Free STATE OF SOUTH DAKOTA FINANCING STATEMENT - South Dakota

SOUTH DAKOTA FINANCING STATEMENT ­ UCC 1 APPROVED LIVESTOCK FORM
Secretary of State 500 E. Capitol Pierre, SD 57501-5070 605-773-4422

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PLEASE TYPE THE INFORMATION ON THIS FORM ACCORDING TO ALL INSTRUCTIONS PRINTED ON THE BACK OF THE UCC 1 FORM NOTE: Type smaller than 8 point is not acceptable. This is an example of 8 point type. 1. LIVESTOCK OWNER NAME AND ADDRESS insert only one livestock owner name (1a or 1b)
1a. ORGANIZATION'S NAME

or

1b. INDIVIDUAL'S LAST NAME

FIRST NAME CITY

MIDDLE NAME STATE POSTAL CODE

SUFFIX COUNTRY

1c. MAILING ADDRESS

2. or

ADDITIONAL LIVESTOCK OWNER or
2a. ORGANIZATION'S NAME 2b. INDIVIDUAL'S LAST NAME

ASSIGNEE OF LIVESTOCK OWNER NAME AND ADDRESS insert only one name (2a or 2b)
FIRST NAME CITY MIDDLE NAME STATE POSTAL CODE SUFFIX COUNTRY

2c. MAILING ADDRESS

3. CARETAKER'S EXACT FULL LEGAL NAME ­ insert only one caretaker (3a or 3b) ­ do not abbreviate or combine names.
3a. ORGANIZATION'S NAME

or

3b. INDIVIDUAL'S LAST NAME

FIRST NAME CITY

MIDDLE NAME STATE POSTAL CODE 3G. ORGANIZATIONAL ID#, if any

SUFFIX COUNTRY

3c. MAILING ADDRESS 3d. TAX ID # SSN OR EIN
ADD'S INFO RE ORGANIZATION CARETAKER

3e. TYPE OF ORGANIZATION

3f. JURSIDICTION OF ORGANIZATION

NONE

4. ADDITIONAL CARETAKER'S EXACT FULL LEGAL NAME ­ insert only one caretaker name (4a or 4b) ­ do not abbreviate or combine names.
4a. ORGANIZATION'S NAME

or

4b. INDIVIDUAL'S LAST NAME

FIRST NAME CITY

MIDDLE NAME STATE POSTAL CODE 4G. ORGANIZATIONAL ID#, if any

SUFFIX COUNTRY

4c. MAILING ADDRESS 4d. TAX ID # SSN OR EIN
ADD'S INFO RE ORGANIZATION CARETAKER

4e. TYPE OF ORGANIZATION

4f. JURSIDICTION OF ORGANIZATION

NONE

5. This Financing Statement covers the following types (or items) of property: If collateral is goods which are or are to become fixtures, the below goods are affixed or to be affixed to:

Check (X) if covered:

PROCEEDS of collateral are also covered.

PRODUCTS of collateral are also covered.

Use the following spaces only for Farm Products requiring EFFECTIVE FINANCING STATEMENT (EFS)
FARM CODE (s) and PRODUCT(s) YEAR QUANTITY COUNTY CODE LOCATION IN COUNTY OR FURTHER DESCRIPTION

Pay proceeds to Caretaker and Livestock Owner unless otherwise checked:

Livestock Owner only

Caretaker only

Signature(s) of Caretaker(s)

Signature of Livestock Owner

Check to REQUEST SEARCH REPORT(S) on Caretaker(s)

All Caretakers

Caretaker 1 Caretaker 2

Number of Additional Sheets, if any:
UCC 1 Livestock Form Revised 7/01/09