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HomeMy WebLinkAbout0379 i - ~ ; - ~ i - ~ ~ { ~ ~ . ~ 9 3 ~ 4 x s s ~ ~ ~ ~ ~ '~NANUNG_SiATEM_NT is pesented to a fiGny offi!tr for fillny pursuoat to the Ln~f:.rm Car,merciol Code: ( 3. AAutority dote (if any): ~ ~_;.ror(s: (l~is Na:ne First) and address(es) ~ 2 Secvred Party(~es) ond oddressles) for Filiny Ofticer IDate. Time. Nwnber, ond Filinp Offics) ~ i . ~e _.e. , ~ = in~r_c~~ :;cr ~ F~ED~ ~ NECOApE~ + ~ ~rc e t.: • : SL lUCtf COUMTY F~ ~ ~ , , ;:xEe~ - . 'L. ~ . . ROCER POtTfUs ~ . ~~:.~ce, ~ = ecier;.~ CtERK ClRCU1T COUIlT ~ :'t. . - ;rce, ~~cr ~ u~ ~ECORD YER~FfEO Anr lS It - ta ~M'I~{ ~ , s f~nonc.rq stotevne~t cavers the fol:ow~ny tyfxs (or iterns) of poperty: ~ Y~ ~ All ef the ho.,sehcl~+ gcods now o~ hereofte: Iczoted at debtor's res~dence add~eu xt fwth obove. 'd ~ S. Assiqnee(s} of Sr_vred Porty and /lddress(os) O;her property dew~bed a (ftem) 2'793~6 ~ - ~'793'~s - _ ~k if trw_ ihe stamps raquired bY ~pter 201. F.S. }W+e oeer+ Placed c^ ifie Prom~ssory ins:r~ments sec~+r!d - ,•ebY. ~d w~0 be Dlaced oo any odd~t~orw~l and s:mitar tnstrwnent that may be so secured. 'n.s sta:ement is fited w~rnWt the debaor's s~qnature ro pe~fea a securiry ~nterest in cdlate~at. (Check ~ if so) , Alrecdy subject to a netorrty mte.est m onc+rher ~wisdK~:a~ when i: wos broupht into this state. . ~ : wnid~ ~s procecds cf ihe or~y~nal mllateroi destr~bsJ above in w^.:d~ o secur~ry inierest wns perfected: ~ ~ if co+ered: [j' Praecds of Coliareral xe afso oovered. [J Products of Co~la'eroi or~ ofso wvered. No. of odditicnol Sheeti presented: _ _ i ied with: - C~i - ~'v'-'•'1 ~ ~ Q ~ ~2~ ~ 379 ` ' 840~F _ _ =r.~r.ce ~crco : ~ - - =r:; _ vI, ~ _ ~ _ 8,,. - Siynoturels) of Debtor(s) 5~ ture(s) of $ecured Party e STANDARD FORM - FORM UCC-1 z~~~ ~ t• F~I~r.g Office• Copy • Alpi~abetiml Apprwed bY TOM ADMAS. Sec:of.-.-r : _ ~ ~ :i - - ~ - _ . c - ~ i ~ ~ `