Fill and Sign the Uniform Commercial Code Fees Texas Secretary of State

STATE OF IDAHO - NOTICE OF LIEN ON AGRICULTURALPRODUCTS - FORM C-1 Crop Year Crop Code Dollar amount of lien (after deducting credits and offsets): Delivery Date: $ This block for Filing Office use only. Mail to: Secretary of StateUCC Division Telephone: 700 W Jefferson 208-334-3191 PO Box 83720 Fax: Boise ID 83720-0080 208-334-2847 See instructions, fee schedule and tables of codes on reverse. Customer account number Organization or Indiv. Last Name Address First Name Middle Name City State Zip Code Purchaser Claimant Organization or Indiv. Last Name Address Middle Name City State Zip Code First Name Pursuant to Idaho Code § 45-1804, the agricultural commodity producer or dealer identified below claims a lien against the purc haser of an agricultural product until payment for the product is made in full by the purchaser. Mailing Address for acknowledgment, if not Claimant Organization or Indiv. Last Name Address Middle Name City State Zip Code First Name Signature of claimant: Name of claimant: Commodity on which lien is claimed: (only one crop per notice of lien). See reverse for crop code. The Claimant no longer claims a lien as described above. Date Signature of claimant Upon actual receipt of the purchaser's funds in full payment for the agricultural product, the agricultural commodity producer/dealer is required by Idaho Code § 45-1807 to file a notice of discharge of the lien within thirty days. THERE IS NO CHARGE FOR FILING A NOTICE OF DISCHARGE FOR THIS TYPE OF LIEN. If taken to court, the failure to have filed the notice of discharge may subject the lienholder to a damage award of $300.00 STATE OF IDAHO - NOTICE OF DISCHARGE OF LIEN ON AGRICULTURAL PRODUCTS - FORM C-2 Rev. 03/2004Date Last Payment Due: ______/______/______ ______/______/______ Instructions for completion of Form C-1 1. A notice of lien on agricultural products must be filed within 180 days of either the date of delivery of agricultural products to a purchaser or the date final payment was due, but not paid, whichever date comes later. The lien provided for by Idaho Code Section 45-1802 remains in effect for a period of 1 year after the date the notice of lien isfiled. 2. Please type this form in black or print neatly. If the form cannot be read correctly, the lien may not be effective. 3. Enclose filing fee of $ 5.00. If you have a pre-paid account with the Secretary of State, enter your customer number in the block at the top of the form in lieu of enclosing fees. 4. File only the original. Make a copy for your file. The original will be returned as your acknowledgment. To discharge the lien simply sign the original notice of discharge and file it with this office. 5. Enter only one purchaser name or business name exactly as it is to be indexed. The term “title” as used in the purchaser’s name includes “Sr.”, “Jr.”, “III”, “Dr.”, etc. The purchaser is the person against whom the lien is claimed. 6. Enter the name and address of the claimant; include Zip Code. 7. Enter the dollar amount of the claim, the date the crop was delivered and the date the final payment was due and not paid. 8. Enter either the three-digit code for the crop from the table below, or the name of the crop, or both, in the appropriate column. 9. The person claiming the lien must sign the notice. Enter the name of the person signing below the signature. Instructions for completion of Form C-2 1. Upon receipt of the purchaser’s payment in full for the agricultural product, the claimant is required to file a notice of discharge of the lien within thirty days. 2. Claimant must sign and date under the C-2 section on the front of this form. Return the entire form to the Secretary of State’s office. Crop Table Code Crop 010 wheat 011 buckwheat 020 barley 021 rye (including triticale) 022 oats 023 sorghum grain 024 flaxseed 025 safflower 026 rape (including canola) 027 field corn 028 millet 030 hay 040 ensilage 050 potatoes 060 sugar beets 070 dry beans 080 dry peas 081 lentils 082 garbanzos (chick peas) 090 sweet corn 100 onions 101 onion seed 102 garlic 110 mint 120 hops 130 popcorn 131 sunflower seeds 140 soybeans 150 rice 160 grass for seed 161 alfalfa for seed 162 other hay legumes for seed 163 garden vegetable & flower seeds Code Crop 170 green peas 171 tomatoes 172 lettuce 173 cucumbers 174 broccoli 175 cauliflower 176 lima beans 177 green beans 178 melons 179 carrots 180 turnips 181 asparagus 182 spinach & collards 183 pumpkins & squash 184 radishes 185 peppers 190 apples 191 apricots 192 cherries 193 nectarines 194 peaches 195 pears 196 plums 200 strawberries 201 raspberries 210 sod 211 nursery stock (trees & shrubs) 212 christmas trees 213 flowers and potted plants 220 mushrooms 230 grapes 300 grass 310 alfalfaCrop Table