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~ `H:5 FItvANC~NG STATEMENT is prese~ted to a f~lirp officer for fil~~q pvrsuont to the Un~f«m Cortunerciol Code: I 3. Motwity date (if any)x 7 ~
i Deb:or(s) tlaat N«ns Fint) and oddressles) 2_ Secwed Parfy(ies) and oddress(es) For Filinp Officer (Oa% Tims. Nurtibsr, and Filirg Offic~) ~
~ :.~i:cs~ :=;rrtice ::er:Qr~ k'in~ce ~or~~oration FlLEO aN0 r~ECORQE~ .
~t.lMCl[ COUMTY
~ ~22'! S v~5 1 i,ct 112 301z~ ~cuth Fedaral `~:~~'r.wa;,- ROCER POtTRAS '
~ ~ ' ' 3'~~50 CLERK G3~U1T COW ' ~
•:'t. ~ ierce 'r'~. 3~1.50 :~t. Pierc~, ~ REC4Ra vEFtF~fD
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a ;nis finoncinp starernent cavers tM folbw~ng hpea (ar items) of property: ~ ~
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a] All of the hovsehold pcods r.aw a hereafter bcoted at debtor's ros;dmce oddross xt f«th above. 2~~Q~~
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~ ~j Omer prope.ty dew~bed u S. Ass+ynse:s) of Secwed Party and Address(es)
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~ (Item)
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6 Chxk if true The stomps req~~red 'oy pwpttr 201, F.S. have txen ploced c~ tF~e prwnissory instruments secwed =
_ hereby, ar:d wiil be placed on ony oddinonal and s~milor ir.strummt that may be so secvred-
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;'3 This stoternent is 4iled w~thout t?~s debta's sipoaturs to perfect a security ;nterost in cd~oteral. (Check 0 if so)
' ? A~reody wbject to o secunty interest in another j~risd~u~on when it wos brovgl+t into this state. .
- wnidti ~s pruceed~ a4 ths orW~nal collarerol ciew~bed obove in wh~cfi o secvrity ~nrerosr wos perfected~ ~
~~eck ~ if core{ed: ? Proceeds of :vlbterol we also covered. ? Product~ 04 C.olioteral are also covertd. No. of odditirnal Sheets psseNed: . ~
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f~led with:
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:~e~eral F' n~;,nce :oz^raraticn
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{ S~yrwMe(s) d Debt«Ssy Si ro(O oRf ~red P ies) ~
STANDARD FORM - FORM UCC-1 2~ p r1~ ~
r"' ~(>f( •r• CcpY - A!phabe~ital r~L 43
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- /lpprw~d bY TOAA ADAMS. Secres_., ; ~ ± . . .