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UCC FORM 1-C «o~~o~ ro~rs • awrcw • o~oa »a~. ?~~uM~sscc. ru ~~y~~Q
~ STATE O~ ~LORIDA
~ UNIFORM CONUNERCIAL CODE - Ff NANClNG STATEAAENT
(Use ONIY for ~ecording in offces of Clerks of the Circuit ~ou~t - NOT for filirw with the Sec~etary of State.) ~
f
I NSTRUCTIONS: '
1. TYPE All INFORMATION, using a typewrite~ having a good ribbon, AND ACCURATEIY TYPE THE NAME BELOW EACH f
SIGNATURE.
2. Be sure to fill in All numbered spaces which are applicable.
3. If any space is not large enough, rype therein "See attached sheet(s)". (fhe size should be 8'h" x 14" or smalter.)
4. If collateral is farm products, or goods which a~e or a~e to become fixtu~es, type in space No. 4 a description of the ~eal
estate which "reasonably identifies what is described", and give neme of record owner. .
S. SENO ORIGINA! OF EACH PAGE TO THE CLERK'S d~FICE to be recorded and returned, IF you are payfng an additional fee
for having recording information noted on a copy, elso se~d a legibk ca~bo~ copy of the first page.
6. BE SURE TO CHECK ONE OF THE TWO STATEMENTS
UNUtK ivu. d bt~~iVv.
This NNANCING STATEMENT is preunted to a Clerk of The Circuit Cou~t
for Recording pursuant to the Uniform Commercial Code.
1. Debtor(s) Name(s) and Add~es~(esl (ls~~ eum~ firsU 2. S~cw~d Pa~ty(i~ and l~ddrss~(a) Thii ~pac~ for Cbrk'~ us~ ONIY
a~vr~? Dsv. oo~. aa~?L axs~tcut ~s
467 Poinefa~e~? Driw III9o8AliCE CaMP~1R
Hallandale, ~lorida 33Q09 7,50l1 boonat? ~t ~
St. Lonis, Mis~onri 63103 .
~tt~ttion: Lsr Di~isioa
3. Thlt S~atern~M cowrs th~ followinp typn (or it~ms) of PERSONA~ PROPERTY, fIXTURES, a FARM PR0p11Ci5. ~
Au 1C'f trC~1aII AQI~~Al1L~ i1!' CODd~trl0a ~t?O C ~ sv ww3 ~ vvw~"
and turaiturs no~r or ~r~ft,~r inatall~d in ~ets, draps~ i~.`~YCIE COU~ITY
23~15 ?aarind De~in, F't. Pi~ra~, Florida. ~ert~ at ~E~c~cu
~co=yRT
RE60R~ vER~~~EO.~.....~..
: I~~r S 10 aa ~'7Z
PLEASF RECORD & RETURN TO ~
C:;~1A~'170NK'~~'.LTH tAND
71~ _E fNSU~~A ;;E C~AAPANY ~ ~
42 S. S:'. f€..$T STREET
MtAlr~i~ FLORtDA 33I30
A dewiplion of ~he ?eal estste which "reasonably identifies wh~t i= described" and the naine of'the own~r of
the ~esl poperty.
Lo~ 20, Bloct 30, FT. PIBI~CE SHO~tSS, I~BVISSD PI11? OF Ul1IT 1~'OtiB, ardfag
to ths Plat thtr~o~f,~r~oorded in Plat Book 9, Paae 35, st. I~ai~
~ouati~ Pabiio B~coraa aaa au of Lot 4 and taat pari oi Lot 3
vhiah lfes Satt,h~r1T at tbs tollo~risK d~aaribed lius: ~ioniog
oa t~6s front lin~ ot aaid ~ot 3 at a poiat ~aw~rin6 100 leet
Northerl~ !'rc~ ths 8out~b~ast eornsr ot aaid lot, tbaoo~ rna iisat
parallsl vitti ttite Sonth~rlf lias af asid lot t?o t~h~ r~ar lin+
theraot, and t6e ~nd af ssid d~scribsd lins. ~11 dtuatr ia
Block 34, F?. PIBRCg SE~ORS3, B~~is~d Plat ot Onit ~onr, according
to the Plat tbsrsof reaord~d ia Plat Booic 9, PaBs ~ of th~
Pnblic Racords oi St. Lnaie t7~nnt~, Florida.
,
~ 5. Mawri~y d~~e Cf anv~ ! 6. Nun+ber of shceh atra ~
,
~ 7. Aufg~ee(i) of Secured Paty(~ei) ~nd Add~eu(es)
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' F
~ e. ONE OR THE OTNER OF THESE iW0 STATEMENTS MUST BE CHECKEO_ (Ofhervvist it is npt recadable.)
' Check if trut: ~ The starnps requi.ed by Chrpter 201. F.S. haw b~en plsud on the prom~uay i~strurn~nts
' secwed hertby. snd wiil be ptacsd on a iddriond
^Y P~~fsarY ~ro~.um~nt~, advancet a
similar i~trwn~nt that enay be io i~cvred.
,i Check if tnn: Q 5lamps m not reqoired by (.h~pter 201. F.S.
9. If this ~raamtm is recadcd wrthwif the Oebtoi s siynature to p~rfect a secw~ty interat in collateral, check one of the fdbwiny: ~
, Cd1~Nra1 wa subject ~o a secwiry intenst in ~naher jwisd~iction when it was brou9bt inro this sute.
~~.,Colli~~ b proceeds of the wiginal cdlsteral dsscribed ~bov~ in which a~cwity intatst w~s perfsdsd.
~ l~:;Qlutk.ii. p~ n Proc~idi'oi'C~14~a~1 ir~ alw covered. ? Products of Cdlats~~l ue also covercd.
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(1) p~~,,1 o be senr ro recy
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