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Bor 21L-! Ed May '70
4
?i~EO A.r~ aECOROEO , . `
sT. ~uc~~ cac~,T,r F~~. ~ ~ ~~?462 _
aoc~a PoitR~?s l •
CIERK CiRCU1T COURT~ ~
RECQP,D V~Pi=1E0.....r~..~~ '
O~c ~3 10 yu AH'?3 %~'~44s2 -
STATE OF FLORIDA i
UNIFORM COMMERCIAL CODE_- FINANCING STATEMENT - FORM UCC- 1 '
THIS FINANCING STATEMENT is presented to a tilinp officer for fitinp putsuant to the Uniform Commercisl Cods: 3. ;
Debtorlsi tLast Name First) and Adaross 2. Seuirod PartY end F?ddress * Fw Filing Offiterl0ste,Time, Number,andFiling
Office)
Daniel k'halen 3ene`'icisl Finance ~
151 Pennlynn Ave 1LL1 S Fed Hey
~'t Pi srce, Fla Fort P; erce, Fl,a
33450 33450
Th is financ~ng statement covers the following typeslor itertu) of property: (Check box »~teirh opplics)
AU oj the household firrniturc nnd jun+i.ihinat, ttectricol and aat opplianee; inc/uding felrvition
set; phono~nphs and record players, rcjriaeroiort, rtc., and other pe~sonut propesty now owned -
~ o~ hercajter acquirrd in nplacement thenojand now or henajtt~ located at the rcsidenee oj the
Debto~i at tht address ~[i?~en abovt in Box I.
5. Assig~ee(s) of Secured Party and Addressles)
L-J
6. Check if true0 The stamps required by Chapter 201, F.S. have been plsced on the promissory iastrumen
secured hereby, end will be placed on eny additional arx! similar instrument th~t may be so secu?ed-
lhxumrntary sta~np.r ottached to oriatnal note und concelkd
~ Tn is statert~ent is fifed without the Debtors" signature to perfect a security interest in collateral, (Check Q if so)
? Alroady wbject to a sewrity interest in anoil?er jurisdiction when it wss brouyht into this state.
~ ? which is proceeds of the or'pinsl oollaterel described above in which a security interast was pe?fectsd:
~
~ ~ heck[lif cavered~ ~x Proceeds of Collateral are alw covered.[~Products of Collateral are also cavered. Na of'additional Sheets presented:
~ F ~ ~ed with: Ck~k oj the Ctrcurt Court oj Counry, FTorfda ;
Seared Puty * '
Forr =
~ Lx// ~ P,crce
~ ~ F: GZ ~ $'=n*firiwi FpRanC!'~'A O/
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~ ........L~..............t..... .....................H::7°.:itY..}:ca~t.p~.~~~•-Ft~s•'!3~'j?•
~ • ~ ~ ` -
. . .Debtar... ........STANDARD FORM B FORM UCC 1 3~~.'•
* 7ypt fuJl and cornplete corpo~te nama
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