SOUTH DAKOTA EFS-1 ADDITIONAL INFORMATION PAGE
APPROVED STANDARD FORM
Secretary of State
500 E. Capitol Pierre, SD 57501-5070 605-773-4422
Office use only:
NOTE: Type smaller than 8 point is not acceptable. This is an example of 8 point type.
5. DEBTOR’S NAME: Provide only one Debtor name (5a or 5b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name)
or
5a. ORGANIZATION’S NAME
5b. INDIVIDUAL’S SURNAME
FIRST PERSONAL NAME
ADDITIONAL NAME(S)/INITIAL(S)
5c. MAILING ADDRESS
CITY
STATE
POSTAL CODE
5d. TAX ID # SSN OR EIN
Signature(s) of Debtor(s)
Signature of Secured Party
6. DEBTOR’S NAME: Provide only one Debtor name (6a or 6b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name)
or
6a. ORGANIZATION’S NAME
6b. INDIVIDUAL’S SURNAME
FIRST PERSONAL NAME
ADDITIONAL NAME(S)/INITIAL(S)
6c. MAILING ADDRESS
CITY
STATE
POSTAL CODE
6d. TAX ID # SSN OR EIN
7. DEBTOR’S NAME: Provide only one Debtor name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor’s name)
or
7a. ORGANIZATION’S NAME
7b. INDIVIDUAL’S SURNAME
FIRST PERSONAL NAME
ADDITIONAL NAME(S)/INITIAL(S)
7c. MAILING ADDRESS
CITY
STATE
POSTAL CODE
7d. TAX ID # SSN OR EIN
8. EFFECTIVE FINANCING STATEMENT: enter the product information:
FARM PRODUCT
YEAR
QUANTITY
COUNTY CODE
LOCATION
EFS1AdditionalInformation Nov 2017