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STATE OF FLORIDA
UNIFORM COMMERCIAL COOE - FINANCING STATEMENT - FORM UCC - 1
THIS FINANCING STATEMENT is presented to a fiting officer for filinp purwant to tAe Uniform Commerciat Code: 3.
i. Debtorls) (Last Name First) and Address 2, Secured Psrty and Address * For Filinp Office?(Oste, Time, iYumber,andFiting
Office)
~~;:THUR LARSEN 9EMFF I C I AL F I NA~lCE C(~.
SE FLORFSTA DR 11~ 1 S FED HY~Y.
ST LUCIE,FL,33452 FT PIERCE,~L,3345C~
4• This finanCing rietement covers the fotfowing types(or itemsl of property: (Check box which appfi~s~
All of the household jr~rnituro and J9erntthing; e%t~ical and gas appliance; including teleti~ision
~ set; phonogrophs and record pJuyen4 njrigimto~ etc., and otht~ pt~sone! property noN• owned
or htrtajttr acquirrd in Kplac[ment thercojond now or henajt~rlacetM at tht rrtidtnce oj the
Debtors at tht addnss Ai~~tn above fn Box I.
i
I ~ ~a Assigxe(s) of Secured Party s~d Address(esl
5. Check it true x[~ The stamps required by Chapter TOt, FS. have been placed on the
p?omissory instrument
securec! nereby, and will be placed on a~y additional and similu instrument thsL may be so secured.
D~k umrr+mry stamps attached ro orrginal nou and caneeJJed
This statemer-t is filed without the Debtors signature to perfect a security interest in collateral, (Check ~x if so1
Already wbject to a security interest in anotfier jurisdiction when it was brought into this stete.
? which is proceeds of the original collateral described sbove in which a security interest was perfected:
CheckC1if cave-~d: Proceeds of Collate~al are also coveted.OProducts of Collateral are atso oovered Na of additional Sheets presented:
~ i ied with' Cltik oj tht Circuit Cou?t of Counry, F7orida
Secured Party rt
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Debtor STANDARD FORM - FdRM UCC-1 Manager
* Type fulf and complete corporafc namG
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