Fill and Sign the Oregon Termination 497324263 Form

EFS-3 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 STATEMENT OF TERMINATION, CONTINUATION, ASSIGNMENT, AMENDMENT PLEASE TYPE OR PRINT LEGIBLY. READ INSTRUCTIONS BEFORE FILLING OUT FORM. This FARM PRODUCT EFFECTIVE FINANCING STATEMENT is presented to the filing officer pursuant to ORS Chapter 79.6020 to 79.7010. This statement remains effective for a period of five years from the date of filing, subject to extensions for additional periods as provided for by ORS Chapter 79. A. THIS STATEMENT REFERS TO ORIGINAL FINANCING STATEMENT No.:       Date Filed:       G. AMENDMENT INFORM AT ION      B. TYPE OF AMENDMENT ( Check ALL boxes that apply ). LAPSE/ TERMINATION (NO FEE) . The Secured Party certifies that they no longer claim interest under the financing statement bearing the file number shown in SECTION A. CONTINUATION . Submitted within six months prior to expiration date. ASSIGNMENT . The Secured Party assigns to the Assignee whose name and address is shown in SECTION E and bearing the file number shown in SECTION A. AMENDMENT . Financing statement bearing file number shown in SECTION A is amended as described in SECTION G. C. DEBTOR NAME(S) Mark one If Individual, list last name first. 1.       - Business - Individual 2.       - Business - Individual 3.       - Business - Individual DEBTOR MAILING ADDRESS:       NOTE: Please use debtor(s) legal name (ORS Chapter 79.0503) D. SECURED PARTY(IES) name and address       Contact Name:       Phone No.:       E. ASSIGNEE NAME AND ADDRESS (If any)       Contact Name:       Phone No.:       Debtor Secured Party RETURN TO (Please type within the box): FEES Make check for $10.00 payable to “Corporation Division.” No fee for Termination. NOTE : Filing fees may be paid with VISA or MasterCard. The card number and expiration date should be submitted on a separate sheet of paper for your protection. DO NOT SUBMIT DUPLICATES OF THIS FILING OR ITS ATTACHMENTS 421 (Rev. 09/06) Use this area to list collateral, amendment description, and other information. INSTRUCTIONS 1. PLEASE TYPE THIS FORM USING BLACK RIBBON OR PRINT LEGIBLY. Must be legible (type size, clarity, etc.) to be accepted for filing. 1. IF THE SPACE PROVIDED FOR ANY ITEM(S) ON THE FORM IS INADEQUATE, submit additional information on 8 1/2" X 11" sheets. DO NOT STAPLE, TAPE, OR GLUE ANYTHING TO THIS FORM. 1. DEBTOR, SECURED PARTY, ASSIGNEE (if any), NAMES AND ADDRESS should be identical to the original filing unless previously amended. Information of a record cannot be changed without a proper amendment being filed. Please provide complete information in the name and address areas. We consider spouses, dba’s, and aka’s as different and distinct names. (For EFS: Debtor means any persons subjecting farm products to security interests, even if they are not debtors but are subjecting products to security interests for other debts.) 1. ORIGINAL FINANCING STATEMENT NUMBER AND DATE must be shown. Please do not list the numbers or dates from EFS-3s. 1. The EFS system does not provide for the Release option. Material changes may be transacted through an EFS Amendment. If you choose to release only a portion of the collateral, please mark the Amendment box and describe the collateral in the space provided. If you wish to remove the filing from our active records, this can be done by filing a termination statement. 1. As used in ORS 80.115(1)(b), "authorize or otherwise authenticate" means a security agreement exists as the basis for the filing. 1. AN ACKNOWLEDGMENT of your filed document will be mailed to the party indicated in the “Return to” section. 1. FILING FEES: EFS-3….$10.00 per filing. No fee for Termination. Make check payable to “Corporation Division.” NOTE: Filing fees may be paid with VISA or MasterCard. The card number and expiration date should be submitted on a separate sheet for your protection. 1. Do not submit duplicates of this filing or its attachments. 1. FARM PRODUCTS: For EFS-3 filings that affect the farm products, please use the area provided. You must list any codes and information needed for the EFS-3 transaction. Use the codes listed below for filing in this program. If your product is not listed, please contact the Secretary of State’s office. Please state clearly the change you are making (amending, deleting, modifying, changing descriptions, etc.). 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 PRODUCT CODE FRUITS continued 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 Cane berries 0704 Cranberries 0705 Currants 0706 Elderberries 0707 Gooseberries 0708 Loganberries 0709 Marion berries 0710 Raspberries 0711 Strawberries 0712 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 PRODUCT CODE 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 PRODUCT CODE 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. 421 (Rev. 09/06)