Free EFS 2 - Nebraska

Amended Nebraska Effective Financing Statement
If EFS was filed on or after July 1, 1999 provide: Secretary of State File Number 1. DEBTOR - IF INDIVIDUAL Name (Last, First, MI) Mailing Address City State Zip Code and Secretary of State Filing Date 2. ADDITIONAL DEBTOR - IF INDIVIDUAL Name (Last, First, MI) Mailing Address City State Zip Code .
Said Effective Financing Statement is hereby amended to read as follows:

EFS - 2

FOR SECRETARY OF STATE USE ONLY

Soc. Sec. No. or Fed. Tax I.D. No. 3. ADDITIONAL DEBTOR - IF INDIVIDUAL Name (Last, First, MI) Mailing Address City State Zip Code

Soc. Sec. No. or Fed. Tax I.D. No. 4. ADDITIONAL DEBTOR - IF ENTITY Name Mailing Address City State Zip Code

FILING FEE $10.00
5. SECURED PARTY Name (Last, First) Mailing Address City State Zip Code

Soc. Sec. No. or Fed. Tax I.D. No.

Soc. Sec. No. or Fed. Tax I.D. No.

Soc. Sec. No. or Fed. Tax I.D. No.

6. PRODUCTS SUBJECT TO SECURITY INTERESTS (See Instructions) A separate line must be used for each product, year and county. The secured party has a security interest in the following farm products and proceeds of the Debtor. PRODUCT
CODE

NAME

CROP YEAR

COUNTY
CODE

NAME

PRODUCT DESCRIPTION WHEN LESS THAN ALL OF PRODUCT IS COVERED BY SECURITY INTEREST.

All amounts/quantities of the secured party's security interest; unless a specific crop year is indicated, this Statement is applicable for every crop year for the duration of the this statement and any continuation thereof.

Signature(s) of Debtor(s) below:

Signature of Secured Party below:

By To be filed with: Nebraska Secretary of State UCC Division PO Box 95104 Lincoln, NE 68509

Reset Form
Revised by the Secretary of State, 4-99

Instructions AMENDED
Nebraska Effective Financing Statement This form must be typed. Illegible forms will be returned without filing.

Provide information relating to Secretary of State Filing Date of EFS and Secretary of State Filing Number of EFS if filed on or after July 1, 1999.

After you have filed any EFS document with the Secretary of State's Office, please provide only the Secretary of State's Filing Number for future document reference.
Complete blocks 1 through 6 following instructions for completion of similar lines on EFS - 1 showing the Effective Financing statement as Amended. Signatures of Debtor and Secured Party required on this form. File at: Nebraska Secretary of State's Office Business Services Division PO Box 95104 Lincoln, NE 68509