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STATE OF FIORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
TNIS FINANCING STATEMENT is presented to a filin~ officer for filiny purwant to the Unitwm Commercial Code: 3.
t. Debtorls) ILast Name Firn) snd Address 2. Secured Party end Address * For FilinyOfficertDate,Time, Number.andFiling
Office)
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4. This financing statement covers the following typeslor itertu) of property_ (Chcc~ box whrch oppliea)
AU oj the household jurniturc and furniaJein~ tlecnical and gas cppliance; includtng relevision
f*1 set; phonog~uphs and record playeit, njrigesato~. ctc., and other persoral prope~ty now owned
o~ hereajie. acquircd in nplacement thenojand now o~ hertajter locet~d at the rrsidener oj the
Debtors or thr addr+rss ~i?Yn above i» Box I.
. 5~ Assignce(s) of Secured Party end Addressles)
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~ 6. Check if trueQ The startips required by Chapter Z01, FS. heve been placed on the promissay instrumen
~ secured hereby, and will be Placxd on any additionsl and simitar instrument thst may be so secured.
~ D~xumenwry stanps etwch~d to oriafnal note and caneelled.
~ This statemeM is filed without the Oebtor~ signaturo to perfect a security interest in collateraL (Check Qx if so)
~ ? Alresdy wbjsct to a security interest in another jurisdiction when it was brought into tha state.
? which is procaeds of tAe original colleteral dascribed above in which a security interest was perfectcd:
Check[lif covered• [x~ Procseds of Collateral are s~so cover~d OProdutts of Collate~al are als~ eovered. N0. of additeond Sl~eets presented:_
F i led with: G7erk oj the Ctrcvit Cou?t oj County, Florida
Stcured Psrty *
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~ .....................,..........Oebtor ................................STANDARD FORM B FORM UC~-1~_............................................. Manager...
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