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Bo~ 20I.-! Ed May '70
F~~EO ~NO ~.COROEp '
ST. IUCI~ COUMIY FLA. . `
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STATE OF FLORIDA ~
UNIFORM GOMMERCIAL CODE - FINANCING STATEMENT - FORM UCC • 1 =
THiS FINANCING STATEMENT is presented to a fifiny officer fw filinp purwant to tM Uniform Commercial Cods: 3. '
t. Debtorls) lLast N~ne Firstl ~nd Address 2. Ssa~red PsnY and F?ddre~ * For Filing OfficerlDate, Time, Number,andFiling ;
Office) `
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Tn is finenciny staternent covers the followiny types (or i[ems) of property: (Check Dox which appties)
Ad oj the housthdd jurninero and furnishirt~ electrical und gas applionce; 1ncJudfres televisron •
Q setr, phonoanuphs and mord pfayert, njriaesator; etc , and other pe~sona! property now ownrd
or henaj?er arquirrd in nplaeement thereojand now ~r henajttr locattd at the rrsidence of the
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DeDton at the addnss ~tiven aborr in Box 1•
5. Assignee(~ of Secured Party and Addresslesl `
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; 6. Checlc if true~ The start?ps required by Chapter 201, F.S. have been pl~ced on tl~e {xomiuory instrument
; secured hereby, and will be placed on any additionsl and similsr instrument thet may be so secured. {
~ t"3ocumentary stanpt anoched to osidind nott und canetlltd ;
F Tnis statertxrt is filed vrithout the Debtors' signsturo to perfxt a security intenst in ooliateral. (Circck~x if so)
~ ? A~ready wbject to s security interest in another jurisdicYron wMen it wss txou¢it into this state.
~ ? which is proceeds of the wiginst coilatersl described sbove in which s sscurity interest wss perfected:
~ Cneck x if covered: ~ Proceeds of Collateral are slso covered.[]Producu of Collateral sre slso cavered Na of edditionsl Sheea praented:
~ ~~~ed with: Cltrk oj ri+t Circvit Court oj - Cor~nty, Florida
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~~~Frnance Ca of ten P'sertt
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~ ~ta ' STAiVbARD FORM - FORM UCC-1 Ma~ager
~ * Type jull und complete corporote nama
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