HARRY HUGHES, Governor

2907

(D) COLLATERAL ACQUIRED AFTER A CHANGE OF NAME,
IDENTITY, OR CORPORATE STRUCTURE OF THE DEBTOR (SUBSECTION
(7)).

(3) A form substantially as follows is sufficient to
comply with subsection (1):

Name of debtor (or assignor) ..................

Address: ... .............. . ...

Name of secured party (or assignee) ....... ...

Address: ....................

1.  This financing statement covers the following types
(or items) of property:

(Describe)

2.   (If the collateral is crops) The above described
crops are growing or are to be grown on:

(Describe Real Estate)

[3. (If collateral is goods which are or are to become
fixtures) The above described goods are affixed or to be
affixed to:

(Describe Real Estate)]

3 (IF APPLICABLE) THE ABOVE GOODS ARE TO BECOME
FIXTURES ON*

*WHERE APPROPRIATE SUBSTITUTE EITHER "THE ABOVE TIMBER
IS STANDING ON .. " OR "THE ABOVE MINERALS OR THE LIKE
(INCLUDING OIL AND GAS) OR ACCOUNTS WILL BE FINANCED AT THE
WELLHEAD OR MINEHEAD OF THE WELL OR MINE LOCATED ON ___"

(DESCRIBE REAL ESTATE)

(IF THE DEBTOR DOES NOT HAVE AN INTEREST OF RECORD) THE NAME
OF A RECORD OWNER IS ...................

4. (If [proceeds or] products of collateral are
claimed) [Proceeds —] Products of the collateral are also
covered.

USE ( ....................................

WHICHEVER (

IS (     Signature of debtor (or assignor)

APPLICABLE ( ...................................

Signature of secured party (or assignee)