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1537
iHtS RNANCIMC SiATEMENT is p~sMbd ~o a fiGny oificer fa filinq pvrsvont ro tM Uniform Conu~wrciol Cod~: 3. `yR16N~f,y daN (if on~): ~ Debtw:sl (last No~ne firsf` ond s{nl 2. S~c~rld ~ ~ea) and r f Fe. I.t:y OHin. lO~w. i~r. Iw..?~.. r.A i;4.y pN;~.! ~ ACK_'Ci~ ~ MICHA~, AI~M' P:::R.S:1~. T.`{R~r~~ ~AN, I2JC . ~ ~~ACKSJN~ F.I~SIE 112 S~. 4th SPRr~T f~~fo Rv~~ !iEC~RDEC ; 29(~ ~tECA A~ITrTIUE FORY YI:~:^v:;, ~I. 331~5o ST. WCiE ~UUM1Y FLA. P.OCF= =]"~AS i ~`~RT rI~Cr., FL 331~0 CtEcY Ci1~s COURT ~ _ aF~ce~~ ~ -~rc ~ - R ~ T!,~s finoncin9 sroNnwnl mrers tM lollowinq tYp~s (or :1a.wsj of propertY: ~ ~ w~ ~M : ~ 1 1 1 ~ ; at.L oF ~a~R~ s a~v~ Fv ~~xE, xaus~ao~ coons & 2~75995 GZ : Pc;i3a~riAL P~i",:PRTY s. w..~+..c.~ ~ s.~..a r«~r a,e ~es.+..c..~ ~ Ch~ck if ~rwOjj TM s~a~nps rpuir~d br Chopter ?01, f.5. haw b~~n ptoc~d o~ tM pro~isswr ins~rvmeets s~cw~d Mrtb7r, ond will b~ ploced en awr odditionol t~nd similw instnrm~m Mo~ ~woy b~ so s~cvr~d. tl+~s srot«nenr is fil~d withovt ehe debta's ~ignotvr~ ro per(ecf o s~cvrity in~~r~st in collaMral. (Clxck ~ if w) _ Alrrody svbjM lo o s~curity intNtit in pnofMr jurisdiction wM~ if wot braqM int0 Ihis s1aM. . :~.,Aich is Proc~~ds of ?Fw oriq:nul cdlaterol dtscribed obov~ in ~rhich a s~riry intKn~ wo~ pe~f~c~ed: ~ ''a:t $ ii co+~red: n hoceeds of Collo~~rol w~ olw covn~d. ??roduc~s of Co11oMro1 ore also co~~r~d. Ne. of odditional SMen p~~s~nt~d: f,~~a w~~h: Q.~.:RK ~F CIRCUIT O~:;HT . ` .llQ~ P., „~AI, TH~I F'f P IWC ~ ~ ~ ,yr . , ~ j nowre s:~ of pebtrn.s; ' ~ ~ ' r- i 6Y: eah~n:s) ol S~cur~d ~orrrt:~s) ~ STANDARD FORM - FORM UCC 1 E~:; PAGE~~~ Approwd by Tan Adomt. SecrHO*y c! 5~~!s, S+ate ct f!.•..~o T : _ . . . 7, . . . ~S ~ r ~ ~'_~-y ~ _ ~ a al.:3.c m z2 ~s ,~L S H.H~~3 " S.'.,'-'G,..~. ~i_ C' ~ fi.,„ . A~ _ _ h~~~..i.3~~ ~ .tr - . _ . . i, ,.~v'.+'$`~Y~~-:~~.Yr ~