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- STATE OF FLORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
THIS FINANCING STATEMENT is prosented to a filing off"icer for filing pursuant to the Uniform Commercial Code: 3.
1. Debtorls) (Last Name First) snd Address 2. Seared Party and Address * Fw Filing Officer Uste, Time, Number,andFiling
Ofiice)
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This financi~g statement covers the following types(or itertu) of property: (Check•box which applresJ
A!1 oj the househdd fumitun and jurnishing; e/ectricol ond gas applinnce; includixg televlsion
Q s,rt; phoncraraphx and rtco~d players, rejriariatons ctc., and othe~ personal prope~ty now owned
o~ hercajter ncquirrd fn rcplactment th~rtojand now or hereaJttr locattd at tht nsid~ntt oj the
Debtorsat rhe addrcss~qiven above in Box 1.
5~ Assignee(s1 of Secured Perty and Address(es)
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6, Check if true[xQ The stamps required by Chaptsr 201, FS. have been plsced on the promissory instrument
~ secured hereby, and witl be ptaced on any additional and simi{ar instrument that may be so sscured.
Documentary stamps ottochtd to orfaino! nott and canctUed.
i This sta~emenc is filed without the Debtors' signature to perfect a seeurity interest in collateral. (Check nx ii so)
f ? Already wbject to a security interest in another jurisdiction wher~ it wes brought into this stata
? which is proceeds of the ori9insl collatersl described above in which a security interest wes perfected:
~
~ Check[lif covered_ Proceeds of Collateral are alw covered.OProducK of Collateral are also covered Na of additwnal SF~eets presented:
s F i fed with: C k o Circuit Cou~t oj County, F7ondrt
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~ Debtor STANDARU FORM - FORM UCG1 Me~tge~
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