Fill and Sign the Ucc Filing Forms Nhsos Nh Secretary of State Nhgov

Filing Fee: $15.00 Payable to “State Of New Hampshire” EFS-3, Pg 1 9/2010 State of New Hampshire Department of State, UCC Division Form EFS-3 Return to: (name and mailing address) For Filing Office Use Only: Continuation Termination Amendment Other Original File No. 1. Debtor Name: Insert only one debtor in 1a or 1b. 1a. Business Name 1c. Mailing Address OR 1b. Individual’s Last Name First M.I. Suffix City State Country Postal Code 2. Secured Party: Insert only one secured party in 2a or 2b. 2a. Business Name 2c. Mailing Address OR 2b. Individual’s Last Name First M.I. Suffix City State Country Postal Code County: Location: Crop Year: ProductCode(s) Name(s) and Description(s) Signature(s) of Debtor(s) Signature of Secured Party Filed with: Secretary of State EFS-3, Pg 2 9/2010 New Hampshire Form EFS-3 Addendum 1. Additional Debtor Name: Insert only one debtor in 1a or 1b. 1a. Business Name 1c. Mailing Address OR 1b. Individual’s Last Name First M.I. Suffix City State Country Postal Code 2. Additional Debtor Name: Insert only one debtor in 2a or 2b. 2a. Business Name 2c. Mailing Address OR 2b. Individual’s Last Name First M.I. Suffix City State Country Postal Code