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STATE OF FLORIDA
UNIFORM COMMERCIAL CODE - FINANGING STATEMENT - FORM UCC - i
7 NIS FINANCING STATEMENT is presented to a tiling officer for filing purwant to the Uniform Commercia! Code: 3.
t. Oebtoris) f Last Name First) and Address 2. SecureQ Party and Add?ess * For Filing OffiCet(bate, Time, Number,andFili~g
- Oificel
~rad~~ ~iitt.on T~P~ef:c~al Fit~;r.ce C~
33~ ~sr.lP~ st s Fga u~y
Fort "i~T~A~ F?a. F~*L r~9T't`~+~ ~Z-.
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T his financing statement cove?s the tollc~ing types (or itertss! of property: (Check 6ox which app(ies)
-1q oj the househofd jumituit und furnishing; eJectricaf and gus appliance; including tel~rision
~ set~ phonognrphs ond rtcord playe~ refrigeratart, [te., and othrr persoreaJ proptrty eow owned "
or hereajte~ acquired in replacement thereojand now• or hereafter ?ocated at th~ residenet oj the -
Uebtors at the addnu Ria•tn above in l3ox
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~ 5. Assigneefsl of Secured Parry and Add•esslesl
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f o. Check if true[]x The stamps required by Ch ter 201, FS. have bee~ placed on the
i eP p?omissory instrument
i secured hereby, and will be placed on any add"etional and similar instrument that may be so secured.
f Documeatary stmnps artoehed to original nott und nonetJle~L
! This statement is fited without the Debtors' signature to perfect a security interest in collateral. (Check x~ ;f so)
Already wbject to a security interest in another jurisdiction when it was brought into this stat~
? which is proceeds of the origina(callateral described abovt in which a security interest was perfected:
Check~if covered: Proceeds of Collaterat are also covered.OProducts of Coltateral are also covered, Na of additional Sheeu presented:
; ~~~ed w~th: Cle~k of tht Cincuft CouiY oj Counry, Flo~ida
Secufed Part~r,* .
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. BY .~:tar.:l.....Ls~~~ :~;.-s
i Debtor STANDARD FORM - FdRM UCC-1 % Manager
* Typt full and compftte co?porott numa
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