UNIFORM COMMERCIAL CODE STANDARD UCC-3/CNS-3 NORTH DAKOTA SECRETARY OF STATE/COUNTY RECORDERS SFN 14010 (09-27-01) PLEASE TYPE. Please read instructions on back before completing. A. Use this form to record changes to UCC Filing, Farm Products Central Notice (CNS) or both. Statement of termination, assignment, continuation, release, subordination, amendment, or update. B. Customer Billing Number C. Submitted By Facsimile FAX # D. This statement refers to original Financing Statement No. ______________________ Date Filed _____________________________, _________. Current Debtor Name For Financing Statement No. on File and SSN/TIN Reserved for Filing Officer Use E. REQUESTED CHANGE: TERMINATION UCC CNS ASSIGNMENT Partial Full CONTINUATION UCC The Secured Party no longer claims a security interest under the financing statement bearing the file number listed above. No fee is required for filing a termination statement. The Secured Party listed below assigns to the Assignee whose name, address, telephone number and SSN/TIN is listed, Secured Party's rights under the financing statement bearing the file number listed above in the described collateral. If a partial assignment, describe Collateral assigned in F below. If a full assignment indicate "ALL COLLATERAL" in F below. The original financing statement bearing the file number listed above is continued for an additional five years. (EFFECTIVE ONLY IF SUBMITTED WITHIN SIX MONTHS PRIOR TO EXPIRATION DATE.) CNS Secured Party releases the collateral described in "F". RELEASE SUBORDINATION AMENDMENT The Secured Party subordinates its priority position in the collateral described as provided in the subordination agreement referred in Item F. Financing statement bearing the file number listed above is amended as described in Item F. Financing statement bearing the file number listed above is updated as described in Item F. UPDATE NOTE: A separate fee will be charged for each action checked. F. List Assignment information, collateral to be Released, Subordination information, Amendment description, and other information: Individual Organization ADD'L INFO RE ORGANIZATION DEBTOR To be completed when adding a Debtor that is an organization. TYPE OF ORGANIZATION JURISDICTION OF ORGANIZATION ORGANIZATIONAL ID #, if any NONE G. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT______________________________________________________________________________ FOR CNS FILINGS H. Secured Party Signature _____________________________________________________________________ By ____________________________________________ Name & Title Debtor Signature _____________________________________________________________________________ By ____________________________________________ Name & Title By ____________________________________________ Name & Title By ____________________________________________ Name & Title RETURN ACKNOWLEDGEMENT COPY TO: (name and address) Please do not type outside of bracketed area American LegalNet, Inc. www.FormsWorkflow.com UNIFORM COMMERCIAL CODE STANDARD UCC-3/CNS-3 NORTH DAKOTA SECRETARY OF STATE/COUNTY RECORDERS SFN 14010 (09-27-01) PLEASE TYPE. Please read instructions on back before completing. A. Use this form to record changes to UCC Filing, Farm Products Central Notice (CNS) or both. Statement of termination, assignment, continuation, release, subordination, amendment, or update. B. Customer Billing Number C. Submitted By Facsimile FAX # D. This statement refers to original Financing Statement No. ______________________ Date Filed _____________________________, _________. Current Debtor Name For Financing Statement No. on File and SSN/TIN Reserved for Filing Officer Use E. REQUESTED CHANGE: TERMINATION UCC CNS ASSIGNMENT Partial Full CONTINUATION UCC The Secured Party no longer claims a security interest under the financing statement bearing the file number listed above. No fee is required for filing a termination statement. The Secured Party listed below assigns to the Assignee whose name, address, telephone number and SSN/TIN is listed, Secured Party's rights under the financing statement bearing the file number listed above in the described collateral. If a partial assignment, describe Collateral assigned in F below. If a full assignment indicate "ALL COLLATERAL" in F below. The original financing statement bearing the file number listed above is continued for an additional five years. (EFFECTIVE ONLY IF SUBMITTED WITHIN SIX MONTHS PRIOR TO EXPIRATION DATE.) CNS Secured Party releases the collateral described in "F". RELEASE SUBORDINATION AMENDMENT The Secured Party subordinates its priority position in the collateral described as provided in the subordination agreement referred in Item F. Financing statement bearing the file number listed above is amended as described in Item F. Financing statement bearing the file number listed above is updated as described in Item F. UPDATE NOTE: A separate fee will be charged for each action checked. F. List Assignment information, collateral to be Released, Subordination information, Amendment description, and other information: Individual Organization ADD'L INFO RE ORGANIZATION DEBTOR To be completed when adding a Debtor that is an organization. TYPE OF ORGANIZATION JURISDICTION OF ORGANIZATION ORGANIZATIONAL ID #, if any NONE G. