Free UCC Notice of Filing Extension of Grain Producer's Lien Form GL-1 - Oregon


File Size: 100.1 kB
Pages: 1
Date: June 28, 2005
File Format: PDF
State: Oregon
Category: UCC Forms
Author: Oregon Secreary of State Corporation Division
Word Count: 244 Words, 1,536 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.filinginoregon.com/forms/pdf/ucc/450.pdf

Download UCC Notice of Filing Extension of Grain Producer's Lien Form GL-1 ( 100.1 kB)


Preview UCC Notice of Filing Extension of Grain Producer's Lien Form GL-1
Secretary of State Corporation Division - UCC 255 Capitol St. NE, Ste. 151 Salem, OR 97310-1327 Phone: (503) 986-2200 Fax: (503) 373-1166 FilingInOregon.com

GL -1
DEBTOR PURCHASER:

Notice of Filing Extension of Grain Producer's Lien

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Pursuant to ORS 87.762

In keeping with ORS 192.410-192.595, the information on the application is public record. We must release this information to all parties upon request and it may be posted on our website. Please Type or Print Legibly in Black Ink. Attach Additional Sheet if Necessary.

Mark One
1 NAME 2 NAME

If Individual, list last name first.

-Business -Business

-Individual -Individual

MAILING ADDRESS

CITY

STATE

ZIPCODE

PRODUCER:
MAILING ADDRESS

NAME

CITY

STATE

ZIPCODE

STATEMENT AMOUNT OF PRODUCER'S DEMAND (after Deducting All Credits and Offsets): $ DESCRIPTION OF PRODUCE DELIVERED OR TRANSFERRED BY:

DATE PAYMENT ORIGINALLY DUE: I (WE) debt as of the date of this filing. swear/affirm that the amount claimed on this Notice is true and bona fide existing

CLAIMANT SIGNATURE

STATE OF
DATE

COUNTY OF SUBSCRIBED TO AND SWORN/AFFIRMED BEFORE ME THIS

DAY OF

, 20 by

,

Notary Public of Oregon

My commission expires:

RETURN TO (Please Type or Print within the box):

FEES
Required Processing Fee - $10 Processing Fees are nonrefundable. Please make check payable to "Corporation Division." NOTE: Fees may be paid with VISA or MasterCard. The card number and expiration date should be submitted on a separate sheet for your protection.

450 (Rev. 8/02)