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( STATE OF FLORIDA -LSSS~E~
~ UNIFORM COMMERCIAL CODE - FINANCING STATENAENT - FORM UCC -1 .
7Hi5 FINANCING STATEM~NT is pn~ented sp o f~linq officer for f~l~np pu?want w eM Uniform Convnsrual C.~+dr. 3. Mo?„riry dot~ (if ony):
i Qebtor(s) llosr t~iome f~nt) cnd addreu(es) 4. Secured Piorty(iesl and odd~esstes) for Rlirp Offiar (Oot~. Tim~. Nurob~r ond Fi10p Office)
F7~LDS, CHARIATTE IAUISE PROVIDENT FINANCE COHPRNY, IN~. ;
1106 North 25th Street~ Apt. B 308 Colorado Avenue ~ ~
rt. Pierce~ Florida 33450 Stuart, Florida 33494 ~ c~ ~ '
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a Thtt Ifnonciny stote+nent covers tM fdlowirp types (or itemf) of praperty: x" ~ C m
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: ~ All fumitwe. ooPiionces ond odw Fw~~aFwld poods ond dwttels IoooHd i~ v obout Deblori residenos shown abwr. ?J GO v, ~i7 rn Z
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? Orher (desa~be) S. As ' S~cur~d~ty a) 3
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~ 6 Check if mx ~ The stomps reqv~red by Uwpter 401. F.S. have been placed on eM promissory instru~~ts secu~d ~ O D 0 ~
~ 1+crebY. ond w~f! be ploced on onv odd~tiwwl ond s~milor instrwnent thot moy be so secwed. • !
~ Th~~ sarevnent ~s f~led wiHw~t the dcbtw's s~yrotwe to perfect o aecurity ~nterest in col{oterol. ((]~eck ~ if so) ,
~ Q Alreody wb~ecr +o o sec~rity ~nrcrest in onother ~urisdict~an when ~t wos broupht tnro rhis srou.
~ ? wh~ch is pxeeds of tF~e p~yinol collataal dexribed above in whid~ o secwity interest wos pwfeaed: ~
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-r.~k ~~f covered: J iroceeds ot Collatnol a~ olso covered. ? Prod~+c~s of Colbterol are olso covered. No. o( odd~tiorwl SF.eets pescmed:
~ f~Ied w~~h: rhe Cl-rk of the Grc~~t Cokt of ?St,• I+11C1@ CourNy, Fbrido.
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~ PROV T NANCE COl~PANY, INC.
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~ ~ 1 i4R~i~~[/~e~IP~ !.~GVl~l2_~ By: A
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~ Spnoru•els) of Oebror(s) Syiwrurets) d Sec~~d Pnrtyli~s)
~ ~H W UNIiONM GQYMERCI~L COUC -~~N~N~~NG StATEMEYT ~5!NGLE ~OAM~ iIONID• 1-6)
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~ 800K ~U~ YAGE ~O~ ~
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