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STATE OF FLORI~A
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
THIS FINANCING STATEMENT is presentod to s filinp oH'~ for filinp pu~usnt to the Uniform Commercisl Cod~: 3
t. Debtw(s) (Lsst Nart~e Firstl and Addmss 2. Seturod Party snd Addtsss ~ For Filinp Ofi'~(D~te. Twn~, Numba.~ndFilirq
OHia)
~ARLAN~ wELLS AEr!FF I ~ I AL F I NA~J~F
1~t~ V~FST GtFN 11 1 S!~ FE~ !-~W!~ ~
FC~RT PIFRC:E,FLA Ft~RT PIFR(:E,FLA.
4. This finantin~ sUtert~ent covers the followinp types lor items) of prop~rty: /Check DaY w~hich oppftrs)
AY oj tht household Jrinltun and fionishi?r,~; tJtctrltal end aot oppllwce; L~tludina tele~uion .
er'S ~..~..~~i.' ..i~..~.. t.s~.«.t~,»_~ .~.i :.~f.. r..?a~wot mm~ii?~ n.a~. nwrntd
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~ o~ hererJtt~ ocqwi?rd lw nploetment [henojand now ur henojtt~ located at tht nsWen~e oj the
Debtors at tht addxst ~irrw ~Dore tn Bor
5: Assipneels) of ~red Pany ~nd Addr~ssl~sl
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6. Ch~dc if trw0 Ths stunps n4uind by Chapter 201, F.S. h~ve be~n plsc~d on the promiasory i~strumen
~ewnd Mr~by, and rvill b~ pl~ad on any sdditionN snd similar instrument that msy bs so »cuhd.
Uverw~enway ata~nps etacAied to orlatw~l noa ond canceOed.
j This st~rt~rtMnt is RNd witAwt tM D~btors' sip~awn to perf~ct a sswrity iotasst in collateral. (Check Qx if so)
~ Alnsdy subj~et to a s~curity intehst in anotMr jurisdicCwn when it was braqht into Mis ststa '
E ? which is P~oce~ds of the oripinN tollster~ d~sa~sd slwve in which a sswrity intK~st was peristt~d:
~ Check[ztN coversd• Q Procssds M Coll~tersl sre also covend.[]Produca of Collatasl are Nso ooversd Na of additioeal ShNtt praant~d:
F~ad wiM: crrrit of rtie c:sc,~tr Ca.n ol Cownty. F7aid~
S~cured PHty s
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D~btOr~
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..Q.......~~,o!~......~~...~:~~ BY
STANUARU FORM - FORM UCGI •
71•pe fu11 and canplet~ corporott nana
FILED 44^ RECORDED ~
ST.ltiCiE :;OUMTY FIA.
RuGcii ?JiTRAS
CLERK Ci :CifIT COURT
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