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1040
t ;I ~ ' i ~ ! i I 4 ~ ~ ~ ~ ~ _ ~ THIS fINANCING STATEMENi is pr~s~m~d ro e lili.p oft~cer for filirq pws~+oni ro tM Uwifwm Co~nwN.c~ol Cod.: 3. Mohr•i~ doe~ G~ ~r1- ..1. DeDto~;s) (losf Na/ne Fintl ond oddnss(~s) 2. S~ew~d twryr(ies) ~d uddreaa(~s) f+'"~ 1°'~'. r""'. ~ii°". °"a r~y ot+R.) _ CyARK~ I~~R AND PERSONAI. T.~.IFT PI.Ati,INC ry~i0 AMs~ RE CIARg, JANIE PEA~. 112 8outh l~th STFfRBT iT. 11C~E CO!! 328 1~cr~ta~[ Rnan FoR~ ~.:~c~,~. 33450 ~ocf~ ro+Ta~?s ~ ClERK CIRCU~t COURt ~ ~ FoRT Pz~acE,Fi. 3345o cea~ veF~~~E~.--- ~ ~ ~1 t2 ~ PN'13 ~ th~s finonciny stat~neM co~~rs th~ followirq tppe~ (w i»msl of pop~rty: ~ an ALL OF ABOVE DI~7iDR~S PUNRIZUR~ I~'iUSF~LD t300D6 & P~NAL ;Fr /.a-~ ~ ~ PRCP~TY . s. ~.=~»c.~ ~ s.a..a ra~„ ~a ~we....t«y ~ ~ - 6 CMck if rrw ~ TM s~o.nps rep~ir~d br Chop~er 201, F.S. Aa+e b~~n placed oe tl~ p~w*~ssorl i~s~^~~^?+ sKw~d ~ !»t~bY, and will b~ plot~d an any ~~~o~el ond similar instrv~nt tAot ~woy be w s~tvr~d. _ Th:s stat~nwnf is fil~d witAarl H» debfei s spnah+n ro pKf~cf a s~cv~iy int~r~s~ :n cdlot~rol. (CMck ~ H w) ~ Atr~ody svbjM fo a s~cvrify i~Nrest in onW1+w j~rrisd:d:on wMn it wes b+aqht ielo this stolt. ~ whicl+ is poc~eds of N» wywwl cofbNrol dtscribed obov~ in whicl+ a s~c~~t~ intKesl v+as p~~cNd: - ~ C~~ck r$ i/ co.e~ed: C trotNds of Colloferal w~ alw cov~red. ~/rodrets of Co1loMrol or~ alw corK~d. No. of oddil:onal SM~K p~~s~nt~d: ~i 5~~ Fikd wi1h: ~ ~ ~ ~F ~ \ . • ~j ^ L~ !1' ~ / d `r s:9~a.,,,~ ; oF ~o. ~ ~ ~~~P~c~1040 R.:~ STANDARD FORM - FO CC-1 ~ . . . . . , . Appovld by Taw Adwns. Secrata•~ of Sb!e, Stae~ Ff-.:dc : ~ ~ ~i _ . . - . . ~ ` ~ ~w - ~`.r„ ~e+"T-,:': ,p+ ^z *1' ~4 . a.s• `"`.~~`•~,y~[ ~.'"~t? , '_!.~~'~"..~Ki_. ~~e~...~ ..+s.-~ r_ , . s