(
9A V.S.A.
§
9-607(2)) Office of
the Secretary of State Corporations Division
A. Definitions
For the purpose of implementing the central filing system for
farm products authorized by 9A V.S.A. Article 9 Part 6, the following
definitions apply
1. "crop year" means
a. For a crop grown in soil, the calendar
year in which it is harvested or to be harvested;
b. For animals, the calendar year in which
they are born or acquired;
c. For
poultry or eggs, the calendar year in which they are sold or to be
sold;
d. For bees and worms, the
calendar year in which they are alive in adult form.
2. "cumulative supplement" means a list
composed of updated information from the master list since its last
publication.
4. "farm product
notice" is the Vermont substitute for "effective financing statement," as used
in the federal law and rules.
5.
"master list" means a full listing of farm product notices currently filed in
the Office of the Secretary of State organized according to farm products and
fulfilling the requirements of
9A
V.S.A. §
9-603(2) and
the federal law and rules on the central filing system, which is issued
quarterly by the Secretary of State.
6. "oral confirmation within 24 hours" (as
used in
9A
V.S.A. §
9-603(e))
means personal contact by telephone or in person before the same hour on the
following business day, excluding holidays and weekends;
B. Filing of Farm Product Notices
1. A farm product notice must be filed on a
form prescribed and approved by the Secretary of State. The form shall be
designated "FPN-1."
2. The debtor's
name and address must be entered completely and precisely. The names of
individuals must be entered in order of last name (surname), first name, and
middle initial or name, if any. Business names and corporate names must be
entered in full, without abbreviation, except where an abbreviation is part of
the business or corporate name.
3.
The social security number or IRS taxpayer indentification number must be
entered beside each debtor's name.
4. The name and address of the secured party
must be entered.
5. The three-digit
product code for each farm product subject to the security interest must be
entered. A table of product codes appears on the back of the FPN-1. The
Secretary of State will enter only the product code and will not be responsible
for discrepancies between the farm product code and the farm product which is
the subject of the security interest.
6. The two-digit county code for each county
where the farm product is growing, is to be grown, is located or is foreseen to
be located while in possession of the debtor shall be entered next to the
product code for each farm product. A table of county codes appears on the back
of the FPN-1.
7. If fewer than all
crop years of a farm product are covered by the farm product notice, the crop
year(s) of the farm product which is (are) covered shall be entered.
8. If less than all of a particular farm
product for the specified crop year is covered by the farm product notice, the
amount which is covered must be entered, along with the code for the
appropriate unit of measurement. A table of unit codes appears on the back of
the FPN-1.
9. The signatures of the
debtor(s) and secured party(ies) must be affixed to the FPN-1. All debtors
whose names appear in the debtor section of the FPN-1 must sign.
10. All information other than the signatures
must be typed or legibly printed.
C. Amendment, Continuation and Termination of
a Farm Product Notice
1. An amendment,
continuation, or termination of a farm product notice must be filed on a form
prescribed and approved by the Secretary of State. The form shall be designated
"FPN-2."
2. A termination of a farm
product notice may be made by the signature of the secured party on the
termination line on the FPN-1 or by checking the termination box on the
FPN-2.
3. The document number
assigned by the Secretary of State to the farm product notice must be entered
on any amendment, continuation, or termination form.
D. Farm Product Identification Codes
Specific codes prescribed by the Secretary of State shall be
used to describe farm products on the farm product notice and ancillary
statements, as well as on the master list and cumulative supplements maintained
and distributed by the Secretary of State. The Secretary of State may add
classes and codes as the need is demonstrated. Formal amendment of these rules
shall not be necessary in order to add classes or codes to this list, as long
as the Secretary of State makes the current list of classes and codes available
on request and posts the current list in his or her office. The table of
classes and codes is attached to this rule as Appendix A.
