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STATE OF FLORiDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM,UCC - 1
THIS FINANCING STATEMENT is presented to s filinp offioer for filinp punuant to th~ Unifom~ Cammercia~ Codr 3.
t. Debtorls) lLest Nsms First) and Addross 2. S~w?ed PartY ~nd Addras * Fo? Filinp Offia~lOate.Tims. Nurnbs~.~ndFilirg
Offioe)
:llOiltis :~'t23s L~':~~1':i31 r`1n3.^_~3
~t 1 b_: !t~t~ 1130 11!tl 3 Fe i ~~•~ry
~?ort ?~erc~~, .~la. rort ?iArc~, t~la.
4. ThisfinanCinystaterMntCOVer'st110fOllO~wirgtyp~s{OritsnnslOfprOperty:(Checkbozwhich~PP~1
Ap oj tht household Jirrnitrro ond Ji~rnid~l~ eJcrtrlal and ~s aPFft~ncu~ tnelydt~g tr/evitton
xtR Pl~ono~aPlu and ncord pbyen~ nJYlseroto~ etG. ~nd othe~ perm~wl prope?ty now ownod
o~ ker~esjte~ uq~i~rd !n ropl~cen~ent thenojad »ow or henojter bntM at tNe nsWenee oj the
Drbto~s at tht oddrcts lClv~en ~Dv?"e iw Box l.
5~ Assiqneds) of Sscurod Party and~?ddressles)
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6. Chedc if true~ The swr~s nquihd bV Chapt~t 201, FS. hsw bMn P~wd on tM Promi~o~Y instrumM
secund f~nb'b. ~nd wi116e P~~ on enY add'nwnN and s6nilar fnsuument that mN b~ so t~wrod.
Dneumenouy rt~+np: ~ttechtd to ortsLw~ nofe ~wd c+~+eAed
This ststema~t is fiNd without ths Dabtor~ si~nawn to P~~ a~uMY int~rrat in oollmrd (Chsdc ~x if so)
? Atnsdy wbj~ct to a sscuritY int~nst in ~od~ Juri~diction wfwn it wn brou¢~t into this ststa
~ ? which is prooseds of tM aipiml oollstsrd d~scrb~d abw~ in which a~curitN intenst w~s penc~t~d:
Check x'f oo~vKSd• []x Proc~sd: of Co14tKa1 an aiso c~nd.(]Produca of ColbtKal an sWo oavered N0. of additional Sherts pres~ntad:
F iled with: C7trk oj the CL~cvtt Cowt oj Counry. F7orid~
S~cvrod * . `
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~a STANDARD FORM - FORM UCO1 • M~r
* 7ypt Jlrit and cornpkte corporoa mm~a
2~3~ ~"i
filEO AlID RECOROEO
ST. ROCEr POITRAS .
CLERK Ci?.CUIt COURT
~ RECORD vERt~lEO..,,~..~~..
M~r 13 !2 ~9 PH'T~I ;
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BOOK~~,T PAGll~i1~7
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