Form Cfs-1 - Central Filing System Effective Financing Statement

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State of Utah
DEPARTMENT OF COMMERCE
Clear Form
Division of Corporations & Commercial Code
Central Filing System Effective Financing Statement
CFS-1
1.
2.
Debtor Name
Debtor Name
Address
City/State/Zip
Address
City/State/Zip
___ ___ ___ - ___ ___ - ___ ___ ___ ___
___ ___ ___ - ___ ___ - ___ ___ ___ ___
Social Security Number
Social Security Number
___ ___ - ___ ___ ___ ___ ___ ___ ___
___ ___ - ___ ___ ___ ___ ___ ___ ___
IRS Tax I.D. No.
IRS Tax I.D. No.
3.
4.
Secured Party
Assignee Name
Address
City/State/Zip
Address
City/State/Zip
___ ___ ___ - ___ ___ - ___ ___ ___ ___
___ ___ ___ - ___ ___ - ___ ___ ___ ___
Social Security Number
Social Security Number
___ ___ - ___ ___ ___ ___ ___ ___ ___
___ ___ - ___ ___ ___ ___ ___ ___ ___
IRS Tax I.D. No.
IRS Tax I.D. No.
5.
Collateral Description (If needed)
List specific farm product:
County in Utah where product will be produced:
Crop Year
6.
Debtor Signature(s)
7.
Authorized Representative of the Secured Party
Signature
8.
Name and address to whom the stamped copy should be returned (lawyer, assignee, etc.)
Name
Address
City
State
Zip
FREE! You may visit our Web Site to access this document and other information.
Mail In: PO Box 146705
Salt Lake City, Utah 84114-6705
Walk In: 160 East 300 South, Main Floor
Service Center: (801) 530-4849
Toll Free Number: (877) 526-3994 (Utah Residents)
Fax: (801) 530-6438
Web Site:

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