E. County Codes
The codes in this section shall be used to describe the county
or counties in which the product is located on the farm product notice and
ancillary statements, as well as on the master list and cumulative supplements
maintained and distributed by the Secretary of State. The table of codes is as
follows:
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01 Addison
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06 Franklin
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11 Rutland
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02 Bennington
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07 Grand Isle
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12 Washington
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03 Caledonia
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08 Lamoille
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13 Windham
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04 Chittenden
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09 Orange
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14 Windsor
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05 Essex
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10 Orleans
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99 Other
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The code 99, "Other," is designed to accommodate filings for
products produced in Vermont but stored prior to sale in another state.
F. Unit Codes and Crop Year Codes
The codes in this section shall be used to describe the units
of farm products on the farm product notice and ancillary statements, where
necessary, as well as on the master list and supplements maintained and
distributed by the Secretary of State. The table of codes is as follows:
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A - acres
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H - head
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W - lugs
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B - bushels
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L - pounds
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X - boxes
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C - hundredweight
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N - bins
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Z - stubs
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E - cases
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S - sacks
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F - flats
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T - tons
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G - gallons
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V - hives
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Crop years shall be entered using the last two digits of the
calendar year. If no crop year code is entered all crop years are deemed to be
covered.
G. Registration of
Buyers, Commission Merchants, and Selling Agents
1. Registration of buyers, commission
merchants, and selling agents shall be made on a form prescribed and approved
by the Secretary of State. The form shall be designated "FPN-4."
2. Registration entitles the registrant to an
annual subscription to master lists, supplements or special selections
beginning when the registration is filed and terminating on January 1 of the
following year. Each registrant will be assigned a permanent registration
number by the Secretary of State.
3. Renewals may be filed at any time after 90
days prior to expiration of a current registration period. The registrant, if
renewing, shall indicate his or her registration number on the renewal form.
The renewal form shall be mailed to each registrant by the Secretary of State
in time to provide for renewal.
4.
Notice of a change of registrant's name and/or address shall be made in writing
to the Secretary of State.
5. If a
registration is filed at any time other than at the start of the calendar
quarter, the registrant will receive the most recent master list and the most
recent subsequent supplement(s).
H. Distribution of Master Lists and
Supplements
1. The master list shall be
printed quarterly by the Secretary of State. For purposes of printing,
"quarterly" means the first Wednesday in March, the first Wednesday in June,
the first Wednesday in September, and the first Wednesday in December. These
are the dates the master list will be printed, showing current filings of farm
product notices to date. When any of these dates falls on a holiday, the next
business day shall be used as the date for printing and distribution of the
master list. Master lists for special selections will be printed quarterly as
well.
2. Supplements shall be
printed on the first Wednesday of each month in which a master list is not
printed. When any of these dates falls on a holiday, the next business day
shall be used as the date for printing of the master list. Supplements for
special selections will be printed monthly as well.
3. In order to be included on the master
list, a supplement, or a special selection, a farm product notice must be
received by the Secretary of State not later than 12:00 noon on the business
day prior to publication.
4.
Distribution of the master list and supplements will be made by the Secretary
of State as soon as possible after the list is printed.
I. Requests for Information
1. Any person may request oral confirmation
of the existence of a farm product notice or the lack of such notice from the
Secretary of State by telephone, mail, or in person during regular working
hours on business days.
2. Oral
confirmation shall be made within 24 hours of the hour of the request on the
next business day, excluding holidays and weekends. Written confirmation shall
be mailed to each person making such request, with a voucher citing the fee
owed for this service.
3. If the
oral confirmation is to be made telephonically and the requesting party cannot
be reached at the stated telephone number within the 24 hour period, the
Secretary of State shall attempt to reach the requesting party over an
additional 24 hour period. If at the end of that time the requesting party has
not been reached, the Secretary of State shall be deemed to have fulfilled his
or her obligation to make a timely oral confirmation. A log of each attempted
call shall be maintained by the Secretary of State. At least three attempts to
reach the requesting party shall be made in each 24 hour period, if the
requesting party cannot be reached earlier.
4. A request for information on or copies of
farm product notices may also be made in writing by the filing of an
"FPN-3."
