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ROGER P01tRAi '
CLERK CIRCUIT CGUR~ ~6 J~_~ ~
REC0~0 YEP.IfIED _ . . _
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STATE OF FLORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
THIS FINANCING STATEMENT is presented to a filiry off'~ for filinp punuant to the Uniform Commsrtisl Cods: 3.
1. Debtorls) (l~st Nsrtis Fi~ and Addrsss . 2. ~r ired Party snd Addrsu * For Fitinp Offioer(Dats. Time. Number,andFilinp
officel
Patricia Fa~an Beneficial Fi~tarae
2102 Delatrare Ave. 1121 S. Federal H~ry.
~t Pierce, Fl. 3345o Ft. Pierce, F1. 33450
4. Th is fin~ncinp stmrtisnt oovea tM foHowinp types 1 or itam~ of propsrty: (ChecJt box wl~kh qppttesJ
All oj the howehoid JirrnJtirn ahd Ji~rnLdil~ elechico! and au opp/ioncras tncludtig televWon
D sep~ phonoarophs and reco~d playent rojriaerotort, eta. and other pmm~al property now owntd
or herasjtc~ acqufnd ln erplacement tbercoj~d now or hersajter Iocnted a/ tbe ir.Ndence of the
Drbton at the addns ~iven oDove in Boz l.
~ 5~ Assi9naelsl of Secured Psrty and Addrssslssl
6. Check if uueQ The starr~ps nquired by Chaptar 201, FS, hsve beao plsad on tM promiaoory irntrumen
securod herrby. and will be piacsci on any sdditionsl ~nd similsr inmumsnt that msy bs so axured
Bvcun~entoy rumpr etpehed to o~rt~tno/ ~ote mid oanceUed
This ststamsnt is fiNd without tht Dsbtors' si9n~tun to ~erfect a sewrity intenst in opllatersl, (Chsck nx if so)
Altesdy wbj~ct to a sscurity interest in anothe~ jurisdiction whsn it was brw~yht into this state,
? v~~d+ a procesds of the oriyinN collatersl dsscrbed above in which a sswrity intsrest w~s p~~scted:
~ Check[tf oov~rad: []x Proceed: of Coitetersl an dso ooverod.~]Produets of Collster~ are ~Is~ ooverrd No, of sddiianal Sbsets presented:
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j F ~~ed witfi: Ck?k oj tht CYrtult Court oj Coun ry FTalda
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