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STATE OF FIORIDA ~
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1 j
THIS FINANCING STATEMENT is presentsd to a filinQ officer for filinp pursusnt to the Uniform Commercisl Code: 3
1. Debtoris) (Lsst Name First) ~nd Addrsss 2. Sewrod Party and Add?eu * For FilirqO~oerl0sts.Time, Number.andFiling
Offia)
BERNARD, Victor J, Jo Ann
So 13th SL
~'t Pierce, '~8~ 33450 eEicial Firante Ca of l~~m Pi~-tdC
F?z. 334 0
~~42 S. F•~.t~r.c~ lI~~L..•r~•. Fort Pirrer.
4• This finenciny statert~ent oo~vers the followinp typsslor items) of propKty: (Check Dox which opplit:J
Ap oj the houttl~dd Ji~snituro and furnithin~ eltchicu! and sa.t appflonce; lncJudixg tt/cvJsion
(-1 sra Phono~npht and ncord playent njrtsesotor; eta. artd otht~ ptronna! proptrty now owned
l?~ 1 or hen~sjttr acqufnd U+ npluctment thertojand now or htnajtt~ locoted at the rr.Ndenet of dre
Debton ar the addrrss ~ivrn sbovr ln Box l.
D 5~ Assignse(s1 of Securod Psrty and Addrsssles)
6. Check if trueQ The startips requirsd by Chapter 201, FS. havs bsen plaoed on the protni~ory instrumen 4
secured hereby, and will be placed on any additionsl and simitar instrument thst msy bs so ~scured.
Docu»u~tary ,rta~np.s att~ched to oriatnoi note ond canctUe~ ~
Th is statarrnnt is filed without the Oebton' sipnature to pe~fect s sewrity interest in collatent. (Chsclc ~x if so)
C] Alrssdy wbject to a sscurity interost in another jurisdiction when it was brou9ht into this ststa
? which is proceads of the or'pinN collateral dascribed above in which a sacurity intarsst vws perfsctsd=
CheckLx~if carored: x[~ Proceeds of Collatsrsl are also cavendQPioduca of Colletersl aro ~tso oovered. Na of sdditional Sheets prssented:
F i led with: Cle~k oj ifie C/mrit Co~rt oj - CArnty, Flodda
SeCUred Perty # .
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; ~Qo~2i9 P~~E1273
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