J. Fees
1. The fee for filing a FPN-1, an amendment,
or a continuation of an FPN-1, is $ 5.00. There is no charge for filing a
termination of an FPN-1.
2. The fee
for oral confirmation, followed by written confirmation, of a farm product
notice, or a lack of records confirmation, is $ 5.00 for each farm product
notice. The fee for a written request for copies or information by filing an
FPN-3 is also $ 5.00.
3. The fees
for registering as a buyer, commission merchant, or selling agent, or to
receive copies of the master lists and cumulative supplements or special
selections for a period beginning at registration or renewal and ending on
December 31, are $ 250.00 for an alphabetical list and $ 250.00 for a numeric
list, $ 150.00 for milk only statewide, $ 75.00 for any other product
statewide, and $ 50.00 for any product by specific county. The registration fee
shall be paid at the time of registration. Those who register within four
months of the end of the calendar year will be charged $ 100.00 for an
alphabetical list and $ 100.00 for a numeric list, $ 75.00 for milk only
statewide, $ 50.00 for any other product statewide, and $ 25.00 for any product
by specific county.
4. The
Secretary of State reserves the right to insist that persons requesting oral
confirmations on farm product filings whose accounts are more than 60 days in
arrears appear in person to request and receive such confirmations, rather than
using the telephone.
5. The fee for
individual copies of master lists or cumulative supplements by non-registrants
shall be 10 cents per page.
Appendix A Food Product Classes and Codes
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01 Fruits
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011 apples
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02 Berries
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021 blackberries
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012 apricots
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022 blueberries
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013 cherries
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023 raspberries
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014 grapes
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024 strawberries
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015 nectarines
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016 peaches
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017 pears
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018 plums
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03 Veg.
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031 artichokes
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04 Veg.
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041 celery
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032 asparagus
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042 corn (sweet)
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033 beans (lima)
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043 cucumbers
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034 beans (snap)
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044 eggplant
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035 Brussels sprouts
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045 lettuce
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036 broccoli
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046 onions
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037 cabbage
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047 parsnips
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038 carrots
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048 peas (green)
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039 cauliflower
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049 peppers
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05 Veg.
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051 pumpkins/squash
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06 feeds
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061 barley
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052 spinach
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062 buckwheat
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053 sugar beets
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063 corn (field)
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054 tomatoes
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064 hay
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055 turnips
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065 oats
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066 rye
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067 sorghum grain
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068 wheat
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07 ensilage
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071 ensilage
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08 potatoes
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081 potatoes
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082 potatoes (sweet)
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09 popcorn
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091 popcorn
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10 nursery products
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101 Christmas trees
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102 flowers & potted plants
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103 nursery stock (trees & shrubs)
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104 sod
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11 apiary products
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111 bees
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12 maple
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121 maple syrup
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112 bees wax
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113 honey
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13 mushrooms
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131 mushrooms
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14 worms
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141 worms
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15 sprouts
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151 sprouts
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16 ginseng
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161 ginseng
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17 poultry & eggs
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171 chickens
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18 livestock
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181 beefalo
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172 ducks
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182 beef cattle & calves
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173 eggs
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183 dairy cattle
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174 game birds
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184 deer & elk
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175 geese
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185 goats
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176 turkeys
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186 hogs
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187 horses
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188 rabbits
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189 sheep & lambs
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19 semen
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191 cattle semen
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20 milk & milk pro.
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201 milk
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192 horse semen
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21 coats
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211 mink & pelts
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22 misc.
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221 sunflower seeds
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212 wool
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23 fish
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231 fish
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Farm Product Notice (FPN-1)
Use this form for filing notice of a security interest in farm
products produced in Vermont. Complete instructions for its use, the schedule
of fees, and tables of codes for farm products, counties, and units of amount
appear on the back of this form.
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A. Debtor Name(s)
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B. SSN/TIN
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C. Debtor Address
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....
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....
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....
