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'H~5 fIN.~NCIt~iG SIATEMFNT is presented to o filing oificrr (or fil:riq pwswnt to !f+e lkufortn Comr*+ercja~ Code= I 3. MWwity dote (if any): ~
~ Debtor(sl 'tLast No.ne Firstl and add+eu(es) ~ 2~ Secvred Party(ies) and adclrsss(ss) Fw Filinp OFfiear lDot~. Tirra. Nurt~ber, ond Filirg Offit.~) ;
3ah2n~au~ SLe~~i R- Si~o~e ~'ami?,y P,$nsumer Cinance FlLEO Ak~ -~CQROEO ~
1~08 ~cho treet 2~06 S. Federal Hi~hwa S1. IUC~c ~Ct1MTY FLA. ~ ~
Y ROGf~ i'~tT3A5
~ t. PiercQ, ~'1. 331i~0 Ft. Pierce, Florida 33450 CLEF:K i~Fc,,u~; COURt ;
~ Pf~C!::J YE='~IE~
~ a. Tnis :inarxi stoterrxnt cwer~ the follow~nq typea (a items) of propMys ~'Y V S~ ~fl''13
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~ L;~11 of the housrhold qoods now or hereafrer tccatcd at debtor's residence nddrsss xt fo~th obove. i
S. Assipnes(s3 of Secwed PanY and Address(ss) s
~ Otnz. proprrty dexribed oL
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h J+eck if t.ue The starr.ps reqvired by Q~apter 201, f.5. have bee~ ploced on the Prw~~+sorY ~ns:ruments xtwad
nerebY. ~~+'ill be placed or. ony odditional ar.d s~miiar ~nstrume~+t thot rtwy be w tecvred_
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~g This stosernen! ~s fNed wnhout the debtci s sipnature to perfact a ssc~rity iNerest in cdloTeral. (Check ~ if so)
Lj Alreody subject to a secvrity interast in onorber jurisdlU;on whcn it was brovpht into fhis stafe. _ . _
~ Q which ~s procecds of the oriy~rwl colfatcrol descr~bed abwe in wh~ch o secw~ry ~nterest wvs perfeeted: ,
~ [f; if co,~ered: L; Proceeds of Colloterot ore oiw wvered. ? Prodvc4s of Coilatsrol are also covered. No_ of oddit~orwl Sheets prexnted: _
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d'-= $i • s d Debtot(s)
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, STANDARD FORM - FORM UCC-1 • / ~
•!1 Fiti^q Oificer CoPY-AIpMb~Kcol $~rJX 1~.~ 'M1L• . Ea.~jyJ.-. : c~--'7~
Approved DY TOl~A ADA)+'.S, Sxre' - ;
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