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STATE OF FLORlDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
THIS FINANCING S7ATEMENT is presented to a filinq officer for tiling pursuant to the Uniform Commercial Code: 3.
t. Debtor(s) (Lsst Name Fim) and Add?ess 2. Setrired Party and Address * For Filing Oificer(Dste, Time, Number,andFiling
OHice)
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4• Th is finanCing statement Covers the follOwirtg types (or items) Of prl~perty: (Chtck box whtch applJes)
• All oj the howehold jurnltrrro and jurntthi~ tltct~icul und aas opptwnce; ~nciud~na tdevuiun
~i'~l se~ phonaariaphs and record pfayerr. njrigeraton, etc., and other personal property xow owned
~ lor h~rrajrrr acQuired l~ rcplacement rhenojund now o~ henajter Jocated at the ntidence oj the
' DeBtors oi tht address Riven above fn Box l.
D 5. Auigr?eelsl of Secured Party and Addressles)
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6. Check if true[x~ The start~s required by Chapter Z01, FS. have been placed on the p?omissay instrumen
secured hereby, ~d will be plsted on any additionai and similar i~strument that tnay be s~ secured.
Documentay sta»~ps at[ach~d to oriainal note and cancelled
rn,s statement is tikd withwt the Debtord signature to perfeet a security interest in collateral. (Check Q;i so1
? Already subject to a security interest in anotl?er jurisdiction whan it wss broupht into this stata
? which is proceeda of the original oollateral described above in which a security interest was perfected:
~~heck~if covered: z[] Procesds of Cotlateral are slso corerod.[]Producu of Collateral ere also eovered Na of additional Sheets presented:
F i led with: Clrsk oj the Cimrtt Coun oj Coun ry, F7orido
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•~t~ i• STANDARD FORM - FORM UCC-1 Manager
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* Type fall and compfete corporatt namG
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