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STATE OF FIORIDA
UNIFORM COMMERCIAL CODE _ FINANCING STATEMENT - FORM UCC - 1
THIS FINANCENG STATEIrlENj is pros~nt~d to u filinq officer fw lilinp pursw~t to theUniform Comm~rciol Cod~: ~ 3.
1. D~btw(s) (Lust Nan~First)andAddr~ss 2. S~c~r.d P«ry ond Addnss'~ ForFilinpOFf~c~~(Dot~,Tim~,Numb~r,andFilinp
- _ Offic~)
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+.iAY~lE AV~'Pi!!F 1141 S•`' FFr~ ut•;v
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4 This finmcin9 stat~nt corNS th~ followirg trp~s (or it~ms) of p~operry:(Check bnx ubicb aQplies)
~ A!/ o/ tbe bouse~old goods now owned o~ he~eaJter acquired in ~ep/acemenl tbereo/ and nuu- os ~
' 6erea/les loca[ed at [be Debto~s' place oJ residence at address given a6eve in Box I. ~
~ 5• As:i9ns~(s)ofS~cw~dPwtymdAddr~ss(~s)
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6. Ch~dc if trw ~ Tbs stomps nqui«d by Chap~er 201. F-~ ~wv~bcen ploc~d on th~ p?omissory instruments~
I :•co.•d h.r.br, ond will b~ plac~d on ony odditionol and similor instrum~+t thot may be so s~cur~d. ~
' Documentary stamps atlacbed to original ~wte and conrelled _
j Th~ s stotfm~nt is (iltd without fh~ D~btors' siynotur~ to pe~f~ct o s~cu~ity inttr~st i~ collotwal. (Check L is w)
~ _ Alr~ody subj~cf to a s~curity inter~st in onothM jurisdietion wh~n it v~ras brouyht into this stote.
{ ` vnhith is proce~ds of tM oriyinol collotarol d~:crib~d above in which o secwity int~r~st was pMfect~d:
~ C hsck if cov~r~d: ~ Proc~eds of Co1lotMal un also cove~~d. C'Produds of Collottrol or~ olso cover~d No. of additional Sh~Nspr~se~t~d:
F~led witlc Clerk o/ tbe Ciscuit Court o/ Coun(y, FloaidQ'
S~cwed PaAy*
lSancti.iel E~n.nrr lb. of Port Pieree
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STANDARD FORM - FORM UCC-1
Type /n![ and comple[e corporate name.
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