Mail to: Secretary of State UCC Division 700 W Jefferson PO Box 83720 Boise ID 83720-0080
Telephone: 208-334-3191
Customer account number
See instructions, fee schedule and tables of codes on reverse.
Debtor Organization or Indiv. Last Name First Name
This block for Filing Office use only.
STATE OF IDAHO - FARM PRODUCTS FINANCING STATEMENT - FORM UCC-1F
Middle Name
Suffix
1
Address City State Zip SSN/TIN
Debtor
Organization or Indiv. Last Name
First Name
Middle Name
Suffix
2
Address City State Zip SSN/TIN
Debtor
Organization or Indiv. Last Name
First Name
Middle Name
Suffix
3
Address City State Zip SSN/TIN
Debtor
Organization or Indiv. Last Name
First Name
Middle Name
Suffix
4
Address City State Zip SSN/TIN
Secured Party Name and Address
Organization or Indiv. Last Name Address First Name City Middle Name State Zip
Assignee Name and Address
Organization or Indiv. Last Name Address First Name City Middle Name State Zip
Acknowledgment Name and Address, if not Secured Party
Organization or Indiv. Last Name Address First Name City Middle Name State Zip
Item Product No. Code 1 2 3 4 5 6 7
Product Name (optional)
County Code(s)
Crop Year(s), if less than all
Amount, if necessary
Unit
Add. Info
Debtor Signature(s) [optional if signed agreement exists granting a lien on the crop(s)] 1 2 3 4
Rev. 07/2001
Signature of Secured Party
TERMINATION STATEMENT-The Secured Party no longer claims a security interest under the financing statement. Signature of Secured Party / Assignee of Record Date
Instructions for completion of UCC-1F
1. 2. Please type and sign this form in black. Enclose filing fee of $10.00 if form is typed, or $14.00 if not typed. For attachments, not counting any attached UCC-2F, add $1.00 per printed page. If you have a pre-paid account with the Secretary of State, enter your customer number in the block in the upper left section of the form in lieu of enclosing fees. File only the original. Make copies for your file. The original will be returned as your acknowledgment. Enter only one debtor's name or assumed name per block exactly as it is to be indexed. The term "title" as used in the Debtor's name includes "Sr.", "Jr.", "III", "Dr.", etc. Enter each debtor's SSN or TIN as indicated. For each farm product covered by the financing statement, you must enter at least the three-digit product code and two-digit county code(s) of the county(ies) where the product is grown or located. If fewer than all crop years are covered, enter the crop year(s). If less than all of a product is covered, you may enter the amount and unit code, check the additional information box, and enter identifying information on an attached UCC-2F form. Tables of product, county and unit codes appear below. All debtors and the secured party sign the UCC-1F. This item is optional if signed agreement exists granting a lien on the crop(s). When the obligation has been satisfied, complete the Termination Statement and return the original to the Secretary of State.
3. 4. 5.
6. 7.
PRODUCT CODE TABLE
Code 010 011 020 021 022 023 024 025 026 027 028 030 040 050 060 070 080 081 082 090 100 101 102 110 120 130 131 140 150 160 161 162 163 164 165 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 190 191 Product wheat buckwheat barley rye (including triticale) oats sorghum grain flaxseed safflower rape (including canola) field corn millet hay ensilage potatoes sugar beets dry beans dry peas lentils garbanzos (chick peas) sweet corn onions onion seed garlic mint hops popcorn sunflower seeds soybeans rice grass for seed alfalfa for seed other hay legumes for seed garden vegetables & flower seeds seed potatoes row crops for seed green peas tomatoes lettuce cucumbers broccoli cauliflower lima beans green beans melons carrots turnips asparagus spinach and collards pumpkins and squash radishes peppers apples apricots Code 192 193 194 195 196 200 201 210 211 212 213 220 230 500 501 502 510 511 512 513 520 530 531 540 541 542 550 551 560 561 562 563 564 570 571 572 580 581 582 590 600 610 620 621 Product cherries nectarines peaches pears plums strawberries raspberries sod nursery stock (trees & shrubs) christmas trees flowers and potted plants mushrooms grapes beef cattle and calves beefalo bison sheep and lambs wool goats llamas hogs dairy cattle milk horses mules donkeys and burros chickens eggs turkeys ducks geese game birds ostriches, emus & rheas mink & pelts rabbits fox and pelts bees honey bees wax fish and other aquaculture big game animals (deer & elk) worms cattle semen horse semen
COUNTY CODES
Unless otherwise indicated, counties are in Idaho. 01 - Ada 02 - Adams 03 - Bannock 04 - Bear Lake 05 - Benewah 06 - Bingham 07 - Blaine 08 - Boise 09 - Bonner 10 - Bonneville 11 - Boundary 12 - Butte 13 - Camas 14 - Canyon 15 - Caribou 16 - Cassia 17 - Clark 18 - Clearwater 19 - Custer 20 - Elmore 21 - Franklin 22 - Fremont 23 - Gem 24 - Gooding 25 - Idaho 26 - Jefferson 27 - Jerome 28 - Kootenai 29 - Latah 30 - Lemhi 31 - Lewis 32 - Lincoln 33 - Madison 34 - Minidoka 35 - Nez Perce 36 - Oneida 37 - Owyhee 38 - Payette 39 - Power 40 - Shoshone 41 - Teton 42 - Twin Falls 43 - Valley 44 - Washington 45 - Asotin, WA 46 - Garfield, WA 47 - Pend Orielle, WA 48 - Spokane, WA 49 - Whitman, WA 50 - Malheur, OR 51 - Elko, NV 52 - Box Elder, UT 53 - Cache, UT 54 - Rich, UT 55 - Lincoln, WY 56 - Teton, WY 57 - Beaverhead, MT 58 - Lincoln, MT 59 - Sanders, MT 99 - Not in Table
UNIT CODE
A - acres B - bushels C - hundred weight E - cases F - flats G - gallons H - head L - pounds N - bins S - sacks W - lugs X - boxes Z - stubs