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STATE OF FLORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
THIS FINANCING STATEMENT is prcsented to a filiny officer for filing pursuant to the Uniform Commerciat Code: 3.
1. Debtor(s) (Last Name First) and Address 2. Securod Party and Address * For Filinq OfficerlUate,Time, Number,andFi~ing
Off ice)
~~•cLUffie~ ~ames, nosa Lee
Ave D B~•n.-?,-:~i f=+a.,u~:e Cv. oF Fort Y~.•r:r
` t Pierce, Fla, 3345~ t 14l 5. F:.:rn.l Hi~i~~ti.iv. F~+rc 1'i~~r~c. :~a. ~3 .
Th is financing staterne+~t covers the following tXpeslor itertu) of property: (Chtck box which appli~sJ
AU oj the household jumirun ond fumishin~ ettctrfcat and gos appliance; incJudina televitton
ut; phonoarophs and ncord plnyert, njrlgeroto~ etc., and othe~ pe~sonal properry now oMned
~ or hercajte~ ocquircd in replocement thenojand now or hereajter Joceted ot the rrtidenc~ oj the
Debron at the addreu Riven cbove ln Box I.
- ~a Assigneels) of Secured Party and Addressles)
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~ 6. Check if trueQ The stsrty~s required by Chapter 201, F,S. have been placed on the PromisswY ~nsirurt?en
secured hereby, and will be plsced on any additional and similar instrument that msy bs so secured. `
4 Docurnentary sra,npt enached to oria(na/ nott a~d crtnctUed
; This statement is filed without the Debto~ si9nature to perfect s security interest in collateral. (Check ~x if so)
j Already wbject to s security interest in another jurisdiction when it was brouyht into this state.
~ ? which is proceeds of the original collatetel described above in which a security intersst was perfected:
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Check[~if covered• x~ Proceeds of Collateral are also caverod.OProekicts of CoUateral are slso covered. Na of additional Sheeu presented:
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3 F i ~ed v+ritfi: Clerk oj the Ci~cuit Court oj _ Coun ry, FTorida
~ Secured Party *
~ ~ F Hena•ti: i 1 KiII'rnce ~~v, ur furc 1'irrCc
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STANDARO FORM - FOR~C-1
~ * T~pt full and comp(cte corponte namG
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