Form Sl-3 - Release, Extension, Amendment Or Assignment Of Claim Of Lien In Crops
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2STATE OF IDAHO - RELEASE, EXTENSION, AMENDMENT
OR ASSIGNMENT OF CLAIM OF LIEN IN CROPS-FORM SL-3
450 N 4th, PO Box 83720, Boise ID 83720-0080
Mail to:
Secretary of State, UCC Division, 700 W Jefferson, PO Box 83720, Boise ID 83720-0080
Telephone: 208-334-3191 Fax: 208-334-2847
See instructions on reverse of form.
This notice is (check one):
Enter your customer account
number if you wish the fee to be
Extension of seed lien or farm labor lien
deducted from your prepaid
account with the Secretary of
Release of seed lien or farm labor lien
State.
Amendment
Customer Account Number
Assignment
The Secretary of State file number of
The date of filing of the SL-1 was:
the SL-1 to which this SL-3 relates is:
The last name or business name of
the first producer on the SL-1 is:
Claimant #1 (from SL-1)
Mailing Address for acknowledgment, if not Claimant #1
Organization or
Organization or
Indiv. Last Name
Indiv. Last Name
First Name
Middle Name
First Name
Middle Name
Address
Address
City
State
Zip Code
State
Zip Code
City
Names of each Claimant other than Claimant #1
2
5
3
6
4
If this is an extension, enter the crop(s) to which the extension applies:
Crop Code
Crop Name
County Code(s) or Name(s)
Crop Year
Amendments
Name and Address of Assignee of Claimant's Interest
Organization or
Indiv. Last Name
Middle Name
First Name
Address
State
Zip Code
City
Signature Claimant #1
Signature Claimant #4
Capacity
Capacity
Signature Claimant #2
Signature Claimant #5
Capacity
Capacity
Signature Claimant #3
Signature Claimant #6
Capacity
Capacity
Rev. 07/2001
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