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~ This FINANCIN6 STAiEMEIIT is presented to a filing offiar for fiiing purwart ia tha Uaitorm Commer~ial Code: ~3. M~turitp date (if an~r): _
1. DeAtor(s) (Last Name Firsi) and addras(es) ; 2. Sewr P~rh(ia) ~an~ Q~ ~a_~s(
S) For Filing Offiar (Date, Time, Number, `
i jrppa~~lolatiYl'~~ ~ and Filing Offite) ~
H1Qiti92'~ ~ C~ LOl'Ot?tA ~.OP~+tIi Zl~~ ~ FIlEO AN~ RECONQED -
z~ J~1 tr Z!~ ~~1~era], H~~N~ , ST.IUC;E vOI:NTY flA- _
Fort Pieras ~ Flori Fort Piero~, Florida ! F c~,~ :::1 ~ ~s
CLERK C~~•~~~j COURT
~ REC~Fn YE`:if'~D ,
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4. Tbis financing statemeM cmrers fhe following types and/or iiems oi properry: . , 1r• 45 fl~
- 1 NR.
(a) If described. Motor Vehide as follanrs: '
•[AA Y/~R[ ~JD~ - T~?C MODEI NO.~? ~[~I~L MVM~[A YOT01l NYM~[A Mo. , 5. Assignee(s) of Sewred Pafir and -
- Addreu(es)
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~ T~r with aU Tira, 8attuia, Radios, Hesters, Equipmerit and Aocessories now or hereafta attached thereto; ; `
(b It checked at left, all household 9oods, furniture, appliances, and consumer goods of every kind and ~ ~
~ cfescription ow~ed at the time of the loa~ secured hereby, or at the time ot any retinance or renewal the?e- ~
L,~:; oi, or cash advanoed under the toan agreement secured hereby, and located about the premises at the i }
~ Debtor's residence (unl th~~~d1V UtL1~RLDlA1+ ~p~~~~ be moved. I
DOC STA~S ~ ~
This statemeM is filed without tbe deDtor's signature to pe~tat s searitp inteast in collatual. (c~d~ p if so)
a«~ Q alreadp subject to a securitp interest in another jurisdidion when it rras brougM into this state.
~ Q which is praceeds ot the original collater~l dexribed sbove in which a sewrity irterest Nas perfected:
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Check OO 'rf oo+'ered: p Proceeds of Colfateral are a{so covered. p Products of Collatenl are also corerod. No additional Shetts prese~ed:
FUTURE ADVANCES ARE ALSO COYERED. Filed xtth: -
~ THE S'_CURITY INT REST WILL SECURE ~ HER IHDEBTEDNESS.
~ ~ - ' AVOO M~dDC~~ $BZT~OAB Of HOu~~! F~~ I2iC~
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