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SYATE OF Fl0"IDA -
UVlF02t.i CO~ 1!`~i~2CIAl COD~ ~ ti•:APSCI~G STA'fEf.1~UT
(Use .NIY tor rrcord~ng in off~c~s of Cie~~s ot the Circu~~ Court - NOf for f~l~ng ~vith the Secretary of State.)
INS~RUCTICNS:
i_ iYPE All INfO~.`A.4TlGN. u~icx~ a. typc.vc?lei h~tinq a qoai ~it~l:on. M1D ACCUR.".YCIY iYPE TliE NI1h1E. QLIOW EACN
srGUATUaE ' ~ •
2. Be s~re t~
fill in All ~~~m6ered spaces which are applicable.
3 If any spacc is not large enough type thercin "Sce ~ttached s{icet(s)". (Tl~e size sliould be 8':i" x 14" or tmallcr.)
If collateral is f:rn~ p•od?,~ts, or gcods ~vh~ch are or are to ~ecome tixtures, type in space No. 4 a description ef ~I~~ :eal
estate ~tihich "reasonably identii~es ~vhat_ is ~es:r~l-ed", and givc na~~c of recocd e~vner.
5. SE~:~ OR:GI~:~.! ~F EACti i=~GE T..~ Th[ Cltn'!:'S C.fFtCE to ~e recorded ano returned. IF you are payirtg an arfdit~onal fe~
for h~ring recordin~
~r,formation no•ed on a copy, also send a lec~~ble carbon copy the first page.
6. BE SURE TO C~1ECK ONE Of Tti: T~VO STATEMENTS UNDER NO. 8 BEIOW.
~ 'T~
This FINANCIi~G STATERI[NT is presented to a Clcrk of Thc Circuit Cou~t
for Record~ng pu~suant to ihe UniForm Commercial Code.
1. ~ebta~s) hame(s) and Add~ets{es) (~~it nsm~ tir~t) 2. Secu~ed Pa~ty(~es) ~nd Add~etis(ei) . This space io~ Clerk`t uie ONIY
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Swain uroves, Inc. First National Bank of Ta _
P. ~ O. Box 37 . P. O. Box 1810
Ft, r ierce, Floric3a 33450 `i'ampa, Florida • 33601
Th:s Statement tover~ the iolbw~n~ ty~^: .t~n.~~ u` ^~'A~'!~ VROPERiY, FIXTURiS, a~AR :1 PRODUCiS. ' ~
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Equipment as listed on attached lis~. ~
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A descr~pt:on of the reai eitate wh~ch "reaso~+sbly ident~f:es v.ha! ~s descrited" and ~Ae nsrce oi the owner o~
ehe reil p~operty.
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I .'ee a*ta.ched for le~.l description: •
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5. R~atwify d~te Gf aoyl_- f" ~.972 I 6. Number oi sheets attached_ 1`5
7_ Ai~~ynee(i) of Securrd Fa~~y(~es) ~nd Address(es) -
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B. Ohlf OR 1F1E OIHER CF THESE 1Y10 S1AlEl.'fN15 ASUSi 6E CNECKEO. (O~I~e~w~se it :s not recorJabk.) ~
~ CF,etk il t~vr ihe stamps requ~red by Ch~pter ?Oi, f.5. ha~? boen p~aced on ~ht p+om~ssay instiumeMs
~ secvred hereby, •nd w~ll be p~aced on •ny a~'d~nonal prwn~sswy instruments, ~drance• w
timila~ inslru+ncnt that may Le so secured.
~ C?.eck i( t~ve: ? S+amps ~re rwl req.;~red by C{MO~er ?01. F.S. - -
~ 9 1/ th~s ti~stcr.,enr ,s ~rcrd•d ....~-s,:~ ttio D:L'or~a +•~..a•vre t+ pr~leet •~ecur.t~ intuesl :n cc'li~e~~l, c?~ce? o.x o~ t`it (o~lorrin~:
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~ Collarcr~l «~s •uLjed to a tecw~ty 'n.<rest ~n ano+her ~o~isJa~~on when i~ wat lrew~6t :~~e ~h7s st~+e.
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~ ~ r~~1..-.el p~ueedt o1 ~h~ o...~:n~l col!a'_ral dru~•.ed sbore ~n vkh;cb a ucwd~ ~n~c~rtil was pc.ieated ~
10. Cf.ec~ i/ trve: (aY~ruc~d~ o} Coltatcral are •1 . co ••c~. ? Frc~lvct~ 01 Coll~te~a1 are als~ core~ed.
~ ll. f.ltd wi11U ~'~F.rl. ~~1 ~11~ ~~.~lY`~t.ilt ~.Olut.~ .~t. i.,uC1E'_~~ll!'it~J __.~~t.~ LuLit L~Utult ~..1. _
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