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' Bor 24L•! Ed S1ay '70
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STATE OF FIORIDA
~ UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1 .
THIS FINANCING STATEMENT is p~esented to a filing officer for filirg purwant to tfie Uniform Commercial Code: 3.
1. Debtor(s) (Last Name Firstl aq~ Address 2. Secured Party and Address ~ For FilingOfficerlDate,Time, Number,andFiling
° Otfice)
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3. This financmg statement coversthe following typeslor itemsl of property: (Check box whicl: upplies)
All oj the household jumiturr and furnishing; electricc! and gas app/iance; including trle?~ision
~1 set; phunogruphs and record player; rejrig~ruto~, eta, und othe~ pe~sonal p~opeiiy noN owned
~-1 or henajter acquired in replacem~nt thereojand now o~ j~ena~ter Jocated at tht resrdence oj the
Debtors at the eddress Riven above in Box 1.
! . _ > ' A gn (s) of Secured Party and Addressles)
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g o. Check if trueQ The stamps required by Chapter 201, F.S. have been piaced on the promissory instruments
~ secured hereby, and will be placed on a~y additional and similar instrument that may be so secured. .
~ Documentary siamps atieched to oriainel nore an~i rnncelled -
~ 7r,;s statement is filed without the Debto~ signature to perfect a security interes[ in collateral. (Check Q if so) ,
'F Atready wbject to a Security interest in another jurisdiction when it was brought into this stat~
~ ? which is proceeds of the origirtal rnllateral described above in which a security interest was perfected:
~ "heck x if covered• Proceeds of Collateral are atso covered.OProducts of Collateral are also covered. No. of additional Sheeu presented:
i F~ied With_ Clerk oJtheC~rcuFtCourt oj Counry, Flonda
a Secured PartY * .
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~ Debtor STANDARD FORM FORM UCC-1 Manager
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