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. STATE OF FLORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
7 HIS FINANCING STATEMENT is presented to s filing ofticer tor titing pursuent to the Uniform ~ommercia! Code: 3.
1. Debtorfs) (Last Name First) and Address Secured Party and Address * Fo~ Filing OfficerlDate,Time, Numbe?,andFiling
Office)
~~.AN R PAT AP,[! ~F~l~F f C I A.l. F I?'~l.A^J('F C('~ .
' T~ PR I ~'A I STA 1 1~11 6 FED N1~ly.
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a. This financing staternent covers the tollowing types(or items) of proper:y: (Check Do.r xi~ich applics/
All ofthe housrh~Nd jamiturc and jurnishing; electrica! ond gas appliante; inctudinq te~erislnn
f'~'1 set; phonogmphs anJ rccord pla}•ers, nfiig~rator; etc., and othtr perro~ial propr~t~• nux• nwned
!-'J or hertajter acquired in rtp;pcemrnt the~eojand now o~ lcereojle~ 1cu~ateU at the ~esidcnce oj rhr
Debtors at the uddreu ~qiren ubo:e in Box I. -
` r-~ ~ Assigneels) of Secured Party and Add.ezs(es1
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; 5. Check true~ The stam~s required by Chapter 201, F.S, have been pleced on the promissory innruments
~ ~ecureu +~ereby, a~d wilt be placed on any add'rtional and similar instrument that may be so secured.
i U,~cumeRtary stamys artached ro oiiginuf i~ote and cance!led.
~ Tr~s state~~er.c +s filed w;thout the ~ebtors signature to perfect a security interest in collateral. (Gheck u,f so)
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j ? Alrsody wbject to a security interest in 0nother jurisdiction when it was brought into this state.
i ?~~:t ~ is proceeds ot the original cotlateral described above in which a~curity interest was perfected: •
;'nzck'Lx~if cwerad: ~x~ Proceeds of Collateral are atso covered.~Products of Collaterat are atw covered Mo. of additional Sheets presented:
F~ led with: Clerk oj thr Crrn.ir Court oj Cuunry, F7oridc
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E ~ ~ ~ Secured Party .
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Debtor STANDARD FORN~- FORM UCC-1 Manager
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