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<br />r <br />I <br /> <br />, . <br /> <br />'! <br /> <br />STATE OF COLORADO <br />UNIFORM COMMERCIAL CODE _ FINANCING STATEMENT - COLORADO U.C.C.-l (Rev. 1-78) <br />INS~IONS <br />1. PLEASE TYPE this form. Do not write in Box 3. <br />-4 2. If col~teral is CROPS. state in Box 4. "The above described crops are growing or are to be grown on: (Describe Real Estate concerned)," <br />3. If...,.,llateral is or will become FIXTURES. or is TIMBER 10 BE CUT. or is MINERALS OR OTHER SUBSTANCES OF VALUE WHICH MAY BE EXTRACTED FROM THE EARTH <br />OR ACCOUNTS RESULTING FROM THE SALE THEREOF AT THE WELLHEAD OR MINEHEAD. CHECK 181 "This Financing Statement is to be filed for record in the Real Estate <br />.. records," in Box 4 and state if applicable. "The above goods are. or are to become. fixtures on (describe real estate)," or where appropriate. substitute either, "The above timber <br /> is standing on <br />(describe real estate)," or. "The above minerals or other substances of value which may be extracted from the earth or accounts resulting from the sale thereof at the wellhead or minehead <br /> of the <br />well or mine located on (describe real estate)." Describe real estate concerned sufficient as if it were contained in a mortgage of the real estate to give constructive notice of the <br /> mortgage under <br />the law of this State. If the debtor does not have an interest of record in the realty. give the name of a record owner of the real estate concerned in Box 4. <br />4. If the space provided for any item on the form is inadequate, the item should be continued on additional sheets. that are 8V"I1. <br />Please do not staple or tape additional sheets directly on this form. <br />5. Remove Secured Party and Debtor copies, and send 3 copies with interleaved carbon paper still intact to the filing officer. <br />6. At the time of original filing. the filing officer will return third copy as an acknowledgment. If acknowledgment copy is to be returned to other than the Secured Party. please enclose <br /> a self- <br />addressed envelope. <br /> <br />IMPORTANT _ Read instructions before filling out form <br /> <br />3. For Filing Officer (Date. Time. Number and <br />Filing Office) <br /> <br />This FINANCING STATEMENT is presented for filing pursuant to the Uniform Commercial Code. <br /> <br />Debtor(s) Name and Mailing Address: <br /> <br />2, Secured Party(ies) Name and Address: <br /> <br />The Farmers Water Developnent <br />Ccmpany <br />P.O. Box 387 <br />Norwood, CO 81423 <br /> <br />The State of Colorado, <br />for the use and benefit of <br />the Colorado Water <br />Conservation Board <br /> <br />i. <br /> <br />. This Financing Statement coven; the following types (or items) of property: <br />(WARNING: If collateral is crops. fixtures. timber. or minerals or other substances to be extracted or <br />accounts resulting from the sale thereof, read instructions above,) <br /> <br />:" " <br />tM;'" <br />F~"'~ <br /> <br />All accounts receivable and all revenues resulting from the <br />assessment(s) levied by Farmers Water Developnent CCmpany <br />on and placed in Account No. at ., <br />Bank . <br /> <br />5. Name and address of Assignee of Secured Party: <br /> <br />'heck only if applicable <br />] This Statement is to be filed for record in the real estate records. <br />] ProductS of collateral are also covered. <br /> <br />~':"'. <br /> <br />, ThiS statement .s Signed by the Secured Pany IOstead of the Debtor to perfect a secunlY interest in collateral <br />(Please cheek 0 already subject to a security interest in another jurisdiction when it was brought into this state, or when the debtor's location was changed to this state; <br />appropriate box) 0 which is proceeds of the original collateral described above in which a secunty interest was perfected: <br /> <br />br 0 as to .....hich the filing has lapsed: or <br /> <br />. ~ /f} Q acq~~ change of name, identity or corporate StrUCture of the debtor. <br /> <br />. eek .I~~: rB' The Debtor is a transmitting utility. <br />Roy Davis, President, on behalf of the <br /> <br />~annrrs Wa:ter. Developnent Co.' Use whichever signature line is appiicable. <br /> <br />~. ~ Secretary <br /> <br />, Signature(s) of Debtor(s) <br /> <br />Form approved by the Secretary of State and <br />:he County Clerks and Recorders Association <br /> <br />Signature(s) of Secured Pany(ies) <br /> <br />(1) FILING OFFICER COpy <br /> <br />No.600 COLORADO FORM U.e.e. 1 (REV. \-78) <br />Bradford Publishing (3031 ~33-b900 <br /> <br />'l.~?l~~~~J'~'~~~'.'-"'-- .,..,..,."'t:>'....':""'., <br />. ~ .".' . . <br />.1" . <br /> <br /> <br />I <br /> <br />, <br />, <br />; <br />\ <br />\ <br /> <br />..~.,---..-,-~_.-.-... _._--- --.. ~ <br /> <br />