Free EFS-A - Nebraska

This form must be typed. Illegible forms will be returned without filing.
5. ADDITIONAL DEBTOR - IF INDIVIDUAL
Last Name Mailing Address City Soc. Sec. No. or Fed. Tax I.D. No.: State Zip Code First Name MI or Suffix

Nebraska Effective Financing Statement

EFS - A

6. ADDITIONAL DEBTOR - IF INDIVIDUAL
Last Name Mailing Address City Soc. Sec. No. or Fed. Tax. I.D. No.: State Zip Code First Name MI or Suffix

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

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.
CROP YEAR

PRODUCT
CODE

COUNTY
CODE

NAME

NAME

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

All amounts/quantities of farm products listed, unless otherwise designated above, located or produced in the counties designated above, are subject to 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 this statement and any continuation thereof. Revised by the Secretary of State 1-01

THIS STATEMENT MUST BE TYPED. ILLEGIBLE STATEMENTS WILL BE RETURNED WITHOUT FILING. PRECISION IN TYPING NUMBERS AND EXACT DESIGNATION OF NAMES IS IMPERATIVE.

Important

Instructions
Blocks 5-7. Additional Individual Debtors names should be typed in boxes 5 or 6, if needed. Additional Entity Debtor name should be typed in box 7. Attach additional EFS - A forms if needed for additional debtor indexing. Block 6A. Additional Products Subject to Security Interest: Product Code. The three-digit production code of each farm product covered by the EFS - 1 or EFS - 2 must be entered in the Product Code column. The table of product codes appears on the reverse of the EFS - 1 form. Product Name. Enter the product name in the Product Name Column. Crop Year. No entry is required if all crop years of the farm product are covered by the EFS - 1 or EFS - 2. If fewer than all crop years are covered, the last two digits of each covered crop year must be entered. County Code. The two-digit county code for each county in which the particular farm product is produced must be entered in the County Code Column. The table of county codes appears on the reverse of the EFS - 1 form. Product Description. If not all of the product is covered by the security interest then insert amount covered. For example, if security interest is on 10,000 bushels of corn insert 10,000 bu. Attach additional EFS - A forms as needed for Additional Products Subject to Security Interests.