STATE OF IDAHO - NOTICE OF LIEN ON AGRICULTURAL PRODUCTS - FORM C-1 Mail to: Secretary of State UCC Division Telephone: 700 W Jefferson 208-334-3191 PO Box 83720 Fax: Boise ID 83720-0080 208-334-2847 Customer account number See instructions, fee schedule and This block for Filing Office use only.tables of codes on reverse. Pursuant to Idaho Code 45-1804, the agricultural commodity producer or dealer identified below claims a lien against the purchaserof an agricultural product until payment for the product is made in full by the purchaser. Purchaser Claimant Organization or Organization or Indiv. Last Name Indiv. Last Name First Name Middle Name First Name Middle Name Address Address City State Zip Code City State Zip CodeDollar amount of lien (after Mailing Address for acknowledgment, if not Claimant $ Organization or deducting credits and offsets): Indiv. Last Name First Name Middle Name Delivery Date: ______/______/______ Address Date Last Payment Due: ______/______/______ City State Zip CodeCommodity on which lien is claimed: (only one crop per notice of Crop Code Crop Yearlien). See reverse for crop code. Signature of claimant: Name of claimant: STATE OF IDAHO - NOTICE OF DISCHARGE OF LIEN ON AGRICULTURAL PRODUCTS - FORM C-2 Upon actual receipt of the purchasers funds in full payment for the agricultural product, the agricultural commodity producer/dealer is required by Idaho Code 45-1807 to file a notice of discharge of the lien within thirty days. THERE IS NO CHARGE FOR FILING A NOTICE OF DISCHARGE FOR THIS TYPE OF LIEN. If taken to court, the failure to have filed the notice of discharge may subject the lienholder to a damage award of $300.00 The Claimant no longer claims a lien as described above. Signature of claimant Date Rev. 03/2004 >>>> 2 Instructions for completion of Form C-1 1. A notice of lien on agricultural products must be filed within 180 days of either the date of delivery of agricultural products to a purchaser or the date final payment was due, but not paid, whichever date comes later. The lien provided for by Idaho Code Section 45-1802 remains in effect for a period of 1 year after the date the notice of lien is filed. 2. Please type this form in black or print neatly. If the form cannot be read correctly, the lien may not be effective.3. Enclose filing fee of $ 5.00. If you have a pre-paid account with the Secretary of State, enter your customer number in the block at the top of the form in lieu of enclosing fees. 4. File only the original. Make a copy for your file. The original will be returned as your acknowledgment. To discharge the lien simply sign the original notice of discharge and file it with this office. 5. Enter only one purchaser name or business name exactly as it is to be indexed. The term title as used in the purchasers name includes Sr., Jr., III, Dr., etc. The purchaser is the person against whom the lien is claimed.6. Enter the name and address of the claimant; include Zip Code. 7. Enter the dollar amount of the claim, the date the crop was delivered and the date the final payment was due and not paid. 8. Enter either the three-digit code for the crop from the table below, or the name of the crop, or both, in the appropriate column. 9. The person claiming the lien must sign the notice. Enter the name of the person signing below the signature. Instructions for completion of Form C-2 1. Upon receipt of the purchasers payment in full for the agricultural product, the claimant is required to file a notice of discharge of the lien within thirty days. 2. Claimant must sign and date under the C-2 section on the front of this form. Return the entire form to the Secretary of States office. Crop Table Crop Table Code Crop Code Crop 010 wheat 170 green peas 011 buckwheat 171 tomatoes 020 barley 172 lettuce 021 rye (including triticale) 173 cucumbers 022 oats 174 broccoli 023 sorghum grain 175 cauliflower 024 flaxseed 176 lima beans 025 safflower 177 green beans 026 rape (including canola) 178 melons 027 field corn 179 carrots 028 millet 180 turnips 030 hay 181 asparagus 040 ensilage 182 spinach & collards 050 potatoes 183 pumpkins & squash 060 sugar beets 184 radishes 070 dry beans 185 peppers 080 dry peas 190 apples 081 lentils 191 apricots 082 garbanzos (chick peas) 192 cherries 090 sweet corn 193 nectarines 100 onions 194 peaches 101 onion seed 195 pears 102 garlic 196 plums 110 mint 200 strawberries 120 hops 201 raspberries 130 popcorn 210 sod 131 sunflower seeds 211 nursery stock (trees & shrubs) 140 soybeans 212 christmas trees 150 rice 213 flowers and potted plants 160 grass for seed 220 mushrooms 161 alfalfa for seed 230 grapes 162 other hay legumes for seed 300 grass 163 garden vegetable & flower seeds 310 alfalfa