Click here to clear form. FORM SL-1

450WNJefferson,
4th, PO Box
83720,
Boise
IDID83720-0080
Mail to:
Secretary of State, UCC Division, 700
PO Box
83720,
Boise
83720-0080
Telephone: 208-334-3191 Fax: 208-334-2847
See complete instructions and tables of codes on reverse.
Customer Account Number
Fee $4.00 ($8.00 if not typed)
Enter your customer account number if you wish the fee to be
deducted from your prepaid account with the Secretary of State
Each claimant listed below claims a lien in the designated crop(s) of
the producer(s) under §45-308,I.C. and certifies to the truth thereof.
This notice relates to a lien
Farm
Seed
for (check one):
labor
This block for Filing Office use only.
STATE OF IDAHO - NOTICE OF CLAIM OF LIEN IN CROPS FORM SL-1
Click here to clear form.
Name or business name of each producer against whom the lien is claimed, and the address of each.
Organization or Indiv. Last Name
1
Address
Organization or Indiv. Last Name
2
Address
Organization or Indiv. Last Name
3
Address
Organization or Indiv. Last Name
4
Address
First Name
Middle Name
City
State
First Name
Middle Name
City
State
First Name
Middle Name
City
State
First Name
Middle Name
City
State
Zip
Zip
Zip
Zip
Name or business name of each claimant, and the address of each.
or
1 Organization
Indiv. Last Name
or
3 Organization
Indiv. Last Name
Middle Name
First Name
Middle Name
First Name
Address
Address
State
City
Zip Code
State
Zip Code
Signature of Claimant
Signature of Claimant
Typed/Printed Name of Signer
City
Capacity of Signer
Typed/Printed Name of Signer
Organization or
2 Indiv. Last Name
Capacity of Signer
Mailing address for acknowlegement, if not Claimant #1
First Name
Middle Name
Name
Address
Address
City
State
Zip Code
City
State
Zip Code
Signature of Claimant
Typed/Printed Name of Signer
Capacity of Signer
Total Dollar
Amount of Claim
$ ___________________
Crops to which lien attaches
Crop Code
Rev. 07/2001
Crop Name
IDAHO FILLABLE WEB FORM
County Code(s) or Name(s)
Crop Year
Instructions for completion of Form SL-1
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Please type this form In black.
Enclose filing fee of $ 4.00 if form is typed, or $8.00 if not typed. For attachments, not counting any
attached Form SL-2, add $1.00 per printed page. If you have a pre-paid account with the Secretary of
State, enter your customer number in the block in the upper left hand portion of the form in lieu of
enclosing fees.
File only the original. Make copies for your file. The original will be returned as your acknowledgment.
Check the appropriate box to indicate whether this lien is for Seed or for Farm Labor.
Enter only one producer name or business name per block exactly as it is to be indexed. Include any
applicable titles. The term "title" as used in the producer's name includes "Sr.", "Jr.", "III", "Dr.", etc. The
producer is the person against whom the lien is claimed.
Enter the name and address of each claimant. Include ZIP Code.
If someone other than Claimant #1 is to receive the acknowledgment of filing, complete the "Mailing
Address for acknowledgment" space.
Enter the Dollar amount of the claim.
Enter either the three-digit code for the crop from the table below, or the name of the crop, or both, in
the appropriate column. Enter either the county code from the table below or the name of the county
where the crop is growing or to be grown. If the crop year is not the current calendar year, enter the
crop year; if the crop year is the current year, leave it blank.
There must be a signature for every claimant listed. A claimant may sign personally or by an agent,
attorney, family member, partner, officer, etc. Enter the name of the claimant below the signature. On
the third line, indicate "Self" if the signer is the claimant; if the signer is the claimant's agent, attorney,
parent, partner, corporate officer, etc., indicate that capacity.
If there are not enough lines for producers, claimants, crops or signatures on the form SL-1, enter the
excess on an attached Form SL-2 supplement.
Product Code Table
Code
010
011
020
021
022
023
024
025
026
027
028
030
040
050
060
070
080
081
082
090
100
101
102
110
120
130
131
140
150
160
161
162
163
164
165
Product
wheat
buckwheat
barley
rye (including triticale)
oats
sorghum grain
flaxseed
safflower
rape (including canola)
field corn
millet
hay
ensilage
potatoes
sugar beets
dry beans
dry peas
lentils
garbanzos (chick peas)
sweet corn
onions
onion seed
garlic
mint
hops
popcorn
sunflower seeds
soybeans
rice
grass for seed
alfalfa for seed
other hay legumes for seed
garden vegetable & flower seeds
seed potatoes
row crops for seed
Code
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
190
191
192
193
194
195
196
200
201
210
211
212
213
220
230
300
310
311
312
County Codes
Product
green peas
tomatoes
lettuce
cucumbers
broccoli
cauliflower
lima beans
green beans
melons
carrots
turnips
asparagus
spinach and collards
pumpkin and squash
radishes
apples
apricots
cherries
nectarines
peaches
pears
plums
strawberries
raspberries
sod
nursery stock (trees & shrubs)
christmas trees
flowers and potted plants
mushrooms
grapes
grass
alfalfa
clover
vetch
01 - Ada
02 - Adams
03 - Bannock
04 - Bear Lake
05 - Benewah
06 - Bingham
07 - Blaine
08 - Boise
09 - Bonner
10 - Bonneville
11 - Boundary
12 - Butte
13 - Camas
14 - Canyon
15 - Caribou
16 - Cassia
17 - Clark
18 - Clearwater
19 - Custer
20 - Elmore
21 - Franklin
22 - Fremont
23 - Gem
24 - Gooding
25 - Idaho
26 - Jefferson
27 - Jerome
28 - Kootenai
29 - Latah
30 - Lemhi
31 - Lewis
32 - Lincoln
33 - Madison
34 - Minidoka
35 - Nez Perce
36 - Oneida
37 - Owyhee
38 - Payette
39 - Power
40 - Shoshone
41 - Teton
42 - Twin Falls
43 - Valley
44 - Washington
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