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r?ii5 F~PJ~trCiNG STATEM@~rt ~s pesemed w o filug off~cer for filinp purwont b ihe Un~i«m Canr+Krcial Code: 3_ Moturity dots (if ony:)
1. Debtor(s) Ilost Norne fent) ond oddrcssles) 2- Secwed Portylies) ord oddressles) For Filitg Officer (0ote. Time. Numbe~,
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~ ~ Hamm Frank & Juanita ~81e Finance Corp of F. P. ~ -
~ 2610~Av Q 205r S? Fed . H ST ~~c~: ``"~a1~~t _
UtY• ltiG=~ ~0.`~l13 ,
~ Ft. Pierce, Rla. ~~50 Ft. ierae, Fla. ~3450 ~t=K ~=~~j~ z~~ :
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~ 1. This firwncioq sw~eenent wrea M+e follow"a+p types (a irams) of prope~b: f~e ~ I 21 ~M 1 +
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~ All ,house~:old good ~'urnishings at tt?e abo~e addre~s. 2'7~$85 ?
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s. Asrgneelsl or aec~wsu .1~s) ~
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- 6. 1he setured PanYlsl, wfiose siynohwe(s1 oPP~n below, states Mwt the start+ps required by (?+opter 201.
Flor~do Stot~tes, if ony, hove been ploced on rhe promisswy instruments setwed hereby. ond will be
ploced on ony odditwrwl ond similor instrun+ent that moy be os setuted.
This starernent is fikd witho~A tlx debw's sgrwnxe to perfeat a secvriry interesr in colbterol. (Chedc ~ if so)
? Alreody wbjM eo o secunty i~terest ie~ ano~her jwisdictan wfia? ir wos brought mro this sbte.
? Wh~ch is poceeds of the er:ginol cdlaterol described above in which o secvr~ty intercst wos perfected:
~ Check Q if carerod: ? Proceeds o( Cdtoterol ore also covcred. ? Products of Cdtoterol orc olw carercd. No. of Add~twrwl 51.ce?s prcsented:
filsd wilh:
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~ Sgnoturelsl of Deb~wls) sy~(~~d~~~
~ STANDARD FORM - FORM UCC-1 ~a~
~L' 11~ F;lir.g C}f~icer Copy -/~~oE?ebAticA{ Approved by IKdwrd (Orc~l Srw+e. Secretory of Storo, Srate of FFo•+do
. EXEC. IDE/\S NO. 1679 .