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CLERK Ct+;CUI~ COUAT
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RECORD YERIFIED 26C+~~~
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STATE OF FLORIOA i
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
THIS FINANCtNG STATEMENT is preseetod to s filinp oNicer fw filinp purwant to the Unitorm Commercial Code: 3
t. Debtwl~ (last Name First) and Address 2. Securod Psrty and Address * Fo? FilinpOfficerlDate,Time. Number,andFiling
ONite)
:'iel:i, ~zchari ~c Lia.is
~IC ~tl.tft ?ljut2 JtY'3f:t Benrticial NitL~n,:e C;a ot tyrt t'irrce
:~rt Pi~rce, clori ~a 3 3l~50 tia~ 5. Fr.Irr-.+1 Hi~ct~K-~y, t~,M ~;rn.: k,..
4. This finaneingstatement coversthe following typeslor items) of prope?ty: (Check box which oppliesJ
AU oj the household fumiture and fun~lrhi~ eletntca/ and aas applfonce; uuludins al~vislort
utt, phono~phs and ~eco~d players. njrlaerdton4 etc., and othe~ personol property now owned
o~ herrajtc~ ocqulmd in nplacement thc~eof ond now o~ henajter located at tht ?esidence of the
Drbtors at rhe uddnst Rir•~n aboar in Box l.
D 5. Astigneelsl of Secured Party and Addressles)
6. Check if true x[~ The stamps required by Chapter 201, F.S. have been placcd on the pror»isswy instrumen
securcd nereby, and will be plsced on any additionsl and similar instniment that may bs so secured
Documrnrary atampa attaehed to osiginal note and cancelled.
~ h~s statement is filed without the Debtors' signature to perfect a security +nterest in collateral, lCheck Q if so)
? Already wbject m a securit~~terest in ar~other jurisdiction wt~en it was brouyht into this state,
? wnic.ti is proceeds of the original collsteral describod above in which a sacurity interest wes perfxted: !
Cneck~f covered: ~ Proceeds of Collateral sre also covered.[]Products of Collateral are also cwered N0. of additional Sheets presented:
F~led with: Ge~k oJdteGYrcuttCourt oj Counry. F(ortda `
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