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HomeMy WebLinkAbout0076 d a ~ ~ i i I 1 E s ~ ~ _ _ _ - - - _ _ . _ _ n9aM-i 3-/~i - i FINANCIt.tG STATEMENT is+prescnted to o fil~ny offi«r for fil~:+g pc+rs•.ront to th~ lk+~i«m Canme~uol Cods: I 3_ Motwity dats (if any}: V' ~ebtor(s) (Last Narrs first) and addresstes) 1 T. SKVred Party(ies) end addreu(ea) Fw Filirg Offiter (Dats, Time, Nwnbsr, ond Filinp Office) ~ ~O'D FP_i~~ ~1~v ~Y1 C''1~ - ~ N~"~~C_C~DR~Q Fi~eo ~n~ ~EC~R~ED ~ ~ st. ctiCtE_ COUIITY FLA. ~ ~ ~ O . R4G~i P~~~TZAS ~y~ ClE~'~ •~~~T COI:RT ~~x_ ~1~~ ~ qF~Aqr V:N•t:E~ - - ~-4' •~td.f~C'e_,.. ~ 33 _ /i PM 7 . ~ Tn:s financinp stotement covers ths follow~~y types 4a items) of prepertY: i~ f{`' ~ i All of tims household 9~s a~reoi:er focoted at debtor's residcnce addross xt ?«th obove. N~N~(ytQ ~ 5. Assisnee(s) of Secvred Porsy ond /~dresx(es) ~Ushef pr~p:rty destr~bed os~ ~ (Item) ~ RECORDER'S NUTE ~ ( Schedule A ,pot~at` tached ) ici~~.05 ~i `~~.,~5 ' ~ ~ ~ ~ ~h dc if tnx ~ TM stumps req~ired by Chop~er 20{, F.S. Mmre tee~ P~~~ PfOfnlssory :ns'run~ents secued ~ ~ yt nereby, and ~11 be plac~d on a~Y ~d+tional ond s~m~lar ~nstrvmertr that may be so secued- i ~ ~ Tn~s stote.mnt ~s f~kd w~tho~t ~hs debtor`s siynat~re to pe(fed o sec~:ity ~nie~est m colloteroi. (Check `~j'i if so3 ~ Already subject ~p a ucvr~ty intaest ~n onothu luf~.~~'-~~~^ ~K^ it was bro~qht inro this stote. ~ Mrh~d~ is proceeds of tF~e oriq~nol COIiO7EfQI dCXf~6ed obwe in wh:de o ssc~rity ~nterest wos perfected: ~ ~ x ~ ._k ;~i if covered: y~Proceeds of Col4~:ero1 ors o~so mve:ed. Q Prodvcts of Collororal ore oiso to.ered. No. of oddit~onal Sheets p~ese~ted: ~ ~ i~led with: ~ ~ r`„' Z~W ~ ~ ~ _ 3 ~ ~ . ~ ~ i ~ ~ $ifltwr~r~(sy PortY(iei) ~ g~" ' Siyrwti,re(s d torts) ' ~ ~ STANDARD FORM - fORN~ UCC-1 F=-~ ~ ' !1' ~~17~. Off:c.r Copy ~ AlpAobeticol . . : Approvsd bY TOM ADAMS. Sc~'e','r ~ ~ x~" - - - - _ ~ " '~Y' sx F' .r> . : ~ . . ` ~ ~ ~ , . r`~.,~" ~ . - ~,~3~' „`~~s'~'~ - , ~ -~,.?~~x~~~_~ :°.+e~-'-,~'r ~'s'~ . --_~~~a~