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THIS fINANCING STAF:.,AENT is presented to a filiny officer for filirp pursuant to the Uniform Corrrrurciol Code: ~ 3. Motu~ity dats (if ony): - -
I. Debtor(s) (Losr Name Fint) ond oddrsules) 2. Secvred Pory(ies) and oddress(es) For filinp Offitsr (Dcate. Tims. Nurt~bsr, a~d Filinp Offi~
I; WrL•LTA:~IS, Gs~r~,e Sus~e FAI~3ILY COt~?St'tSER :'~A3JC~' SER~7ICE f~ED AMD RECOROEO -
; 1319 Ave D 2505 S. Federal Hi ghway S~.IUCIE cOtfMtlr FLA.
~ Ft. Pierce~ Fl 33~5o F't. Fierce~ ~'1. 33~5o c~Eax c~cu
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j 4. Thia financirp stotement cpvers ihe fo(iowing types (er items) of property: ~ ~ l 2 34 PM'13 ~
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Qq All ef the hovxhold qoods now w hereofter bcated ot debtoi s resiclence address set f«th abave. f
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Orher property dowib•d os 5. /lssiynee(s) of Secured Party ond Address(es) -
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i b Chedc if trus ~ The stamps required by Chopte~ 201, F.S. hove bee~~ plot.ed on ths promissory i~strurt~etib s~t~rsd
hereby, ond will be ploced o~ onY oddition~l ond simibr instrwne~t that rnoy be ao sxvred.
~ 7his stoternmr is filcd witho~t the debtor's sipnot~re to perfect o sec~rity inrerest in cd{oterol. (Check ~ if so)
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V A{reody y~bject to a sxuriry i~rerasr in onoMu jur~sdiUion whsn it was bro~pht into this state.
~ ? whid~ is procaeds of the ori9inat collareral desu~bed obove in wfiid~ o'secvnty irtuest was perfected:
! ~hedc ~ if mvered: Pr«eeds of Col{~teral ws olw wvered. Q Prod~cts of Vol{ateral ors olso covered. No. of odditionol Shaets prsxnt~d:
~ ~ ~ Fibd with:
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; ~ i,,G~ F MTTY co~.sf~iER ~'~2T11~iC8 Sa.~i:'T^E7--~IG,--
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we(s) d Wbbr(s) Sq~ntut~(s) of S~wr~d Porty(i~sl ~
~n f~~;.,9 ar:~~, coor - ~i~~b•r~oi STANDARD FORM - FORM UCC-1 60~JK2i3 ~ 25~i ~
- Appror~d by TOM A01~Mt5. Sscre~-:•. e •
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