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT______________________________________________________________________________ FOR CNS FILINGS H. Secured Party Signature _____________________________________________________________________ By ____________________________________________ Name & Title Debtor Signature _____________________________________________________________________________ By ____________________________________________ Name & Title By ____________________________________________ Name & Title By ____________________________________________ Name & Title RETURN ACKNOWLEDGEMENT COPY TO: (name and address) Please do not type outside of bracketed area Acknowledgment Copy American LegalNet, Inc. www.FormsWorkflow.com SFN 14010 (09-27-01) UCC-3/CNS-3 INSTRUCTIONS Use this form to file changes to either UCC Filings, Farm Product Central Notice (CNS), or both. 1. 2. 3. 4. 5. If the space provided for any item on this form is inadequate use UCC-5/CNS-5 form as an attachment. Verify for accuracy and correct spelling. Be sure this form is properly signed. There are different signature requirements for different filing actions. Refer to the user's guide for further information. The guide may be purchased from the Secretary of State's office. Submit the original and one copy for filing in the same office the original lien was filed. The following letters correspond to the lettered sections on the front of this form. A. You may use this form to file in either the UCC Index or CNS Index or both. B. CUSTOMER BILLING #: Clients may request to be billed for services. Upon approval a customer billing number is provided. This needs to be typed on the form for accurate billing processing. Without a customer number all fees must be paid at the time of filing. C. Check if applicable. Be sure to include your fax number if submitting by fax. D. ORIGINAL FINANCING STATEMENT NUMBER: Indicate the original financing statement number this filing refers to along with the date of original filing. This information must be included on the UCC-3/CNS-3 in order to make the requested changes to the original filing. E. REQUESTED CHANGE: Mark the boxes indicating the action you are requesting affecting the original UCC-1/CNS-1 filing. When more than one action is indicated a separate fee will be charged for each one. They each have a unique filing number assigned and they are tied to the original filing. If the UCC financing statement and the CNS financing statement were filed together and given one filing number, all amendments, updates, assignments, subordinations, and releases submitted for either of them must affect both of them. A termination of the UCC filing will automatically terminate the CNS filing as well. F. CHANGE INFORMATION: This space is used to describe specific changes being made to the original filing. If making an assignment be sure to provide the name of the Secured Party who is making the assignment and complete name, address, and telephone number of the assignee. The SSN/TIN of the assignee is optional. In addition if there is a partial assignment clearly specify the collateral being assigned. When making a release be specific as to the originally listed collateral being released. If adding a debtor check individual or organization. When adding a debtor that is an organization the additional debtor information fields must be completed. If you are amending names of a debtor, secured party or assignee be sure to provide the original information or as previously amended and the new information. If this is to give notice of a subordination identify subordination agreement by date and its parties. If not all collateral is being subordinated clearly identify collateral affected. G. Insert name of secured party of record authorizing the amendment. H. SIGNATURES: If filing refers to a CNS filing signatures of both the debtor and secured party are required. If filing is a CNS termination or continuation, only the secured party has to sign. UCC filings do not require signatures. RETURN ACKNOWLEDGEMENT COPY: Complete to whom acknowledgement copy should be sent. 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Wheat/Durum Rye Barley Corn Oats Sorghum Buckwheat Triticale Flax Soybeans Sunflowers Safflowers Mustard Millet Rape Seed Potatoes Beans Peas Sugar Beets Hay/Alfalfa Grasses Clover Wool Eggs Milk FEES: 1. UCC/CNS-3 2. Non-Standard Filing PRODUCT CODES 26 Cheese/Whey 27 Cream 28 Lentils 29 Honey 30 Bees Wax 31 Berries 32 Fruits 33 Trees/Shrubs 34 Herbs 35 Garlic 36 Popcorn 37 Canola 38 Crambe 39 Pellets 40 Fourage 41 Silage 42 Speltz 43 Sunwheat 44 Onions 45 Carrots 46 Squash 47 Vegetables 48 Pumpkins 49 Borage 50 Chick Peas 51 Amaranth 52 Mint 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 Cattle/Calves Beefalo Buffalo Hogs Sheep/Lambs Horses Mules Chickens Ducks Geese Turkeys Bees Goats Fox Furs/Pelts Fish Pheasants Game Hens Llamas Elk Ostriches Rabbits Emus Rhea Bird Deer Bull Semen Dogs Worms 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 COUNTY CODES Adams 28 Barnes 29 Benson 30 Billings 31 Bottineau 32 Bowman 33 Burke 34 Burleigh 35 Cass 36 Cavalier 37 Dickey 38 Divide 39 Dunn 40 Eddy 41 Emmons 42 Foster 43 Golden Valley 44 Grand Forks 45 Grant 46 Griggs 47 Hettinger 48 Kidder 49 LaMoure 50 Logan 51 McHenry 52 McIntosh 53 McKenzie 54 McLean Mercer Morton Mountrail Nelson Oliver Pembina Pierce Ramsey Ransom Renville Richland Rolette Sargent Sheridan Sioux Slope Stark Steele Stutsman Towner Traill Walsh Ward Wells Williams Out of State $10.00 $15.00 American LegalNet, Inc. www.FormsWorkflow.com