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! STATE OF FLORIDA ~92131
~ UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
~ THiS FINANCING STATEMENT is preaented b a fi[inp of(icer far fit~nq pursuont to the Utiiform Co.m+~ercal Cnds: 3- Moturit~r da~e ff ae~?* _
} ~ Debtor(sl (Losr Nwoe Firsr) ond addrass(es) 2. Sacured Portyl~esl w~d oddress(es) - For i~lirp OFfbr (Om~. Tirn~. Numb~r and Filirp OFfic~)
~ ~IX3PER+ .SARAH MAE CO-ME+KER ~ROVZDENT FIN:+NCE CO.
HOOPER, SARAH MA.~. 308 Colorado Ave
2007 B Ave E Stuart. Fla. 33494
~ Fort Pierce, Fla. 33450 r"' ,n
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4 Th~s (~nonc~~g sw+emenf cavers Me fdlow~nq types (w items) of propery: r ~
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All fwn~tu.e, aPV~iances and oMe+ Awsehold 9oods and d+ottels loao!ed in ar obovt Deb~ors' reaidn~os sMwn cbov~. b
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d O~her ldescribe) S. Assqnee(s3 ~ Secw~dSEyrty ~ss es)
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~ ~ G7+eck ~f erue ~Tf+e swmps req~~red by Choptr 201. F.S. have been pbced o~ NK promisscry instruments sea~nd ~ ~ - f v
he.eby, ond will be d«~d a+ anY odd~t~orwl and sim~br :nstrument tlwt moy be so secwed. D
~ Th~s s~otement is f~Ied w~thout du debta?'s siqnotwe ro perfM o secwity inte~est in collaterol. (Check ~ if so) ~
? Alreody wbiecr ro o secw~ty mternt in onother iwiadip~on wl~ee~ it wos bro~qht into this stafe.
~ ~ which ~s poceeds of the wp~~al co~bterol dcscribad abova :n which o secwity interest wos pn(ected:
~ ~n.~ck ~~f covred: ? Procreds of Colbterol ar~ alsa co.rered_ Q Products o~ Collotera) w~ also covered. No. of additiorw) Shesfs pesented: ' ;
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~ i:led w~tl+: rhe Ctrk of she Circ~it Cpwt ofSt• L11C1@ ~h. F~~• ~
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~ ,r~ ~ ~ ~ v P~ZOVIDENT FINANCE C0. ~
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~ S~+o~urels) of Deb~a(il S~y~wrure(s) oF Secwed Pw~Y(»s) ~
~ ~.H w VNIiORM COMMERC~~I COUE F~M~MCiNG ST~TEMENT ~S~NGLE cORM~ iLORIDA L67
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~ooK 184 PAGE v 12 ~
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