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~ 'ti_S FINANCING STATEMENT is presenred to o filinp officer for fii~rp pwsvonf to t1+e Unif«m Conmrcial Code: I 3. Maturiry dats (if any), j
i i fw filinp Officer (Doro. Tim~, f~lwnbst, ond Filiop Offk~)
~ ~ Debtor(s) (last Narra Fint) and oddress(es) 2. $enired Porty(iss) and address(es) ~
Y i~nsly~ E~ rnest -4r Rachel ZZ '%^^sn°E:r i.^.anc~ Service, F O ANO RE~C~,QA~~ ~
~ 31st Street Trc. or ±~1.. Pierce i~`~C1ECOU n~~~, ;
~ ='T. P;~ c~, 33~a50 2~t~ South ^^r~l Hi~~}:tray Cl RK~CIR6Wt~~t `
piel'e~.'~ rl ~3~[0 RECORDYERIFl~Q~ ~
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~ 4--~ ih~s finoncinp uotert~er~t oovers tM fol{owirp rypes (or items) of property: ~~l ' ~ i
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~ ~ All of ths hovsehotd yoods now or hereafter bcated at debtor's rcs~daxs oddress xt fwth abovs. ~
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~ ~j Othu prcpertY dewibed ai S- Aui9na(s) of Secusd Porty ond Addreu(~s) ~
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~ F. Check if true 0 Ths stomps required by Chopter 201, F.S. have b-en ploc«1 on ths prom+:sory instruments sec~red `
~ ~erebY, ond will be ploced m a~y odditional ond similar instrurnent that moy be so s~cNed. _ 1
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e~ Thia statement is filed withwt ths deb~or's sipnatws ~o perfect a secirity interest in cdlateral. (Chede ~ if so) ' b
~ ~J Alreody subjM to a secvtity inrerest i~ onafhu jwisd~tnon when it was brwqF~t into this stare. :
? whid~ is pr«eeds of tAs a:yirwl wlbteral described abors in whidi o secwity interest wos psrfscted: ;
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:neck if covered, ~ Proceeds of Colloteral ws also mver~d. Q Prod~cts of Colbrerol ors alw wwrod. No. of odditionol $heeh pres«~ted:
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;3 BY_
Srqrwtw~(s) of Debtats) By ~
STANDARD FORM - FORM U
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! i i FiGng Officer CoPY - Alnl.obeticot dOO~f ~~E
ADR~~d bY TOM ADMAS. Secre+c~f = ,
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