HomeMy WebLinkAbout2851 uCC form A 159-Read~r from: Ftr; ~s Pnm;np Co.. O~~ando. Flar~d~ ~Y801-Iy2 5465 ~~~f~~C~ ;
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STATE OF fIORIDA i
UNIFORM CONINIERCIAL CODE - OTHER THAN FINANCING STATEMENT
(Use ONLY for recording in offices of Clerks of the Circuit Court - NOT for filing with the Secretary of State.)
I NSTRUCTIONS:
1. TYPE All INFORMATION, using a typewriter having a good ribbon, AND ACCURATEIY TYPE THE NAME BELOW EACH '
SIGNATURE
2. Be sure to fill in All numbered spaces which are applicable.
3. If any space is not large enough, type therein "See attached sheet(s)". (The size should be 8'/s" x 14" or smaller.)
4. If collate~al is farm products, o~ goods which are or are to become fixtures, type in space No. 3 a description of the real
estate which "reasonably identifies what is described", and give name`of record owner.
5. SEND ORIGINAL OF EACH PAGE TO THE CLERK'S OFFICE to be recorded an'cl~teturned. IF you are paying an additional fee
for having recording information noted o~ a copy, also send a legible carbon copy of the first page.
This STATEMENT is presented to a Clerk of The Circuit Cou~t '
for Reco~ding pursuant to the Uniform Commercial Code.
t. Oebtor(s) Name(s) and Addrcss(es) (ls~t name firs~) I 2. Secured Party(ics) and Address(es) Thi~ spac~ fw Clerk'~ vs~ ONIY
Blue Goose t3rovera, Inc. ~The First National Bsnk at
P. 0. Box 351 Orlando
~llerton, California P. 0. Box 3349
Orlando, Florida
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3. A descnprion of the re~t estate wh~ch "ressonably idennfies what is dexribed" and ~he n~me of ths owner of
the re~l property.
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a. Maturity d~te Gf any~~~ 5. Number of sheets stucl+ed ~
~ 6
6. This statement refers to wiginal Finarrcing Statement bear~ng Fik No +
f R~o.~d W;~, Clerk of the Circuit Court Date a«ad~~ ~t. 1l~, l~~- ~
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~ 7. ~ Amendment. ~ T of the fol~owing statements MUST be checked, if th~s is ~n Amend-
p ment. (Otherwix it is not recwdable.)
Financing Statement bearing file number shown above is amend:d as set forth in $pate
No. 12.
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? Check if true. The stamps required by Chapte~ 201, F.S. have been placed on the
~ promissory instruments xcured hereby, ar.d will be placed on any additional promir
~ sory instrume~ts, advsnces or similar ~nsnument that msy be so secured.
? Check if true. Stamps are not req~~red by Chspter 210, F.S. s
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~ 8. ? Assignment. The ucurcd party's rigM under the financing statement bearing file number shown above
~ to the property desu~bed therein has been au~g~ed ro the sssgnee whose nsme ~nd ad-
dreu appearin spsce No. 12.
4. f,] Continwtion. The aig~nal financfng ststcment between the faegoing Debtor and Secured Party, bearing
fik number shown above, is still effective. {
~ 10. ~ Release. Securcd Parry rekases the collateral described in space No. 12 from the financing ststemeM
bearing fik number shown above.
i 1. ~ Termination. Secured pa.ty no lorger.claims a securiry interest under the finanung statement bearing _
~ file number shown ~bove.
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~ 12.
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7
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BY: :
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r~ Signature(s) of Debtor(sj (Necessary ortiy if Item 7 is spplicebte) Signatwe(s) of Secured Party(ies) ~
name bebw each i nature) '
(TYpe name below each signature) (tYP~ ~9
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~ i) Ori9inal (To be xnt to Clerk ~or recording.)
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