SECURITY INTERESTS IN IDAHO CROPS FOR PROVISION OF AGRICULTURAL CHEMICALS - FORM AC-1 Idaho Code § 28-9-322A Name and address of Supplier Organization or Individual Last Name First Name Middle Name Address City State Zip Code SSN / TIN Date Notification Statement was prepared: Name and address of Lender Organization or Individual Last Name First Name Middle Name Address City State Zip Code Name and address of person to whom Lender's response to the Supplier should be addressed Organization or Individual Last Name First Name Middle Name Address City State Zip Code Description of application of agricultural chemicals Anticipated date of application Anticipated charges for agricultural chemicals $ Anticipated charges for application (if not included in charges for chemicals) $ Name and address of Grower Organization or Individual Last Name First Name Middle Name Address City State Zip Code Reasonable description of real estate where the agricultural chemicals are to be applied Name and address of Owner of real property (if other than Grower) Organization or Individual Last Name First Name Middle Name Address City State Zip Code Crops growing or to be grown on such real property as to which the supplier intends to supply agricultural chemicals and upon which supplier intends to obtain a security interest Signature of Supplier Signature of Grower American LegalNet, Inc. www.FormsWorkFlow.com SECURITY INTERESTS IN IDAHO CROPS FOR PROVISION OF AGRICULTURAL CHEMICALS - FORM AC-1 Idaho Code § 28-9-322A LENDER'S LETTER OF RESPONSE Name and address of Lender Organization or Individual Last Name First Name Middle Name Address City State Zip Code Lender responds to notification statement as follows (choose one): An outstanding commitment for operating financing exists for this grower. Of that commitment, lender hereby reserves the amount specified in the notification statement for the purpose of honoring drafts or other demands for payment by supplier, accompanied by invoices signed by grower or other proof of delivery signed by grower. Lender hereby subordinates the priority of its security interest in (specify crops) ______________________________ of grower to the priority of the security interest in such crops obtained or to be obtained by supplier, such subordination to be in the amount specified in the notification statement. Lender declines to either reserve funds or subordinate its security interest. Signature of lender Date American LegalNet, Inc. www.FormsWorkFlow.com