HomeMy WebLinkAbout3377 I~CC io•.., 3i5d-R~orAr/ f:oT. F~rr~s Pr~nt:r~g Co.. Orlando. flor,d~ ]~801-~22•S?85 ~`~38~1
19C4-Ferns ~rinling Co. , ~ ~
STATE OF FIORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT
(Use ONIY for recording in offices of Clerks of the Circuit Court - NOT for f~ling with the Secretary of State.)
INSTRUCTIONS:
1. TYPE All INFORMATION, using a typewriter having a good ribbon, ANO ACCURATEIY TYPE THE NAME BEIOW EACH
SIGNATURE. ' '
2. Be su~e 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'Ii' x 14" or smaller.)
4. If collateral is farm products, or gooos which are or are to become fixtu~es, type in space No. 4 a deuription of the real
esrate which "reasonably identifies what is described", and give name of record owner.
S. SEND ORIGINAI OF EACH PAGE TO THE CLERK'S OFFICE to be ?ecorded and returned. If you are paying an additional fee
for havmg recordmg information noted on a copy, also send a tegible carbon copy of the first page.
6. BE SURE TO CHECK ONE OF THE TWO STATEMENTS UNDER NO. 8 BEIC:Y.
This FINANCING STATEMENT is presented to a Clerk of The Circuit Court
for Recording pursuant to the Uniform Commercial Code.
t Cetccr~s~ Name{s; and Address(es) ilast name first) Secured P~rty(~es) and Address(ea) This apace fa Ckrk's use ONLY
i•lalker, ~avid L•. Connecticut General
Life Insurance Co.
910 Stemmons Tower :2.
Dallas, Texas 75207
3 Tn s Sta}emem co~ers !he foliow~ng tYpes (w ~~ems) o` PiRSONAI PROPERTY, F.%TURES, or fARM PRODIKTS
See :.~:hibit ?1 which is attached hereto and 5y
this reference made a part hereof.
a A nes:npncn of the real es+aro wA:ch `roasonably ide~nfies what u destNbed" •nd the n+me of the owner of
ehe •eaI vrcperty.
See F.xhibit ?1 «hich ~is attac~ed hereto and b~~
this reference made a part hereof.
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; Oi1:iER: David L. t'alker
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~ '.'n•,:n~~ date {:f any1.- ~ b. Numbe. of sheers anached-~
~ 7 Ass~gner(e~ of $ecured Fartypes; and Address!es7
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~ 8 ONE OR iHE OTNER OF TMfSE (WO 5?AIEMENTS MUST 6E CHECKED. (Otherw.se it is not rttordsble.)
Cnzck ~f erue: f~' ~be sramps ~equired by Cbapter 201, F.S. have been plac.d on the prom:uory instrurtxnts
~ ucured hereby, and wnf be p4ced on ~ny add~r.onal p~om,ssory instruments, adv~nces or
~ - s~m~iar insfrvmeM that mey be so seco~ed.
C~r:k ~f erae: ~$~amps sre not rtquued by Chspter 201, ES.
~ 9 i: .i,:e ira:ement is rtcaded wrtlwut ~1~e Debra's sgnst~re to perfect • securty inrores~ in collareral, check one of rhe followirg:
z
~ ` Cel'a*eral wss wb~cct ro s secunry mrerest in another jur~sd~crion when Gr wes broogAt ~mo rhis state.
~ Co~~~afera! ~s procccds o~ rhe w~y~r+al cef:~terol desc:~bed above ~n wh.ch a xcunty ~ st was per~ecred.
IC Cne:t If r.ue. ~ Proceed; of Coilste.al are afso cove~ed. ? Prodvcts of Coliafe.~l are ~~w covered.
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f:~~d Clerk of Circuit Court, St. Lucie County, Florida
r-~"~~J COTINECTICUT GE2IERAL LIFE IP3SURA.'~ICE
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Javid L. f~Tal~;er CO'~iPA*~Y- ~Y ~ t?DL i?ScN ~4NJ H
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- ~X ev: (1..~,+~? y~ ~ -
s;.':: S~gna~~rHs~ or Debtor~s) Sigoature{s) of Secured Party(ies)
(Type nanr_ befow each s~gnature) RYP~ name be!ow each seynatwe)
, Or,g~nal ;To be sent to Uerk fw record:ng.) ;,(,1 ,C-~~t~.lti'y,q---
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