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THIS FINANCING STATEMENT 7s preaented ~o a f~Gng off~ccr for fil;ny porsucnt to the Unifo+m Commercial Code: 3. tito~~~~ty da~~ ;~f ony): ~
for f:l~~np Ofirter ~Doh. i:ny. NumM•. o.,d i:l~nq OFfic~:
~ ' Oebtor;s7 ;los~ Nume First: ond oddresslesl 2. Secvr~d Party~its~ ond oddr~ss;aj ~
~ POTTER Bruce & Pat ' ~
~ FIRST AA~TIONAL BANK OF FORT ~IERCE F1LEO aNl !~:coRDED
3518 Metzger Road . ST.~UC~E ~.OUMTY F~A.
Fort Pierce, Florida 33450 P• O. Box 970 RoC~r F~ITRAS ~ ~
fort Pierce, Florida 33450 FF~rR~t yC~ 'E~ COU~ ~
s TAis financiny stolem~nf mre~s tM followinq types (w items) of popMy: Q~~ ~ ~
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Sirrunons Sofa & Recliner: Bassett Bedroom Suit; ~
s. N,~..c.~ ~ c«~ $
~ Dreseer; chest of Drawers and Sealy Be~ ~
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- 2f 4401
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~ ~ Cf~eck if tr~e ~ TM stoaips ~eqv~red by C!wpe.. 201, F.S. hov~ be~n ploced on fM promisswr instrvmsnli s~curtd ~
~ henby, ond will bt ploced on onr oddilional w~d similm instrvment IFwt maY b~ sc secvred. ~
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n' ih~s slohmeM is (iled witha,l Ihe debloi s signotun to perf~ct o stcuritr inttrat in collol~raL (Chtck ~ if so3
y rect to o sec~.A iMtresf in another ~risdictio~ wAen if wof b hl in?o ei~is stob.
~ ~ Al.eod sub' ~ Y 1 °V9 ~ .
~ ~ w!.ich is proceeds of the oriyinol co1laM.cl d~xribed obor~ in which a seturiry intereff wos p~rf~cted:
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v. _`>:4 ~ if covereA: ~ hoceeds of ColtoMrol un oho cov~rtd. ~?roducts of Collateral are ntso cowr~d. No. of additioewl Sheeh preso+ted: a
~ ' f~led with: ~
_ Rpgpr Ppitras~ Clerk o irc »f Ct~
~ FIRST NATIONAL BANK OF FT PIERCE ~
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~ $RiTC:F AND pgT_~()TTFR B • ~
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~ ~~.tcf~ / i~Z~~ 800K~G?10 P~_~ ty: ~ ~
~ Siqnature's: of Debtors~ • S~gnotr~~~s) of S~cur~d Party~i~f? '
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~ STANDARD FORM - FORM UCC-1 ~ £
s,~ t:~ ~ i. . .~r.rv . ::cH~9ETICAL
~ - Approred by Tom Adoms. Seoe'~~~ S. .e F~
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