Free UCC1/EFS - Financing Statement/Effective Financing Statement - Far - Colorado

COLORADO UCC FINANCING STATEMENT/ EFFECTIVE FINANCING STATEMENT - FARM PRODUCTS (EFS)
Filing Fee: $18 Follow Instructions Carefully
A. NAME & PHONE OF CONTACT (optional) B. SEND ACKNOWLEDGMENT TO: (Name and Address) [ ]

[

] ABOVE SPACE FOR FILING OFFICE USE ONLY

1. DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (1a or 1b) - do not abbreviate or combine names 1a. ORGANIZATION'S NAME OR 1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX

1c. MAILING ADDRESS 1d. TAX ID#: SSN OR EIN ADD'L INFO RE (REQUIRED FOR EFS FILINGS ONLY) ORGANIZATION DEBTOR 1e. TYPE OF ORGANIZATION

CITY 1f. JURISDICTION OF ORGANIZATION

STATE

POSTAL CODE

COUNTRY

1g. ORGANIZATIONAL ID#, if any
NONE

2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names 2a. ORGANIZATION'S NAME OR 2b. INDIVIDUAL'S LAST NAME 2c. MAILING ADDRESS 2d. TAX ID#: SSN OR EIN ADD'L INFO RE (REQUIRED FOR EFS FILINGS ONLY) ORGANIZATION DEBTOR 2e. TYPE OF ORGANIZATION FIRST NAME CITY 2f. JURISDICTION OF ORGANIZATION MIDDLE NAME STATE POSTAL CODE SUFFIX COUNTRY

2g. ORGANIZATIONAL ID #, if any
NONE

3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S/P) - insert only one secured party name (3a or 3b) 3a. ORGANIZATION'S NAME OR 3b. INDIVIDUAL'S LAST NAME 3c. MAILING ADDRESS FIRST NAME CITY MIDDLE NAME STATE POSTAL CODE SUFFIX COUNTRY

4. This FINANCING STATEMENT covers the following collateral:

Check this box if this statement is intended as an Effective Financing Statement (EFS) to give notice of a security interest relating to farm products
MUST indicate farm product code(s), county code(s), and, if applicable, crop year(s).
5. ALTERNATIVE DESIGNATION (if applicable): 6. ESTATE RECORDS 8. OPTIONAL FILER REFERENCE DATA

LESSEE/LESSOR CONSIGNEE/CONSIGNOR BAILEE/BAILOR SELLER/BUYER AG LIEN NON-UCC FILING This FINANCING STATEMENT is to be filed (for record) in the REAL

Debtor Signature(s) (REQUIRED FOR EFS FILINGS ONLY)

Secured Party Signature(s) (REQUIRED FOR EFS FILINGS ONLY)
COLORADO UCC FINANCING STATEMENT/EFFECTIVE FINANCING STATEMENT (FORM UCC1/EFS) (REV 7/18/2007)