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D. Names and Addresses of Secured Party
(ies)
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....
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....
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....
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....
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F.
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G.
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H.
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I.
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J.
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K.
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L.
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.
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Item
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Product
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County
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Crop
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Amount
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Unit
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Add.
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No.
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Code
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Code
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Year(s)
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(if nec.)
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Info.
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....
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....
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M. Debtor Signature(s)
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N. Secured Party Signature
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[B elow the carbon, so that it appears on only the pink copy
(the acknowledgement copy) of the FPN-1, add]: Termination Statement: This
Statement of Termination of the Farm Product Notice is presented to the
Secretary of State for filing pursuant to the Uniform Commercial Code. The
Secured Party certifies that the Secured Party no longer claims a security
interest under the Farm Product Notice bearing the file number shown
above.
Date.....19....
....
Capacity or Title of Signer
...By .
Signature of Secured Party(ies)
Instructions for Completion of FPN-1
1. The form must be typed or legibly printed.
Illegible forms will be returned.
2.
Debtor Name (Block A): Enter debtor's names in the following order: last name
(surname), first name, middle initial (if any), for an individual; for
corporations or business names, give the complete name, using abbreviations
only when the official name includes abbreviations. "Debtor" includes any
person subjecting a farm product to a security interest, such as persons who
subject products to a security interest for debts of others.
3. SSN or TIN (Block B): For each individual
debtor, give the social security number (SSN); for each corporation,
partnership or other entity, give the taxpayer identification number (TIN),
where assigned. One of these numbers must appear in this box.
4. Debtor Address (Block C): Enter at least a
town or city and state, with zip code, and street or box number if available.
By entering a single address for multiple debtors, we assume all share the same
address.
5. Secured Party name and
address must be entered in Block D.
6. The three-digit product code of each farm
product covered by the farm product notice must be entered in Block G. The
table of product codes appears on the reverse side of this page. For any
product not on the table of product codes, please contact the Secretary of
State for assignment of a product code number.
7. The two-digit county code for each county
in which the particular farm product is growing, is to be grown, is located, or
to be located must be entered in Block H. The table of county codes appears on
the reverse side of this form. If a county which is not in the table must be
entered, use code 99 and describe the county on a separate, attached
sheet.
8. Crop year (Block J): No
entry is required if all crop years of the farm product are covered by the farm
product notice. If fewer than all crop years are covered, the last two digits
of each covered year should be entered. "Crop year" means
(a) for a crop grown in soil, the calendar
year in which it is harvested or to be harvested;
(b) for animals, the calendar year in which
they are born or acquired;
(c) for
poultry or eggs, the calendar year in which they are sold or to be sold; or
(d) for bees and worms, the
calendar year in which they are alive in adult form.
9. Amount and unit (Blocks K and L): No entry
need be made unless less than all the farm product is covered by the farm
product notice. Use the appropriate unit code to show amounts less than the
entire farm product. Whenever amount is filled in, the filer must include unit
as well. The table of unit codes appears on the reverse side of this page.
10. Additional information (Block
M): If the county, crop year and amount do not sufficiently distinguish that
part of a farm product which is covered from that which is not, an "X" should
be entered in the column marked "Add. Info." Additional distinguishing
information must then be entered on an attached sheet.
11. If there are not enough lines on the
FPN-1 for all farm products covered by the farm product notice, the excess farm
products may be entered on another FPN-1. Continue the same numbering sequence
begun on the first FPN-1 on the second sheet. Ensure that all other information
is included, including signatures,
12. Each individual debtor named on the FPN-1
must sign, as must the secured party, in the places indicated for those
signatures. Each corporate debtor and secured party must sign by an authorized
officer. Each partnership debtor and secured party must sign by a
partner.
13. The fee for filing an
FPN-1 is $ 5.00.
Instructions for Completion of FPN-1
1. The form must be typed or legibly printed.
Illegible forms will be returned.
