HomeMy WebLinkAbout4901 l1CG iotm t158-Reordt~ froan: Ftrr~s Pr~nt~ny Co. Orl~ndo. Fla~d~ ~26D1-124-SYl3 ~'2' L9o1
s1 ~96b-Frr~~s Pr~~n~p Co. STATE OF FIORIDA lLv~38
UNIFORM COMMERCtAL CODE - ftNANCtNG STATEMENT
(Use ONIY for recording in offices of Clerks of the Circuit Cou?t - NOT for filing with the Secretary of State.)
INSTRUCTIONS:
1. TYPE ALL INFORMATION, using a typewriter having a good ribbon, AND ACCURATELY TYPE THE NAME 6ELOW EACH
SlGtdATURE.
2. Be sure to fill in All numbered spaces whith are epplicable.
3. tf any space is not large enough, rype therein "See attached sheet(s)". '(The size should be 8'h" x 14" w smaller.)
4. If collateral is fa~m products, w c~oods which e~e or are to become fixtures, type in space No. 4 a desuiption of the reat
estate which "reasonably identifies what is described", and give name of tetord owner,
5. SEND ORIGINAL Of EACH PAGE TO THE CLERK'S OFFICE to be recorded and returned. !F you are paying an additional fee
for having recording informatiort noted on a copy, alsp send a legible carbon copy of the first page.
b. BE SURE TO CHECK ONE Of THE TWO STATEMENTS UNDER NO. 8 BELOW.
~ This FINANCING STATEMENT is presented to a Clerk of The Circuit Court
fw Recording pursuant to the Uniform Commercial C~.ie.
i, pebtor(si Name(s) and Addretf(ef) (las/ name firs~) 2. S~cwed Puty(ies) and Addr~ss(es) Tl~is sprc~ for Ciat's uae ONtY
tlalker, David L. ~ Connecticut General
P. O. Box 1356 Life Insurance Co.
Fort Pierce, Florida 33450 910 Ster.unons Tower N.
Dallas, Texas 75207
3. Pnis Sr~temenr coven rhe folbwerg types jw itema) o` PERSONAI PROPERTY, F.XTURFS, or fARM PRODUCTS.
See Exhibit A which is attached hereto and by
this reference made a part hereof.
~ 4 A de:cr~pt~on of rhe red estate wA1ch ^re~aonably ident~f~es what is deuribed" ~nd ths name of rM owner of
tM! real pOperty.
See Exhibit A which is attached hereto and by
this reference made a part hereof.
04~INER: David L, tdalker
5. Ma~~rity dare 6s .~Y~_ 6f lf 92 _ ~ 6. Numbtr of sheets .~r,~,~d 1 TFiIS INSTRUI~IENT IS
7. Ass~~nee~s) of Sec~r~ Party{~esl and Address(es) B~ T~JG ~'~'CQ~~D T~
~
StIOW ADDRESS OF DEBTOR.
B ONE pR THE OTHER Qf THESE TWO STATEMENIS MUST 6E CNECKED. ~Otherw~se it is not recadable.)
I Check ~f trve: ~ ihe stampa required bY Chapter 20i, F.S. have been placed on ihe p~om~uory instr~meMS ~
secvred hereby. and wiil be placcd on any addit:onal prom~ssory instruments, sdv~nces u
s;miiar instr~rrr~enr tMt m~y be w setwed.
~he.k ~f rrue; ~ Sramp~ are nof requir~d by Chapter ?Ol, F.S.
9 if rh~s siarement o rocaded wirhoW rhe Debtw's sgn~twe to perfect • secunty imerest ee coflafenl, check one pf fhe foflowing:
Co~lareril wss subjM to • setwity inreres! in snother 'ryrisd;ct;o~ when ;t w~s b~o~ght into ehis sqte.
Coilarersl i~ proceeds of rhe orlginal cellarmd descnbed above in wh:ch a secunry i st w~a perfected.
1C. Check +f ~rue. f$ P~oceedi of Colli~eral ~re •fsp covered. ~ Prodvp• of Collarer~l are aiso cwered.
f::°d K~'h: Clerk of Circuit Court, St. Lucie County, Florida
CONPIECTICUT GENERAL LIFE I~ISURANCE
Da~. L. ?,i ~ke COMPANY - p~r A u9E ~iJ q~v~ ~2 us~-+
~ 1~-~-./ Br; ~ ~ - t ~~y~~
l ~J
Sgiytur~{s~ of Debtorys) Siqna~twe(s) of Sstured D~ny(ies)
(TYp!! M:M ~1l~pW lK~1 signatwe) ' (TYpe Mf11e ~~pW QKA 1i9M1Vf!)
i1i O::g~nal (To be sent ~o Ckrk for recud:rgJ `~h `
, ~
I N S 7'1~ n-' ~ c 1~ ~ PA iZ p g Y ~ R ~ 1Q9~
g0~y ~ ~',lG,
. )A 5 ~~~SN
.L F_ r ~v r/~ R L t3 ~ v v. b00K 249 rA6E ~ i U
i~ , r-L 3 2 Ss v_3
. _ _ -
_
~ . _ .,a . = y ~ . . . . °
~ _