Form Sl-1 - Notice Of Claim Of Lien In Crops - Secretary Of State Of Idaho

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STATE OF IDAHO - NOTICE OF CLAIM OF LIEN IN CROPS - FORM SL-1
Customer account number
See instructions and tables of codes on reverse.
Mail to: Secretary of State, UCC Division, 700 W Jefferson, PO Box 83720, Boise, ID 83720-0080, PH 208-334-3191
Each claimant listed below claims a lien in the designated crop(s) of the producer(s) under §45-308,I.C.
Fee $4.00 ($8.00 if not typed)
Farm labor
This notice relates to a lien for (check one): Seed
Name or business name of each producer against whom the lien is claimed, and the address of each.
Producer #1 (Last name, first, middle, title & address)
Producer #3
Producer #2
Producer #4
Name or business name of each claimant, and the address of each.
1 2 3 4 5 6 7
1 2 3 4 5 6 7
Claimant # 1 (Name and address & ZIP Code)
1 2 3 4 5 6 7
Claimant # 3
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
Claimant # 2
Claimant # 4
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
Mailing Address for acknowledgment, if not Claimant #1
Dollar Amount of claim
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
Crops to which lien attaches
Crop Code
Crop Name
County Code(s) or Name(s)
Crop Year
Signature Claimant # 1
Signature Claimant # 3
Filing Office Use Only
Name of claimant
Capacity of signer
Signature Claimant # 2
Signature Claimant # 4

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