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This flNANCiN~ STATEMiENT is praented to a filing of6cer for filin` purwaM to th= Urtiform Commertial Code: 3_ M3rturit~r date (it anp):
1. Debtor(s) (lasi Name First) and address(es) 2 Sewred Part~i(iss) and addreu(a) Fw F'iling Qffiar (Date, Time, Number, g.
Jacksin~ Willie Lee Sr. and :Ll ce 4v~co Finan~ixl Servlces ane f~i~ng ort~ce)
1011 ~ve. I + of Hollyuood~ Fla. ~ Inc.
Ft. Pie~ce, Fla. 3345~ ~ 2502 South Federal Hs.ry/ ~ fILEO AMD RECOROEO ~
F`t, Pierce~ Fl~. 33454 ~ ST. lUG1E COUNTY flA.
` ROC~R FOITRAS
- i RECORD VERI ED ~OU
4. This financing statemeM carers the followieg tYpes and/or items of proptrly: ;
- (a) If described, Motor Yehicle as tollows: ~
rc~~ i rwRi ~~oor • t~~[ a~OD[l NO. t[111AL NYY~[R rorow w~r~c¦ Mo. c~~. 5- ASSI S~ ~
~ . AdA~lSS(~S)
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T~gether with all Tires, Batteries, RaQios, Heaters, EqwpmeM and Aocessories now or hereafter attadkd thereto,
(b) ~If checked at left, all household goods, furniture, app!iances, and consumer goads of every kind and !
description owned at the time of the loan secured hereby, or at the time of any refinance or ~enewal there-
~ of, or cash advanced unde~ the loan agreement secured hereby, a~d located about the premises at the
~ Debtor's residence (unless otherwise stated) or at any other location to which the goods may be moved. ;
Ic? J:~i, ~t ~`•,`PS ~~r'FI~..:t~ t0 -~fJIuI':5~. P 2~.~:ISSG::Y ::OTL. '
~ This statemerrt is t~led without the de~tors signature to pe~fed a searity iMerest m collatersl. (check p~f so) :
? alread~? subjed to a securiry interest in another jurisdidion when it wss brougM ieto this state.
? rrhich is proceeds of the original colfaten! described aboYe in which a ucurity iMerest was perteded: =
Check ~ if oorered: ? Froceeds oi Collateral are also oovered. ? Products of Collateral are also covucd. No additional Sheets proseMM:
FUTURE AOVRNCES ARE AlSO CdVfRED. Fiied wdh: '
THE S~CU EREST WILL URE FUTURE OR OTHER INDEBTEDtiESS.
^ aVCO Fitt~l`tCIAL SERVICES OF HOLLY'~100D~ FL.?.~ ITJC~
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