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-,=;NANCING STATEMENT is prexnted t~ o f~l;ny officer for fil~nq pvrsuont to the Uniform Cwrrn~ruol Code: I 3. AAatwiry dots (if m7r): ~'~13~7~ ~
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or.x(s) (last Nome F~rst) ond oJdress~rsi 2. Secvred Porty(ies) ood address(es) ~ F~~~~p ~ficer lWts, Tims, Nwnber, and fiiinp Offics) 3~
':iIX, ~SHMORF, J. G~ =i~'~AL FI':'dA?ICE ID.iN CC:M'c'AA~~~-E R+ND RECORDED~~ ~
~'C'~TE 1~X g94 OF FT. P~.~CE S. ~ CIE CO~NTY. FLA: ~
~'T. PI~'.RCE, FIA
~IDA 33450 ?1+01 S. FED~iA~. HI;H'.~fAY OR~ VERlFIED ;
FT. PI~'.CE, FDORIL~6? 18`7124 #
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~ ~ 1-;,s f;nonuny storemrnt cwers the iol~ovv~nq types (or items) oE propsriy: ~
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All of the Aw,sehold pood~ now a hereafter locoted at debtor's residence oddress set forM obove.
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~ Orhr prop~rty d<_scribed os CLER ~i~~~~ ~V~FR`~ ~arty and Address{es)
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~ -:~k if true Tne stomps req~ired by Chopter 201, F.S. have been pfoc.ed on tM pro~n~sswY ~n+trurnents secwad
--ebY, and will be placed on anY odditionol and simi{ar insrrurr~ent tMt may be so secwed. '
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~ . s;tatement is fiied wlrhwt the deotu's afpnaturo to perfsct a sec~rity interest in cdleterol. (Check ~ if ao)
~ Afready subjecf to a set~r.ty inte~est in anotner ~vrisd~Uwn whm it wos brwtpht into tnis state.
~ _ which is poceeds of the or~q~nal colloreral oescr~bed obore in whid~ o secvr~ty ~nterest wos per(ected:
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_t if ctr:ercd: v Proceeds of Colbteral ore o{so tovered. ? Prod~cts of Co~taterol nro also tovered. No. of odditiona) $heeis presented:
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/ 1VV[./L C.~V~G~i 6Y ~ 1
~ _ Sipnatvre(s) of Debtwli) Si9naty~~(~ ~d Porty(iis)
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- ~ ~ 1 F~1~~9 OsfK~~ Copy - Alphabetieal STANDARD FORM - FORM UCG-1 dOOI~
Apprwed by TOM AD11M5. Sec~eto.y ._c ; . . . . • .
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