Free FPR-1 Farm Products Registration - Oregon

EFS FPR-1

STATE OF OREGON Corporation Division ­ UCC 255 Capitol Street NE, Suite 151 Salem, OR 97310-1327 (503) 986-2200 Facsimile (503) 373-1166 FilingInOregon.com

REGISTRATION NUMBER (Office use only)

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FARM PRODUCTS REGISTRATION ­ BUYER, COMMISSION MERCHANT, SELLING AGENT
PLEASE TYPE OR PRINT LEGIBLY. READ INSTRUCTIONS BEFORE FILLING OUT FORM. MASTER LIST FEE: $50.00 PER YEAR THE MASTER LIST IS AVAILABLE ONLY BY CD-ROM (Includes all current Effective Financing Statements and Agricultural Service Liens). A. REGISTRANT NAME AND ADDRESS C. NUMBERS

Phone: Fax:

D. REGISTERING AS A (check where applicable): B. E-MAIL ADDRESS Buyer Selling Agent Commission Merchant

E. FARM PRODUCT REGISTRATION. Register for the specific farm products you have an interest in purchasing. Use additional paper if necessary. PRODUCT CODE COUNTY CODE CROP YEAR PRODUCT CODE COUNTY CODE CROP YEAR

F. SIGNATURE By:

Date:

G. INSTRUCTIONS 1. Please type or PRINT legibly. Read instructions before filling out form. 2. The CD-ROM contains all products for all years and all counties. It includes EFS, ASL, Grain, and APL liens. You are required to register for the specific farm products you have an interest in purchasing. The fee is $50.00 for a one-year registration. 3. The registration may be amended by completing a new FPR-1 form. There is no additional fee. 4. If you have questions concerning the Farm Products registration, Please E-Mail [email protected] or call 503-986-2212

Payment - Prepayment Required.
Make check payable to "Corporation Division", or you may fax this request with payment by VISA or MasterCard to 503-373-1166

VISA or MasterCard #:

Expiration Date:

Signature:

422 (Rev. 09/06)

H. FARM PRODUCTS PRODUCT GRAINS Barley Corn for Grain Oats Rye Triticale Wheat HAY & FORAGE Alfalfa Ensilage Grass & Grain Straw Hay Sorghum

CODE 0101 0102 0103 0104 0105 0106 0201 0202 0203 0204 0205

PRODUCT VEGETABLES Artichokes Asparagus Beans Beets Broccoli Brussels Sprouts Cabbage Carrots Cauliflower Celery Corn Cucumbers Eggplant Garlic Kohlrabi Lettuce Mushrooms Onions Peas Peppers Pumpkins

CODE 0801 0802 0803 0804 0805 0806 0807 0808 0809 0810 0811 0812 0813 0814 0815 0816 0817 0818 0819 0820 0821 0822 0823 0824 0825 0826 0827 0828

GRASS & LEGUME SEEDS Alfalfa Seed 0301 Bentgrass 0302 Bluegrass 0303 Brome 0304 Clover 0305 Fescue 0306 Field Peas 0307 Orchardgrass 0308 Rape Seed 0309 Ryegrass 0310 Timothy 0311 Vetch 0312 Wheat Grass 0313 Other Grass Seed 0314 Other Legume Seed 0315 FIELD CROPS Herbs Hops Mint Oil Seed Potatoes Sugarbeet Vegetable & Flower Seeds Canola FRUITS Apples Apricots Cantaloupes Cherries Grapes Peaches Pears Plums Prunes Watermelons Kiwi NUTS Filberts Walnuts BERRIES Blackberries Blueberries Boysen & Youngberries Other Caneberries Cranberries Currants Elderberries Gooseberries Loganberries Marionberries Raspberries Strawberries 0401 0402 0403 0404 0405 0406 0407 0408 0501 0502 0503 0504 0505 0506 0507 0508 0509 0510 0511 0601 0602 0701 0702 0703 0704 0705 0706 0707 0708 0709 0710 0711 0712

VEGETABLES continued Radishes Rhubarb Rutabagas Spinach Squash Tomatoes Turnips

SPECIALTY PRODUCTS Bees 0901 Bees Wax 0902 Bulbs 0903 Greenhouse Stock 0904 Honey 0905 Logs 0906 Nursery Stock 0907 Standing Timber 0908 Trees (except standing timber) 0909 Turf Sod 0910 Worms 0911 LIVESTOCK Cattle & Calves Goats Hogs & Pigs Horses Llamas Milk Mink Mules Rabbits Sheep & Lambs Wool Buffaloes Alpaca Reindeer POULTRY Broilers Chickens Ducks Eggs Geese Turkeys Ostriches Emu Rhea 1001 1002 1003 1004 1005 1006 1007 1008 1009 1010 1011 1012 1013 1014 1101 1102 1103 1104 1105 1106 1107 1108 1109

COUNTY BAKER BENTON CLACKAMAS CLATSOP COLUMBIA COOS CROOK CURRY DESCHUTES DOUGLAS GILLIAM GRANT HARNEY HOOD RIVER JACKSON JEFFERSON JOSEPHINE KLAMATH LAKE LANE LINCOLN LINN MALHEUR MARION MORROW MULTNOMAH POLK SHERMAN TILLAMOOK UMATILLA UNION WALLOWA WASCO WASHINGTON WHEELER YAMHILL

CODE 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36

County Codes: Locate the county name in which your product is produced from the list provided.

FISH & SHELLFISH Fish & Shellfish 1201 Crop Year: The "Crop Year" is defined as: for a crop grown in soil, the calendar year in which it is harvested; for animals, the calendar year in which they are born or acquired; for poultry or eggs, the calendar year in whey they are sold or to be sold. A crop year is required unless every crop of the product in question is subject to a security interest. If a crop year is not shown, it will be regarded as applicable for every year the EFS are effective.

422 (Rev. 09/06)