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STATE OF FLORIDA
. UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
TMIS FINANCING STATEMENT is presented to a til~ng officer for filing p~rwant to tAe Uniiorm Commerciat Code: 3.
1. Debtor(sl (Last Name Firstl and Address ~ 2. Securtd Party and Addtess ~ For Filing ONiter(Oate, Time, Number,arxiFiliny
Office)
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This financing statement covers the following types(or items) of property: /Clreck box whicl~ applies j
~ AJ1 of the household jumiR~rc and jurnishing~ etrrtriccl aru! gas uppliance; incltldinq telct~iSlon
j Q sets, ph~nogrephs und rteo~d p/ayers, nj?i~trato~~ etc., and otlter persona! E+ruptrtc now~wneJ •
f o~ hena;
ter ucquired ln reploremrnt tAereojanJ now w hereajrer loeated at the residence af the
i D~hto~s ot :he ad~lress ,Yiti~er, abo~Y in Box I.
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; r--~ 5~ Assignee(sJ of Secured Party and Address(esl
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b. Check :t true x[~ The stamps reyuired by ChaFter 201, F.S. have been placed on the promissory instruments
~ secured !:ereby, Snd wilt be p~aced on any add+tiona! and simila? instrument thet may be so secured. ~
~ L7ocu»:~r~tary stamps ortache~i t~ origina! nnte and cance(!ed ,
T~~s ;taterr~ertt ~s fiied without the Debtors' signature to perfect a security interest in collateral, iCheck ~ if so)
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€ ?~tready wbject to a security interest in another jurisdiction whe~ it was brought into this state.
~ [j.vhich is proceeas of the originai collateral described above in whicA a security interest »as perfected:
€ Check~i4 covsred: Proceeds of Collateral are also covered.[]Pcoducu of Coltateral are atso covered No. of additional ~heets presented:
~ r~led with: Cfrrk oj the Ci~cuit Court oj Ccunry, Flo~ido
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; U ORM FOF~iA UCC-1 . Manager
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