"AFFIDAVIT FOR AGRICULTURAL PRODUCT LIEN
State of Ohio,
County of _____________, ss:
A.B. __________ of _________, whose address is __________ being first duly sworn, says that such claimant delivered certain agricultural products under a contract with C.D., _________, and agricultural product handler, whose address is _____________ The agricultural product was first delivered on the ________ day of _________, ___ and there is justly and truly due claimant therefor from the said C.D., over and above all legal setoffs, the sum of _______ dollars, (or estimated sum of _______ dollars based upon current market conditions,) for which amount claimant claims a lien on the agricultural product and the proceeds of the sale of the agricultural product.
_________________________
A.B.
Sworn to before me and subscribed in my presence this __________ day of _________, _____
______________________________
______________________________"
R.C. §1311.56