Effective Financing Statement And Addendum Form EFS-3 {EFS-3}

State of New Hampshire Department of State, UCC Division Form EFS-3 For Filing Office Use Only: Return to: (name and mailing address) Continuation Original File No. Termination Amendment Other 1. Debtor Name: Insert only one debtor in 1a or 1b. 1a. Business Name 1c. Mailing Address OR 1b. Individual's Last Name First M.I. Suffix City State Country Postal Code 2. Secured Party: Insert only one secured party in 2a or 2b. 2a. Business Name 2c. Mailing Address OR 2b. Individual's Last Name First M.I. Suffix City State Country Postal Code County: ProductCode(s) Location: Name(s) and Description(s) Crop Year: Signature(s) of Debtor(s) Signature of Secured Party Filed with: Secretary of State EFS-3, Pg 1 9/2010 American LegalNet, Inc. www.FormsWorkFlow.com Filing Fee: $15.00 Payable to "State Of New Hampshire" New Hampshire Form EFS-3 Addendum 1. Additional Debtor Name: Insert only one debtor in 1a or 1b. 1a. Business Name 1c. Mailing Address OR 1b. Individual's Last Name First M.I. Suffix City State Country Postal Code 2. Additional Debtor Name: Insert only one debtor in 2a or 2b. 2a. Business Name 2c. Mailing Address OR 2b. Individual's Last Name First M.I. Suffix City State Country Postal Code EFS-3, Pg 2 9/2010 www.FormsWorkFlow.com