State of Mississippi UCC-1F
Financing Statement
4. This fmamcmg statement covers the following types (or items) of property: 5. If collateral is crops - Crops are growing or to be grown on - Describe real estate (Indicate record owner, if not Debtor): 6. Check if this statement is filed without the Debtor's signature to perfect a security interest in collateral: already subject to a security interest in another jurisdiction when it was where the original filing has lapsed Office Use Only brought into this state or when Debtor's location was changed to this state which is proceeds of the original collateral described above in which a acquired after a change of name, identity, or security interest was perfected corporate structure ofthe Debtor 8. Number of additional sheets attached: Products of Collateral 7. Check it covered:
Signatures of Debtor (s) Signature of Secured Party (ies) (Required only if filed without debtor's signature) Part B - Complete in addition to PART A for Farm Product Notice Tax ID/SSN County Code 8. Debtor #1: Name: Tax ID/SSN County Code Debtor #2: Name: Collateral Type Name Collateral Number Code County/Produced Code Collateral Quantity Amount Crop Year
10. If collateral involves real property, livestock, crops growmg or to be 9. Brief Description of Collateral (if needed to distinguish from products not subject to security interest): grown, describe property (give name if owned by person other them debtor)
Signature of Debtor (s) Signature of Secured Party (ies) UCC-01F *UCC-01Fuwue* Filed with: Book & Page: 1. Debtors (Last Name first for individuals) Last Name First Name Middle Name Last Name First Name Middle Name Mailing Address Mailing Address State ZIP City Cty Cd City Tax ID/SSN Tax ID/SSN 2. Secured Party (Last Name first for individuals) 3. Assignee (Last Name first for individuals) Business Name Business Name Mailing Address Mailing Address State ZIP Cty Cd State ZIP City Cty Cd City Tax ID/SSN Tax ID/SSN State ZIP Cty Cd Part A - To be completed for perfection only