Free UCC 3F 05-27-09.p65 - Louisiana

UCC-3F
Important - Read instructions This FINANCING STATEMENT is presented for filing pursuant to Chapter 9 of the Louisiana Commercial Laws and 1985 Food Security Act. 1. Initial Financing Statement File # 2. 3. 4. 5. Termination - the Secured Party no longer claims a security interest under the Financing Statement bearing the file number shown above. Continuation - the original Financing Statement between the Debtor and Secured Party bearing the file number shown above is still effective. Assignment (full or partial). Give name of assignee in 7a or 7b and address of assignee in item 7c: also give name of assignor in item 9. Amendment (Party Information). This amendment affects Debtor or Secured Party of record. Check only one of these two boxes.

Also check one of the following three boxes and provide appropriate information in items 6 and/or 7. CHANGE name and/or address DELETE name ADD name

6. CURRENT RECORD INFORMATION:
6a Organization's Name

6b Individual's Last Name (and Title of Lineage (e.g. Jr., Sr., III, if applicable)

First Name

Middle Name

7. CHANGED (NEW) OR ADDED INFORMATION: 7a Organization's Name

7b Individual's Last Name (and Title of Lineage (e.g. Jr., Sr., III, if applicable)

First Name

Middle Name

7c Mailing Address

City

State

Postal Code

Country

7d Tax ID #: SSN or EIN

Add'l info re: Organization

7e Type of Organization

7f Jurisdiction of Organization

7g Organization ID # if any

None

8. AMENDMENT UCC (Collateral Change): check only one box. Describe collateral deleted or added, or give entire

restated collateral description, or describe collateral

assigned.

9. NAME or SECURED PARTY of RECORD AUTHORIZING THIS AMENDMENT (name of assignor, if this is an Assignment). 9a Organization's Name

9b Individual's Last Name (and Title of Lineage (e,g. Jr., Sr., III), if applicable

First Name

Middle Name

USE THE FOLLOWING AREA ONLY FOR FARM PRODUCTS REQUIREING EFFECTIVE FINANCING STATEMENT (EFS) FILING IN ACCORDANCE WITH FOOD SECURITY ACT OF 1985 10. This FINANCING STATEMENT AMENDMENT covers the following types (or items) of property: Indicate "A" to add or "R" to release at left side of form. (FARM PRODUCT NOTICE ONLY) A/R Collateral Product Name Collateral Product Code Parish/Produced Code Collateral Quantity Amount CropYear Total Amount Security

11. Brief Description of collateral (if needed to distinguish from products not subject to security interest):

12. Reasonable description of property upon which products are produced or located:

Does Secured Party Require Joint Checks? Yes No

13. Return Copy To:

Optional: (See Instruction #9) Signature of Debtor(s)

LOUISIANA SECRETARY OF STATE 05/27/09

GENERAL INSTRUCTIONS 1. Please type or laser print this form. Be sure it is completely legible. Read all instructions. Correct file number is crucial. 2. Fill in form very carefully; mistakes may have important legal consequences. If you have questions, consult your attorney. Filing office cannot give legal advise. 3. If you need to use attachments, use 8 1/2 X 11 inch sheets of paper and put at the top of each sheet the file number, formatted exactly as it appears in Item #1. 4. If an Acknowledgement copy is to be returned to other than the Secured Party, please indicate the name and mailing address of the person or firm to whom the copy is to be returned in Item #13. 5. ORIGINAL FILING INFORMATION. The original UCC-1 file number must be provided in Item #1. 6. Type of Statement: CHECK ONE BOX ONLY - Indicate type of statement being filed by checking appropriate box in Item #'s 2, 3, 4, or 5. 7. AMENDMENT TO CODED FARM PRODUCT INFORMATION: Use Item #10 to add or release coded farm product collateral. Enter "A" at left side of form if product information is to be added, and follow with all coded information relating to that product. Enter "R" at left side of form if you are releasing a product, and follow with the complete line of information as it appeared on the original UCC-1F. 8. Pursuant to the Food Security Act of 1985 the taxpayer identification numbers-social security numbers or employer identification numbers must be provided for each named debtor. If you are adding a new debtor, provide the appropriate information and have the form signed by the new debtor. 9. Signatures on the UCC-3F are optional; however R.S. 3:3654(E)(4) does provide that the amendment filing be authorized or otherwise authenticated by the debtor. 10. PROPER PLACE TO FILE: This form must be filed in the Parish where the original UCC-1F was filed. DO NOT FILE WITH THE SECRETARY OF STATE.

