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OEC 13 i0 ~s ~N'73
STATE OF FLORIDA
UNIFORM COMMERCIAL COOE - FINANCING STATEMENT - FORM UCC - 1
?HIS FINANCING STATEMENT is presented to a filinp officer for filirg purwant to the Unitorm Comrt~ercial Code: 3.
i. Debto~is) ILast Neme First) end Address 2. Sacurod Party and Address * For Filing Officer(Date, Time, Number,and Filing
Ofiice)
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4. Th is financing statement covers the foilowing typeslor itert~s) of property: (Chrck box which appJiesJ
AU oj the household firmitu~r and furnishirtg~~ eftctrical and aas appfiance; inciudina tele?tision
D xet; phonogmphs and record playert, nfiiserutors. etc., and othes personal property now owned
or her~ojter acquired in rcplacemtnt thercof and now or henajter Jocuted at the rcsidence oj [he
Debtors ut tht addrcss RJvr» obovt in Box
, _ 5~ Assigneefs) of Secured Party and Addressles)
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E 6, Cneck if uue~ The stamps roquired by Chapter 201, F.S. have been plsced on the promissory instrument
~ secured hereby, and will be plsced on any sdditional and similsr instrument that may be so secured.
; fhxumcntary stomps ettached to oriainal note and cancelled
3 This statert~t is filed without the Debtor~ si~ature to perfect a security interest in collsteral. (Check Qx if so)
~ ? Alresdy wbject to a security interest in another juradictio~ whan it vws lxought into tha state.
~ ? which is proceeds of the original oollateral described above in which a security i~terest wss perfscted:
~i Check[x ~if covercd• x[] Proceeds of Collateral are Mso covered.~]Products of Collateral aro also covered. Na of additwnal Sheets presenied:
~ "r i led with: Clerk oj tht Circuit Cou?t oj County. F(orlda
~ Securod Psrtv *
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~ ~t~ STANDAR~ FORM - FORId~ UCC-1 Manager
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