2. Debtor Name (Block A): Enter debtor's
names in the following order: last name (surname), first name, middle initial
(if any), for an individual; for corporations or business names, give the
complete name, using abbreviations only when the official name includes
abbreviations.
3. SSN or TIN (Block
B): For each individual debtor, give the social security number (SSN); for each
corporation, partnership or other entity, give the taxpayer identification
number (TIN), where assigned. One of these numbers must appear in this
box.
4. Debtor Address (Block C):
Enter at least a town or city and state, with zip code, and street or box
number if available. By entering a single address for multiple debtors, we
assume all share the same address.
5. Secured Party name and address must be
entered in Block D.
6. The
three-digit product code of each farm product covered by the farm product
notice must be entered in Block G. The table of product codes appears on the
reverse side of this page.
7. The
two-digit county code for each county in which the particular farm product is
growing, is to be grown, is located, or to be located must be entered in Block
H. The table of county codes appears on the reverse side of this form. If a
county which is not in the table must be entered, use code 99 and describe the
county on a separate, attached sheet.
8. Crop year (Block J): No entry is required
if all crop years of thh farm product are covered by the farm product notice.
If fewer than all crop years arr covered, the last two digits of each covered
year should be entered.
9. Amount
and unit (Blocks K and L): No entry need be made unless less than all the farm
product is covered by the farm product notice. Use the appropriate unit code to
show amounts less than the entire farm product. Whenever amount is filled in,
the filer must include unit as well. The table of unit codes appears on the
reverse side of this page.
10.
Additional information (Block M): If the county, crop year and amount do not
sufficiently distinguish that part of a farm product which is covered from that
which is not, an "X" should be enterd in the column marked "Add. Info."
Additional distinguishing information must then be entered on an attached
sheet.
11. If there are not enough
lines on the FPN-1 for all farm products covered by the farm product notice,
the excess farm products may be entered on another FPN-1. Continue the same
numbering sequence begun on the first FPN-1 on the second sheet. Ensure that
all other information is included, including signatures, but clearly indicate
this is a second page of the same farm product notice.
12. Each individual debtor named on the FPN-1
must sign, as must the secured party, in the places indicated for those
signatures. Each corporate debtor and secured party must sign by an authorized
officer. Each partnership debtor and secured party must sign by a
partner.
13. The fee for filing an
FPN-1 is $ 5.00.
Farm Product Notice: Continuation, Amendment or Termination
(FPN-2)
Use this form to continue, amend or terminate a
previously-filed farm product notice (FPN-1). Complete instructions for its
use, the fee schedule, and tables of farm products, counties, and units of
amount appear on the back page of this form.
A. Document No. of financing statement to
which this statement relates:
B.
Debtor Name(s) and Address(es) as they appear on the FPN-1:
C. Name(s) and Address(es) of Secured Party:
CHECK APPROPRIATE BOX(ES) AND COMPLETE INFORMATION
D. Continuation - the original
farm product notice between the foregoing debtor(s) and the secured party(ies)
bearing the document number shown above is still effective.
E. Termination - The Secured Party(ies) no
longer claim a security interest under the farm product notice bearing the
document number shown above.
F.
Amendment to Debtor Information:
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G. Action
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H. Debtor Name(s)
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I. SSN/TIN
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J. Debtor Address(es)
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Code
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....
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....
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....
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....
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K.
Amendment to Coded Farm Product Information
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L.
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M.
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N.
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O.
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P.
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Q.
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R.
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S.
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Item
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Action
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Product
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County
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Crop
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Amount
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Unit
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Add.
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No.
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Code
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Code
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Code
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Year
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(if nec.)
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Info.
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....
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....
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....
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UNCODED FARM PRODUCT INFORMATION
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T.
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U.
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Item
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Information
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No.
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. ...
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....
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V. Other Amendment
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....
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....
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W. Signature(s) of Debtor
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X. Signature(s) of Secured Party(ies)
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....
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Instructions for Completion of FPN-2
1. This form must be typed or legibly
printed. Illegible forms will be returned.
