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lKC iwm it15a-Qsuda fran: FHris Pnnnrg Co.. O.I~ndo. Fld~d~ 72lO1-~2252lS 2~~902 •
~D 1966-Fs~n~ Paint~nQ Co.
STA1E OF FIORIDA
UNIFORM GOMMERCIAL CODE - FINANCING STATEMENT
(Use ONIY for recording in offices of Clerks of the Circuit Court - NOT for filing with the Secretery of State.)
INSTRUCTIONS:
1. TYPE All INFORMATION, using a typewriter having a good ribbon, ANb ACCURATEIY NPE THE NAME BECOW EACH
53GNATURE.
2. Be su~e to Fill in All numbe~ed spaces which are applicable.
3. If any space is not large enough, type therein "See attached sheet(s)".'Cfhe size should be 81h" x 14" or smaller.)
4. If collateraf is tarm products, or goods which are or a~e to become fixtures, type in space No. 4 a deuription of the real
estate which "reasonably identifies what is deuribed", and give name of retord owner.
5. SEND OR!GINAI OF EACH PAGE TO THE CIERK'S OFFtCE to be reco~ded and returned. IF you are pnying an addilional fee
fw having reco?ding information noted on a copy, also send a legible carbon copy of the first page.
b. BE SURE TO CNECK ONE OF THE iVNO STATEMENTS UNDER NO. 8 BEIOW.
This HNANCING STAtEN1ENT is presented to a Cle~k of The Circuit Court
for Recording purwant to the U»ifwm Commercial Code.
1. De6:«(~} Name(s1 ind Addre:s(es) (l~:t narrr f;~s~) 2. Secwed Puty(k~) and Addr~u(es) This ap~cs fa Ckr4's uK ONIY
t7alker, David L. Connecticut General
P. O. Hox 1356 Life Insurance Co.
Fort Pierce, Florida 910 Stemmons Tower N.
33450 Dallas, Texas 75207
TF,:s Sr~tement covera the folbwing ~ypes (or iremi) o` aFR50NA! PRpPERTY, f,XTURES, w fARM PROptKTS.
See Exhibit A which is attached hereto and by
this reference made a part hereof.
a. A aeur:p~~on of fhe rcal eaure wh~ch "reasonabFy ldenrifies wMt ts described" ~nd the nare~ of th~ owner of
ehe rca! P>opertY.
~ee Fxhibit A which is attached hereto and by
this reference made a part hereof.
OWNER: David L. ~°:alker
5. Mar~r,ry daw (f »v ( 6. Number of sheets artsc}ied ~
7. Ass~g~e(s? of 5¢cu.ed party(~esi and Address(es) TriIS INSTRUMEi1T IS
BEING RERECORDED TO
SHOW ADDRESS OF DEBTOR.
B. ONE O~ TNE OTMER OF THESE M'~ SiATEMENTS MIiST 6E CHzCKED. tOtherw~se it is not reco~dable.)
Check ~f tr„e: fhe stamps roqvNed by Chapter 201, f.S. Mve been piaced on tke prom:ssary insrnm~ent~
xcurcd heroby, and w;~l be plued on any ~dd~+:w+al prom;s~ory instwments, advanca or
s:mii~r instrurr+eM th~t may be so xcwld.
Ch~Lk ~f sr~,e: ~ Sqmps sre not rcquired by Chapror 2Q1, F.S.
9. ii r~:~s sraremenr i: recordrd wrthwir rbe Debror'~ signatwr to pedect a secunty ~nterest in cd4ter~l, check one of ine follow~rg:
` Coileiua~ wss subjM to a uw.ity ~nterest in another ryrisditiWn wlxr, it was baght fMO this sUte.
Col~areral is prxceds of the w~g~os1 cel'srer~l descn(xd sbove in wh.ch a scc~nty : st was periected.
1C CAeck ~t r.ue ~ Proceeds of Coil~~enl a.e also covered. Products of Coiiaferal are aIw cwered.
F,~~d ..,tti: Clerk of Circuit Court, St. Lucie County, Florida
r~ -
~ C./c'r r~'" ~~~~7/`~"` "`"t~`~"~ COi1NECTICUT GENERAL LIFE INSURAIVCE
David L. I~aZker ~ COMPANY- N~Er?SoN A~v,~ us rf
]Q~C ~ ~ /
By: (LV~-~ ~ y~
Sgna~urqsi ot pebtor~s) Sqnatvre(s) of Sacvred Party(ies)
(Type name bebw each s~g~awre) L_ (Type name below e~ch signaryre)
;1; Orginal tTo be seot to Ckrk fo~ recad:ng.) y~~ ` J~~
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