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i 7-+'j cINANIING STATEfAiNT :s present~d ro o(ling officer Ior_f~lieg punvonf ro rFr~ Unifoim Comme.[ivl Code: ~Muwrity dole ~f any + ` Y.iesi and odd.esa~~s; - ~o, r~~.,,y oi~K.. Do... 1•~,.. r~,,,..b... o~+d i.t,,,y W~~<. ~ ~ Debto~ s; ~lost Nome first~. ond es~ 4. Secured Part . - ~ ! G~rbitt, Isome & A].~m ~Sagle I'YQSD09 Corp. af F. P. i 0 ru,c ~f ~ Rt 4 Box 380 2057 S. Federal HWy. ~i~C~E C01+~ ~ ~OCE+I ~3irAA5 ~ r t. Pierce, Fla. j3l150 Ft. Pierce, Fla. 33450 C~f~R C~~:;i~iT COURT ~ REQORr vE~rflf0 ~ ~ i~•.. fmonunq ~totemenl io•e.i the ioilow~ng typcs ~or irems; oi property: ~ ~l g~~ ~7+~ ~ • ! ~ ~ A11 of rhe houselwld qoods now a hereafte~ foc~ted at debtw's nsidence +ddress sN foAh abovr. ~ f ~ ~t~ p~~ ~W~~ n S. Ass~gnee s'~ o( Secvred Por*y ond Address~esl 26~~3.~ ; 2s~~ss ~ . Check il true'~, The slomps reqv~.ed by Chaprer 201,~F.5. har~ been ploced oe Ihe prornisaw7r inslrum~nts secvred 6ereb~, ond .vill bt ploted on ony oddihonal ond aimiior inUrumem that mor M to tecured. - ~L 7n~s sta~emem ~s filed w;thout t~e dcbror's s~gna~wre to perfect a secur~ty interes~ ~n collateral. iCheck ~ if so1 ~ Alreody subjKt lo a sec~rit~ ;Meresf :n onother ry.isdiction v.Mn ir wof bsovqb? inlo fbis stote. . r which h proceeds oI the or~ginol mlloterel deur~bed obove in v+6ich o securily in~er~st ro+ p~rfrded: k;y io.n~d. = iroceads c: Colfare~o! or~ olso cove.~d. ~?.oducts of Colbterol ore olso mvered. No. of odd~tionol Sheet~ preunl~d ~ ^ + - - ~~fed with: ~ ~r~r~ ~ , x . ° ~ - i , ; ~ t p~---L- - - ` dY ~ ~ - ~ _ S~gn s: of pe to.:s. L/~~~ ~ 7 / ~ ~ nolur s: o~ SecYr~Po ii~s~ . S A DARD F~RM vf~0? RM UCC a~~~~ (i) Filing Off:cer C4PY - ~+iF~~~tica! Appro•ed by Tom Adoms, Sec.era.y o~ 5•~ o~e of C!o•~d,~ - , . i - ~ . ~%1a . 1 " a . _ _ . - ~:3 ,sE"