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~ T!i~5 FINANCING 5(~1TEMENT is presented to o f~liny oFficer f« filiny p~rsuonl lo fM Uniform Comrn~rciol Code: 7. Mofurity daf~ (if ony!: ~
~ . Debtoits) Ilost Nam~ firsl) ond addrdsl~s) 2. S~c~red ?oAy(i~s) ond addr~ss(ts1 F:f.,q OF1K.. ~Ooa. T~nw. wv1w.., wd f.1:nq Offs•)
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~ K..~'•NNF.TH W. SIILLIVAN FLORIDA BANK AT FORT PIERCE
P•0• B~ 1678 p, O. BOX 3469
$TUA~ F~. 501 ORANGE AVENUE 185Si8
FORT PIERCE, FLORIDA 3 3 4 5 0
~ s Th7s finonciny s~o»m~nt cov~rs tM followinq ryp~a (or items) of prop~.ty:
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~ AS LI3T~D ON ATTACI3~D
~ S. Assi9nn(s) of Securd ?orty and Add~~ss;~s)
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~ ~ rca:.d v~rf.1. ~iwse ,.q.~+au~:+e~.~ aov~~s oe'~,n.. eote. r~a ~tie so~nvs reM;.ed by CAode. 701. Fbdo S~orures. J o+r. I.we been j
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;-~ced m ~M O~omasory •ht.uc,en~i sec~red hreby. ad ..d be abced m ow~ odd+~aal ad s+~~1w +~vrr~r ~iwr nwy be so sec.rred
~ This stotemenf is fil~d wilAoot tl+~ deblor's ~:ynatvr~ fo perf~cl o uc~rity inl~rbt in collole~oL (Check ~ if so) •
Alreody wbjKt lo o sKVrify in/Hesf in onother jvrisdiction wF~M if wos bro~qht info this sfot~.
_ j wbich is proceeds oF Ih~ oriyinol co1loM.o1 d~uribed obor~ in which o s~curitr mlHtfl was pe~faud:
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presenled:
-.:k $ if cor~red: Hocieds of Colb»rol are olw co.Ned. D Iroducts o( Colla?~•ol ore otso cove+~d. No. itional rs
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~ STANDARD FORM - ORM UCC-1 BOOK PACE
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Approred by Twn Adoms, S~crefory of S'ot . Sto~~ cf Florida
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