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S7ATE OF FLORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
THIS FINANCING STATEMENT is presented to a filiny officer for filing purwant to the Unito~m Comme~cial Code: 3.
1. Debtorls) (Last Narne First) and Address 2. Secured Party and Address * For Filing OfficerlDate, Time, Number,a~d Filing
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This financing statement covers the tollowing types (or items) of property: (C7teck 6ox w/irch ~ppfies/
AII oj tht househdd jumiture and ju?nishing; eltctrica! and gas appliances, incluJing tele?•ision
~ sets, phonographs and recurd playert, rejrigerator; etc., and oiher persona! propnty now owned
' or herca fter ucquircd in reptuc~mtnt thereoj a~rd noN• or hereajte~ locatrci ar the ~esidrnce "oj the
(Xbtors at the adJress Ri?•en abo?Y en Box •
5. Assigneels) of Sscured Party and Addressles)
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ti. Check if true~ The stamps required by Chapter 201, F.S. have been Qlaced on the promissory instrument
secured h~reby, and will be placed on any additionat and similar instrument that may be so secured.
Dorumr-ntary stamps artaehed to ~riginnl note and eancelled. -
~ Thr srateme~~c ~s filed without the Debtors signature to perfect a security interest i~ colfateral. iCheck L ~f so)
~ ? Already wbject to a secunty interest in another jurisdiction when it was brought into this stat~
~ whic'~ is proceeds of the original cotlateral described ebove in which a security interest was perfected:
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~ ~nackriif covered: Proceeds of Collateral are also covered.OProducts of Collaterat are also covered. No. of additional Sheets presenced:
~ F lfed with C1erk oj the Circuit Cou?f oj Counry, F7odda _
~ Secured Party ~
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Debtor Manager
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