Free Certificate of Satisfaction of Agricultural Produce Lien - Oregon


File Size: 29.2 kB
Pages: 1
Date: February 28, 2007
File Format: PDF
State: Oregon
Category: UCC Forms
Author: timmee
Word Count: 195 Words, 1,225 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.filinginoregon.com/forms/pdf/ucc/431.pdf

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STATE OF OREGON Corporation Division ­ UCC 255 Capitol Street NE, Suite 151 Salem, OR 97310-1327 503-986-2200 Fax: 503-373-1166 FilingInOregon.com

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CERTIFICATE OF SATISFACTION OF AGRICULTURAL PRODUCT LIEN
PURSUANT TO ORS 87.735 PLEASE TYPE OR PRINT LEGIBLY.

A. THIS STATEMENT REFERS TO ORIGINAL STATEMENT Agricultural Produce Lien File No.: B. PURCHASER NAME (IF INDIVIDUAL, LIST LAST NAME FIRST). Name Address City C. NAME OF CLAIMANT Name The undersigned certifies and declares with respect to the notice of claim of agricultural produce lien filed in the office of the Secretary of State that the debt secured thereby is fully paid and satisfied and is discharged. The undersigned acknowledges this to be the undersigned's signature and voluntary act. If the undersigned is a corporation, it has caused its corporate name to be signed by officers duly authorized by its board of directors. Date: Claimant Name: Claimant Signature: State Zip Date Filed:

RETURN TO (Please type within the box):

No Fee is required to file this form.
Submit completed form to: Corporation Division ­ UCC 255 Capitol Street NE, Suite 151 Salem, Oregon 97310-1327

431 (Rev. 02/07)