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STATE OF FLORIDA
UNIFORM COMMERCIAL CODE - fINANCING STATEMENT - FORM UCC - 1
THIS FINANCING STATEMEN7 is prosentad to a filinq officer for filing pursuant to the Uniform Commercisl Code: 3.
t. pebtorls) tLast Name Firsti and Address 2. Sec~irod Pa?tY s^d Address * For Filin~ OfficerlDate,Time, Number,andFiling
Office)
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This financing statart~?t covers the follo4viny typeslor itsrt?s) of prope?ty: (Check box which opplter),
AU oj the howehold fu~»Itun and jumithing; elsctrrcal ond aas applia~c~; includfn„~ tdevlsion
set; phonoarophs and record ployera. rcJrigeroton~ etc., and other pnsona! property now owned ~
~ o~ htreojter acquind tn nplace»~ent thenojand now or htrcajter located at tht residenet oj rhe
Debton ot rhe addness 1[i?+ew abovt in Boz l.
5~ Assigneels) of Secured Party end Addressles)
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o. Check ii true0 The stamps nquired by Chapter 201, FS. have been piacsd on the Promissory instrumea
~ secuted hereby, and will be Placed on any additionsl and similar instrument that may be so secured. .
s l~oeumeRwry stamps attached to ortaLta! note and eanet//ed
f ' n,s statert~ent is filed without the Debtors' siynsturo to perfect s sscuriry interest in collateral. (Check nx if so!
~ ? AI?eady wbject to a sscurity interest in another jurisdiction when it was brought into this stata
~ ? which is proceeds of the oriqinal coll~teraf d~scribed abwe in which a security interest wss perfected:
C nech x if covsrad: [x~ Proc»do of CollatKal sn slso covered.~Produ of Col teral are also caverod Na of additionsl Sheeu presented:
~ _~~ed with: ~ Cltrk of tht Ctrcuit Court oj ~v~ C nry, Flo~idu
Secured Pa *
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oebtor ;
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Debtor STANDARD FORM - FORM UCC-1
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