of each debtor's SSN or TIN. This information is required. If more than three (3) debtors are required for the financing statement, use as many copies of form UCC-1Fa as necessary for additional debtor information. Enter only one secured party name and address in the secured party block, exactly as it is to be indexed. If additional secured parties are required for the financing statement, use as many copies of form UCC-1Fa as necessary for additional secured party information. OTHER INFO: 7. 8. 9. Collateral: For each farm product covered by the financing statement you must enter a three (3) digit product code and at least one two (2) digit county code from the tables below. Enter the crop year(s) if less than all crop years. Additional information such as unit code, amount and product name are optional. If a farm product requires additional information, check the "Add Info." column and enter it on form UCC1Fa. Indicate by item number which farm product the additional information pertains to. This information may not exceed 150 characters and spaces for any product. Only the requested collateral information may be entered in the collateral fields. Signatures: Debtor signatures and secured party signatures are optional if a signed agreement exists granting a lien on the farm product(s). Termination: When the obligation has been satisfied, the secured party should sign and date the Termination Statement on the original filing and return it to the Secretary of State. This signature is required. Termination of a UCC-1F is free of charge. Payment: Include method of payment - $10.00 if typed, $14.00 if not typed. Attachments other than form UCC-1Fa are $1.00 per page and are not indexed. Termination of a UCC-1F is free of charge. PRODUCT CODE TABLE 010 011 020 021 022 023 024 Wheat Buckwheat Barley Rye (including Triticale) Oats Sorghum Grain Flaxseed 130 131 140 150 160 161 162 163 164 165 170 171 172 173 174 175 176 177 178 025 Safflower 026 027 028 030 040 050 060 070 080 081 082 Rape (including Canola) Field Corn Millet Hay Ensilage Potatoes Sugar Beets Dry Beans Dry Peas Lentils Garbanzos (Chick Peas) Popcorn Sunflower Seeds Soybeans Rice Grass for Seed Alfalfa for Seed Other Hay Legumes for Seed Garden Vegetables and Flower Seeds Seed Potatoes Row Crops for Seed Green Peas Tomatoes Lettuce Cucumbers Broccoli Cauliflower Lima Beans Green Beans Melons 185 186 190 191 192 193 194 196 200 201 210 211 212 213 220 230 500 501 Peppers Herbs Apples Apricots Cherries Nectarines Peaches Plums Strawberries Raspberries Sod Nursery Stock (Trees and Shrubs) Christmas Trees Flowers and Potted Plants Mushrooms Grapes Beef Cattle and Calves Beefalo Sheep and Lambs Goats and Llamas Wool Goats Llamas Hogs 530 531 540 541 542 550 551 561 562 563 564 570 571 572 580 581 582 590 Dairy Cattle Milk Horses Mules Donkeys and Burros Chickens Eggs 195 Pears 560 Turkeys Ducks Geese Game Birds Ostriches, Emus & Rheas Mink and Pelts Rabbits Fox and Pelts Bees Honey Bees Wax Fish and Other Aquaculture Big Game Animals 600 (Deer and Elk) 090 Sweet Corn 100 Onions 101 102 110 120 Onion Seed Garlic Mint Hops 179 Carrots 180 Turnips 181 182 183 184 Asparagus Spinach and Collards Pumpkins and Squash Radishes 502 Bison 510 511 512 513 520 610 Worms 620 Cattle Semen 621 Horse Semen COUNTY CODES 00 All Idaho Counties 11 Boundary 22 Fremont 33 Madison 44 Washington 53 01 Ada 12 Butte 23 Gem 34 Minidoka 45 Asotin, WA 54 02 Adams 13 Camas 24 Gooding 35 Nez Perce 46 Garfield, WA 55 03 Bannock 14 Canyon 25 Idaho 36 Oneida 47 Pend Orielle, WA 56 04 Bear Lake 15 Caribou 26 Jefferson 37 Owyhee 48 Spokane, WA 57 05 Benewah 16 Cassia 27 Jerome 38 Payette 49 Whitman, WA 58 06 Bingham 17 Clark 28 Kootenai 39 Power 50 Malheur, OR 59 07 Blaine 18 Clearwater 29 Latah 40 Shoshone 51 Elko, NV 99 08 Boise 19 Custer 30 Lemhi 41 Teton 52 Box Elder, UT 09 Bonner 20 Elmore 31 Lewis 42 Twin Falls 53 Cache, UT 10 Bonneville 21 Franklin 32 Lincoln 43 Valley 52 Box Elder, UT *If you use county code 99, you must include a county and state name. Enter code 99 separately for each county and state you wish to include. E = Cases F = Flats G = Gallons H = Head L = Pounds N = Bins S = Sacks T = Tons V = Hives W = Lugs X = Boxes Z = Stubs Cache, UT Rich, UT Lincoln, WY Teton, WY Beaverhead, MT Lincoln, MT Sanders, MT Not in Table* A = Acres B = Bushels C = Hundred-weight UNIT CODES Contact Information: Secretary of State UCC Division, 450 N. 4th Street, P.O. Box 83720, Boise, ID 83720-0080 Phone: (208) 334-3191 Fax: (208) 334-2847 American LegalNet, Inc. www.FormsWorkFlow.com STATE O