FARM PRODUCTS LIST AND CODES 3011- Alligator Eggs 3010- Alligators 3015- Antelope 1006- Blackberries 1000- Blueberries 1005- Broccoli 1010- Cabbage 1020- Cantalopes 1025- Carrots 3020- Catfish 3030- Cattle 1030- Cauliflower 1119- Centipede Grass 3040- Chickens 3042- Chukars 1112- Collard Greens 1040- Corn 1050- Cotton 3045- Crabs 3050- Crawfish 1060- Cucumbers 1070- Cushaw 3055- Deer 1001- Dove 1075- Eggplant 2020- Eggs 1002- Elk 3056- Emu 3057- Fingerlings 1080- Flowers, Ornamental Shrubs 1090- Garlic 3060- Goats 1100- Grapes 1110- Grass 1119- Grass, Centipede 1111- Green Beans 1130- Hay 3061- Hide, Pelts, Skins 3070- Hogs 2030- Honey 3080- Honeybees 3090- Horse 1145- Irish Potatoes 3140- Lamb 1135- Lettuce 1004- Lima Beans 1146- Mayhaw 2040- Milk 1140- Milo 3100- Mink 3101- Minnows 1147- Muscadines 1150- Mushrooms 1114- Mustard Greens 1160- Oats 1165- Okra 1170- Onions 1180- Oranges 3150- Ostrich 3110- Oysters 1190- Peaches PARISH CODES 01- Acadia 02- Allen 03- Ascension 04- Assumption 05- Avoyelles 06- Beauregard 07- Bienville 08- Bossier 09- Caddo 10- Calcasieu 11- Caldwell 12- Cameron 13- Catahoula 14- Caliborne 15- Concordia 16- Desoto 17- East Baton Rouge 18- East Carroll 19- East Feliciana 20- Evangeline 21- Franklin 22- Grant 23- Iberia 24- Iberville 25- Jackson 26- Jefferson 27- Jefferson Davis 28- Lafayette 29- Lafourche 30- LaSalle 31- Lincoln 32- Livingston 33- Madison 34- Morehouse 35- Natchitoches 36- Orleans 37- Ouachita 38- Plaquemines 39- Pointe Coupee 40- Rapides 41- Red River 42- Richland 43- Sabine 44- St. Bernard 45- St. Charles 46- St. Helena 47- St. James 48- St. John the Baptist 49- St. Landry 50- St. Martin 51- St. Mary 52- St. Tammany 53- Tangipahoa 54- Tensas 55- Terrebonne 56- Union 57- Vermillion 58- Vernon 59- Washington 60- Webster 61- West Baton Rouge 62- West Carroll 63- West Feliciana 64- Winn 1200- Peanuts 1203- Pears 1210- Peas 1220- Pecans 1230- Peppers 1231- Persimmons 3115- Pheasant 1232- Pinto Beans 3130- Prawns 1235- Pumpkins 3120- Quails 3135- Rabbits 1003- Rhea 1240- Rice 1250- Rye Grass Seed 3140- Sheep 3150- Shrimp 1260- Sorghum Grain 1270- Soybeans 1275- Spinach 1280- Squash 3153- Squirrels 1118- St. Augustine Grass 1290- Strawberries 1300- Sugarcane 1301- Sugarcane Stubble 1310- Sunflower Seeds 1320- Sweet Potatoes 1330- Sweet Sorghum 1335- Tobacco 4000- Timber 1340- Tomatoes 3160- Turkey 1116- Turnip Greens 3171- Turtle Eggs 3170- Turtles 1350- Watermelons 1360- Wheat