2. Enter in Block A the document number
assigned by the Secretary of State to the FPN-1 to which this FON-2 relates.
The number can be found in the upper right hand corner of the FPN-1.
3. Enter in Block B the debtor name(s) in the
order and form as they appear on the FPN-1. Enter the name(s) and address(es)
of the secured party(ies) in Block C.
4. Check Block D for continuation statements
or Block E for termination statements.
5. Amendment to debtor information:
a. If debtors are added or deleted, or if
debtor name(s) or address(es) are changed, check the box at Block F.
b. If debtor is to be added, enter "A" in the
box under Item Number, and new information in H, I and J.
c. If debtor is to be deleted, enter "D" in
the box under Item Number, and the old information in H, I, and J.
d. If a debtor's name, social security number
or taxpayer identification number, or address, changes, enter "D" under Item
Number and enter the old information in H, I, and J; then enter "A" under the
next Item Number and enter the new information in H, I, and J.
e. If there are more changes in debtor
information than there is space on the FPN-2, attach a second FPN-2 and
indicate that it is the second page of two pages.
f. Names of individual debtors must be
entered last name first. Names of business entities must be entered exactly as
officially designated.
6. Amended to coded information on farm
products
a. Check the box indicating that
coded information on farm products, is being amended, when appropriate (Block
K).
b. Enter in Block L the number
of the item on the FPN-1 which is to be amended from Block F on the FPN-1. If
adding an entirely new line, enter in Block L the next available item number
from FPN-1 Block F.
c. Enter in
Block M action code "D" if a line of information on farm products is to be
deleted, and reenter the information provided on the corresponding line on
FPN-1.
d. Enter in Block M the
action code "A" if a line is to be added, followed by the coded information in
Blocks N through S.
e. If a new
line of information is to rrpplace [replace] an exiting line of information,
enter in Block M action code "D," followed by the old information that is to be
replaced. On the next line, enter action code "A," followed by the new line of
information.
f. No entry should be
made in the amount space (Block Q) unless less than all of the farm product is
covered. If an amount is enterd, the appropriate unit code must be entered in
Block R.
g. If county, crop year,
and amount do not sufficiently distinguish that part of an added farm product
which is covered from that which is not, enter an "X" in the "Add. Info."
column (Block S). This distinguishing information may be added in the space
provided in Blocks T and U.
h. If
there are not enough lines on the FPN-2 to enter all the information for
amending the FPN-1, complete another FPN-2 and attach it, indicating that it is
the second of two pages.
7. Other amendment section (Block V): Enter
any information which materially changes the farm product notice and which
cannot be covered by the amendments to debtor information and amendments to
coded farm product information.
8.
Each debtor covered by the farm product notice as amended must sign the FPN-2
(Block W). The secured party(ies) must sign at Block X.
9. Fees: The fee for filing an FPN-2 is $
5.00, except when it is done for the purpose of termination. In that case there
is no fee.
Farm Product Notice Request For Information or Copies
(FPN-3)
Use this form to request information in writing, as opposed to
a request for oral confirmation, and to request copies of farm product
notices.
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A. Debtor Name
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B. SSN/TIN
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C. Address of Debtor
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|
....
|
|
....
|
|
....
|
|
....
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D. Name and
Address of Requesting Party:
E.
INFORMATION REQUEST
Filing Officer: Please furnish a certificate showing whether
there are on file in your office any farm product notices and ancillary
statements relating to the above named debtor.
Signature of Requesting Party: ...
The undersign hereby certifies that the attach information
represents a complete and correct listing of all farm product notices on filed
against the above named debtor as of the date and hour on the attached
sheets.
Signature of Filing Officer: ...
F. COPY REQUEST
Filing Officer: If you find any farm product notices and
ancillary statements described in the foregoing request, please provide a copy
of each (except for those statements indicated in the space below).
Signature of the Requesting Party: ...
The undersigned hereby certifies that the attached copies are
true and exact copies of all farm product notices and ancillary statements
(except for those noted below) on file in my office as of the date and hour
indicated on the attached sheets.
