Free ra9_ucc_sl3.p65 - Idaho

450 N 4th, PO PO 83720, Boise ID 83720-0080 Mail to: Secretary of State, UCC Division, 700 W Jefferson, BoxBox 83720, Boise ID 83720-0080 Telephone: 208-334-3191 Fax: 208-334-2847

See instructions on reverse of form. This notice is (check one): Extension of seed lien or farm labor lien Release of seed lien or farm labor lien Amendment Assignment The Secretary of State file number of the SL-1 to which this SL-3 relates is: The last name or business name of the first producer on the SL-1 is: Claimant #1 (from SL-1)
Organization or Indiv. Last Name First Name Address City State Zip Code

Enter your customer account number if you wish the fee to be deducted from your prepaid account with the Secretary of State.
Customer Account Number

The date of filing of the SL-1 was:

Mailing Address for acknowledgment, if not Claimant #1
Organization or Indiv. Last Name

Middle Name

This block for Filing Office use only.

STATE OF IDAHO - RELEASE, EXTENSION, AMENDMENT OR ASSIGNMENT OF CLAIM OF LIEN IN CROPS-FORM SL-3

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First Name Address City

Middle Name

State

Zip Code

Names of each Claimant other than Claimant #1 2 3 4 If this is an extension, enter the crop(s) to which the extension applies: Crop Code Crop Name County Code(s) or Name(s) 5 6

Crop Year

Amendments

Name and Address of Assignee of Claimant's Interest
Organization or Indiv. Last Name First Name Address City State Zip Code Middle Name

Signature Claimant #1

Signature Claimant #4

Capacity

Capacity

Signature Claimant #2

Signature Claimant #5

Capacity

Capacity

Signature Claimant #3

Signature Claimant #6

Capacity

Capacity

Rev. 07/2001

IDAHO FILLABLE WEB FORM

Instructions 1. Please type this form in black. 2. Fees: The fee for an extension, assignment or amendment (including a partial release) is $4.00 if the form is typed, $8.00 if not typed. There is no fee for release of lien if typed, or a fee of $4.00 if not typed. If using a pre-paid account, enter your customer number at the top of the form. 3. An extension of seed lien may be filed only for crops which have not been harvested within 10 months after the SL-1 was filed. Enter the crops to which the extension applies in the indicated space. A labor lien may be extended for a period of six months. An extension of labor lien may be filed 60 days prior to the lapse of the original filing. 4. Each claimant listed on the SL-1 must sign the SL-3 either personally or by an agent, attorney, partner, etc. The capacity in which the signer acts must be indicated in the signature block.