Fill and Sign the Oregon Efs Fpr 1 Farm Products Registration Buyer Commission Merchant Selling Oregon Form

STATE OF OREGON Corporation Division – UCC 255 Capitol Street NE, Suite 151 Salem, OR 97310-1327 (503) 986-2200 Facsimile (503) 373-1166 FilingInOregon.com R EGISTRATION N UMBER (Office use only) FARM PRODUCTS REGISTRATION – BUYER, COMMISSION MERCHANT, SELLING AGENT PLEASE TYPE OR PRINT LEGIBLY. READ INSTRUCTIONS BEFORE FILLING OUT FORM . MASTER LIST FEE : $50.00 PER YEAR THE MASTER LIST IS AVAILABLE ONLY BY CD-ROM (Includes all current Effective Financing Statements and Agricultural Service Liens). A. REGISTRANT N AME AND A DDRESS       C. NUMBERS Phone:             Fax:                   D. REGISTERING AS A (check where applicable): Buyer Selling Agent Commission Merchant B. E-MAIL A DDRESS       E. FARM PRODUCT REGISTRATION. R egister for the specific farm products you have an interest in purchasing. Use additional paper if necessary. PRODUCT CODE COUNTY CODE CROP YEAR PRODUCT CODE COUNTY CODE CROP YEAR                                                                                                                                                                                                                                                                                                 F. SIGNATURE By: Date:       G. INSTRUCTIONS 1. Please type or PRINT legibly. Read instructions before filling out form. 2. The CD-ROM contains all products for all years and all counties. It includes EFS, ASL, Grain, and APL liens. You are required to register for the specific farm products you have an interest in purchasing. The fee is $50.00 for a one-year registration. 3. The registration may be amended by completing a new FPR-1 form. There is no additional fee. 4. If you have questions concerning the Farm Products registration, Please E-Mail Program-Services.sos@state.or.us or call 503-986-2212 Payment - Prepayment Required. Make check payable to "Corporation Division", or you may fax this request with payment by VISA or MasterCard to 503-373-1166 VISA or MasterCard #:       Expiration Date:       Signature: 422 (Rev. 09/06) EFS FPR-1 H. FARM PRODUCTS PRODUCT CODE GRAINS Barley 0101 Corn for Grain 0102 Oats 0103 Rye 0104 Triticale 0105 Wheat 0106 HAY & FORAGE Alfalfa 0201 Ensilage 0202 Grass & Grain Straw 0203 Hay 0204 Sorghum 0205 GRASS & LEGUME SEEDS Alfalfa Seed 0301 Bentgrass 0302 Bluegrass 0303 Brome 0304 Clover 0305 Fescue 0306 Field Peas 0307 Orchardgrass 0308 Rape Seed 0309 Ryegrass 0310 Timothy 0311 Vetch 0312 Wheat Grass 0313 Other Grass Seed 0314 Other Legume Seed 0315 FIELD CROPS Herbs 0401 Hops 0402 Mint 0403 Oil Seed 0404 Potatoes 0405 Sugarbeet 0406 Vegetable & Flower Seeds 0407 Canola 0408 FRUITS Apples 0501 Apricots 0502 Cantaloupes 0503 Cherries 0504 Grapes 0505 Peaches 0506 Pears 0507 Plums 0508 Prunes 0509 Watermelons 0510 Kiwi 0511 NUTS Filberts 0601 Walnuts 0602 BERRIES Blackberries 0701 Blueberries 0702 Boysen & Youngberries 0703 Other Caneberries 0704 Cranberries 0705 Currants 0706 Elderberries 0707 Gooseberries 0708 Loganberries 0709 Marionberries 0710 Raspberries 0711 Strawberries 0712 PRODUCT CODE VEGETABLES Artichokes 0801 Asparagus 0802 Beans 0803 Beets 0804 Broccoli 0805 Brussels Sprouts 0806 Cabbage 0807 Carrots 0808 Cauliflower 0809 Celery 0810 Corn 0811 Cucumbers 0812 Eggplant 0813 Garlic 0814 Kohlrabi 0815 Lettuce 0816 Mushrooms 0817 Onions 0818 Peas 0819 Peppers 0820 Pumpkins 0821 VEGETABLES continued Radishes 0822 Rhubarb 0823 Rutabagas 0824 Spinach 0825 Squash 0826 Tomatoes 0827 Turnips 0828 SPECIALTY PRODUCTS Bees 0901 Bees Wax 0902 Bulbs 0903 Greenhouse Stock 0904 Honey 0905 Logs 0906 Nursery Stock 0907 Standing Timber 0908 Trees (except standing timber) 0909 Turf Sod 0910 Worms 0911 LIVESTOCK Cattle & Calves 1001 Goats 1002 Hogs & Pigs 1003 Horses 1004 Llamas 1005 Milk 1006 Mink 1007 Mules 1008 Rabbits 1009 Sheep & Lambs 1010 Wool 1011 Buffaloes 1012 Alpaca 1013 Reindeer 1014 POULTRY Broilers 1101 Chickens 1102 Ducks 1103 Eggs 1104 Geese 1105 Turkeys 1106 Ostriches 1107 Emu 1108 Rhea 1109 FISH & SHELLFISH Fish & Shellfish 1201 COUNTY CODE BAKER 01 BENTON 02 CLACKAMAS 03 CLATSOP 04 COLUMBIA 05 COOS 06 CROOK 07 CURRY 08 DESCHUTES 09 DOUGLAS 10 GILLIAM 11 GRANT 12 HARNEY 13 HOOD RIVER 14 JACKSON 15 JEFFERSON 16 JOSEPHINE 17 KLAMATH 18 LAKE 19 LANE 20 LINCOLN 21 LINN 22 MALHEUR 23 MARION 24 MORROW 25 MULTNOMAH 26 POLK 27 SHERMAN 28 TILLAMOOK 29 UMATILLA 30 UNION 31 WALLOWA 32 WASCO 33 WASHINGTON 34 WHEELER 35 YAMHILL 36 County Codes: Locate the county name in which your product is produced from the list provided. Crop Year: The “Crop Year” is defined as: for a crop grown in soil, the calendar year in which it is harvested; for animals, the calendar year in which they are born or acquired; for poultry or eggs, the calendar year in whey they are sold or to be sold. A crop year is required unless every crop of the product in question is subject to a security interest. If a crop year is not shown, it will be regarded as applicable for every year the EFS are effective. 422 (Rev. 09/06)