Free ra9_ucc_sl1.p65 - Idaho


File Size: 312.7 kB
Pages: 2
File Format: PDF
State: Idaho
Category: UCC Forms
Author: Pat
Word Count: 1,007 Words, 5,738 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.sos.idaho.gov/ucc/forms/acro4/ucc_SL1.pdf

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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 complete instructions and tables of codes on reverse.
Customer Account Number

Fee $4.00 ($8.00 if not typed) Enter your customer account number if you wish the fee to be deducted from your prepaid account with the Secretary of State

Each claimant listed below claims a lien in the designated crop(s) of the producer(s) under 45-308,I.C. and certifies to the truth thereof. This notice relates to a lien Farm Seed for (check one): labor

Name or business name of each producer against whom the lien is claimed, and the address of each.

1 2 3 4

Organization or Indiv. Last Name

First Name

This block for Filing Office use only.

STATE OF IDAHO - NOTICE OF CLAIM OF LIEN IN CROPS FORM SL-1

Click here to clear form.

Middle Name

Address

City

State

Zip

Organization or Indiv. Last Name

First Name

Middle Name State Middle Name Zip

Address Organization or Indiv. Last Name

City First Name

Address

City

State

Zip

Organization or Indiv. Last Name

First Name

Middle Name

Address

City

State

Zip

Name or business name of each claimant, and the address of each.

1 Organization or Indiv. Last Name
First Name Middle Name Address

3 Organization or Indiv. Last Name
First Name Middle Name Address State Zip Code City State Zip Code

City
Signature of Claimant

Signature of Claimant

Typed/Printed Name of Signer

Capacity of Signer

Typed/Printed Name of Signer

Capacity of Signer

2 Indiv. Last Name
First Name Middle Name Address

Organization or

Mailing address for acknowlegement, if not Claimant #1
Name

Address

City

State

Zip Code

City

State

Zip Code

Signature of Claimant

Typed/Printed Name of Signer

Capacity of Signer

Total Dollar Amount of Claim Crops to which lien attaches

$ ___________________

Crop Code

Crop Name

County Code(s) or Name(s)

Crop Year

Rev. 07/2001

IDAHO FILLABLE WEB FORM

Instructions for completion of Form SL-1 1. 2. Please type this form In black. Enclose filing fee of $ 4.00 if form is typed, or $8.00 if not typed. For attachments, not counting any attached Form SL-2, 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 hand portion 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. Check the appropriate box to indicate whether this lien is for Seed or for Farm Labor. Enter only one producer name or business name per block exactly as it is to be indexed. Include any applicable titles. The term "title" as used in the producer's name includes "Sr.", "Jr.", "III", "Dr.", etc. The producer is the person against whom the lien is claimed. Enter the name and address of each claimant. Include ZIP Code. If someone other than Claimant #1 is to receive the acknowledgment of filing, complete the "Mailing Address for acknowledgment" space. Enter the Dollar amount of the claim. Enter either the three-digit code for the crop from the table below, or the name of the crop, or both, in the appropriate column. Enter either the county code from the table below or the name of the county where the crop is growing or to be grown. If the crop year is not the current calendar year, enter the crop year; if the crop year is the current year, leave it blank. There must be a signature for every claimant listed. A claimant may sign personally or by an agent, attorney, family member, partner, officer, etc. Enter the name of the claimant below the signature. On the third line, indicate "Self" if the signer is the claimant; if the signer is the claimant's agent, attorney, parent, partner, corporate officer, etc., indicate that capacity. If there are not enough lines for producers, claimants, crops or signatures on the form SL-1, enter the excess on an attached Form SL-2 supplement.

3. 4. 5.

6. 7. 8. 9.

10.

11.

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 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 vegetable & flower seeds seed potatoes row crops for seed Code 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 190 191 192 193 194 195 196 200 201 210 211 212 213 220 230 300 310 311 312 Product green peas tomatoes lettuce cucumbers broccoli cauliflower lima beans green beans melons carrots turnips asparagus spinach and collards pumpkin and squash radishes apples apricots cherries nectarines peaches pears plums strawberries raspberries sod nursery stock (trees & shrubs) christmas trees flowers and potted plants mushrooms grapes grass alfalfa clover vetch

County Codes
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