Fill and Sign the Instructions for National Ucc1 Financing Statement Form Ucc1

COLORADO UCC FINANCING STATEMENT/ EFFECTIVE FINANCING STATEMENT - FARM PRODUCTS (EFS) Filing Fee: $18 Follow Instructions Carefully A. NAME & PHONE OF CONTACT (optional) B. SEND ACKNOWLEDGMENT TO: (Name and Address) [ ] [ ] ABOVE SPACE FOR FILING OFFICE USE ONLY 1. DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (1a or 1b) - do not abbreviate or combine names 1a. ORGANIZATION'S NAME OR 1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 1c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 1d. TAX ID#: SSN OR EIN ADD'L INFO RE 1e. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION 1g. ORGANIZATIONAL ID#, if any (REQUIRED FOR EFS FILINGS ONLY) ORGANIZATIONDEBTOR □NONE 2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names 2a. ORGANIZATION'S NAME OR 2b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 2c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 2d. TAX ID#: SSN OR EIN ADD'L INFO RE 2e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID #, if any (REQUIRED FOR EFS FILINGS ONLY) ORGANIZATIONDEBTOR □NONE 3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S/P) - insert only one secured party name (3a or 3b) 3a. ORGANIZATION'S NAME OR 3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 3c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 4. This FINANCING STATEMENT covers the following collateral: □ Check this box if this statement is intended as an Effective Financing Statement (EFS) to give notice of a security interest relating to farm product s MUST indicate farm product code(s), county code(s), and, if applicable, crop year(s) . 5. ALTERNATIVE DESIGNATION (if applicable): □ LESSEE/LESSOR □ CONSIGNEE/CONSIGNOR □ BAILEE/BAILOR □ SELLER/BUYER □ AG LIEN □ NON-UCC FILING 6 . □ This FINANCING STATEMENT is to be filed (for record ) in the REA L ESTATE RECORDS 8. OPTIONAL FILER REFERENCE DATA Debtor Signature(s) (REQUIRED FOR EFS FILINGS ONLY) Secured Party Signature(s) (REQUIRED FOR EFS FILINGS ONLY) COLORADO UCC FINANCING STATEMENT/EFFECTIVE FINANCING STATEMENT (FORM UCC1/EFS) (REV 7/18/2007)