Signature of Filing Officer: ...
INSTRUCTIONS FOR COMPLETION OF FPN-3
1. Enter in Block A the name of the debtor
about whom information is sought. The name of the individual debtor must be
entered last name first. The name of a business entity must be entered as the
entity is officially designated. Only one debtor name may be entered.
2. Enter in Block B the social security
number or taxpayer identification number, whichever is appropriate.
3. Enter in Block C the address if the
information request is on an individual debtor. If the information request is
on a business entity debtor, enter the address or, if the debtor has multiple
addresses, enter "Any address."
4.
Enter in Block D the name and address of the requesting party.
5. Check either the "Information Request" box
(Block E) or both the "Information Request" and "Copy Request" (Block F) boxes.
Do not check the "Copy Request" box alone.
6. If the "Copy Request" box is checked and
the requesting party does not desire copies of its own financing statements,
note the exceptions in the blank in the "Copy Request" box.
7. Enter the signature of the requesting
party below each request which is made.
8. Do not write in the areas designated for
the signature of the filing officer.
9. The form must be typed or legibly printed.
Illegible forms will be returned without processing.
10. Fee: The fee for filing an FPN-3 is $
5.00.
Registration of Buyer, Commission Merchant and Selling Agent
(FPN-4)
A. Registrant's Name and
Address
B. Registrant's Phone #
C. Check this box if this is a
renewal of a registration
D. If
this is a renewal, enter registrant's registration number: ...
E. Indicate whether you would interested in
receiving copies of the alphabetical or numeric lists, or both:
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Alphabetical only
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Numeric Only
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Both
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Special selections only **
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** If you marked special selections only, please indicate below
which products and/or products by county you would like to have printed for you
in lieu of the complete list. Please use the product and county codes to
indicate your selections:
Product(s) (state as whole): ....., ....., ....., ....., .....,
.....,
Products by county: Product(s) ....., ....., ....., .....,
.....,
Counties: ....., ....., ....., ....., .....,
(Please use the back of this form for additional special
selections if there is insufficient space on this form)
F. Fees:
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Enclosed
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Alphabetical list only
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$ 250.00
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....
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Numeric list only
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$ 250.00
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....
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Both
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$ 500.00
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....
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Special selections
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Milk only (statewide)
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150.00
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....
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Other products (statewide)(each)
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75.00
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....
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Any product by county (each)
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50.00
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....
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| (For registrations made on September 1 or
later in the calendar year): |
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Alphabetical list only
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$ 100.00
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....
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Numeric list only
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$ 100.00
|
....
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Both
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$ 200.00
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....
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Special selections
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Milk only (statewide)
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75.00
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....
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Other products (statewide)(each)
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50.00
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....
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Any product by county (each)
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25.00
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....
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G. Signature of
Registrant or Registrant's Agent: .....
Instructions for Completing FPN-4
1. Enter the registrant's name and address in
Block A. The name of an individual must be entered last name first and the name
of a business entity must be entered exactly as the entity is officially
designated. A zip code must be included in the address. Enter the registrant's
phone number in Block B.
2. When an
FPN-4 is filed to renew a registration, check the renewal box (Block C) and
enter the registrant's registration number in Block D. The registration number
is found in the lower left corner of the acknowledgment copy of the original
FPN-4.
3. Each registrant will
receive a complete copy of the farm product master and supplementary lists, in
either alphabetical or numeric form, or both, or special selections by product
statewide or by county. A registrant requesting the master list for all farm
products statewide takes automatic clear title only to farm products not on the
master and supplementary lists actually received. A registrant receiving
special selections will take automatic clear title only to those farm products
chosen as special selections which do not appear on the portion of the master
list provided to the registrant. Indicate which form of the list you would
prefer in Block E and check the appropriate fee in Block F.
4. Payment must be made at the time of
registration.
5. The registrant or
registrant's agent must sign in Block G. If the signature is not legible,
please print the name below the signature.
