Free ra9_ucc_ac1.p65 - Idaho

Click here to clear form. SECURITY INTERESTS IN IDAHO CROPS FOR PROVISION OF AGRICULTURAL CHEMICALS - FORM AC-1

Name and address of Supplier
Organization or Individual Last Name First Name Middle Name

Address

City

State

Zip Code

SSN / TIN

Date Notification Statement was prepared:

Name and address of Lender
Organization or Individual Last Name First Name Middle Name

Address

City

State

Zip Code

Name and address of person to whom Lender's response to the Supplier should be addressed
Organization or Individual Last Name First Name Middle Name

Address

City

State

Zip Code

Description of application of agricultural chemicals Anticipated date of application Anticipated charges for agricultural chemicals

$

Anticipated charges for application
(if not included in charges for chemicals)

$

Name and address of Grower
Organization or Individual Last Name First Name Middle Name

Address

City

State

Zip Code

Reasonable description of real estate where the agricultural chemicals are to be applied

Name and address of Owner of real property (if other than Grower)
Organization or Individual Last Name First Name Middle Name

Address

City

State

Zip Code

Crops growing or to be grown on such real property as to which the supplier intends to supply agricultural chemicals and upon which supplier intends to obtain a security interest

Signature of Supplier

Signature of Grower

SECURITY INTERESTS IN IDAHO CROPS FOR PROVISION OF AGRICULTURAL CHEMICALS - FORM AC-1

LENDER'S LETTER OF RESPONSE

Name and address of Lender
Organization or Individual Last Name First Name Middle Name

Address

City

State

Zip Code

Lender responds to notification statement as follows (choose one): An outstanding commitment for operating financing exists for this grower. Of that commitment, lender hereby reserves the amount specified in the notification statement for the purpose of honoring drafts or other demands for payment by supplier, accompanied by invoices signed by grower or other proof of delivery signed by grower. Lender hereby subordinates the priority of its security interest in (specify crops) ______________________________ of grower to the priority of the security interest in such crops obtained or to be obtained by supplier, such subordination to be in the amount specified in the notification statement. Lender declines to either reserve funds or subordinate its security interest.

Signature of lender

Date