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F ~Ep AMO RE~QROEQ Bor 21L-I Ed May '70
S~. ROGEa PO
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CtERK C~RC~1t ~OURT
RECORD YERlf1E0 - - ' 29a~.~3~
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STATE OF FLORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
THIS FINANCING STATEMENT is pnsentsd to a filio~ offiar for filinp pursusnt to the Uniform Commercisl Code: 3.
1. Debtoris) (Lsst Name First) and Addrou 2. S~cund ParxN ~nc1 Addre~ * For FilirgOffice?IOats,Time, Number,andFilirp
Office)
GREEN,BERTRAM RENEFICIAL FINANGE
801 S 6TH ST APT 12 1141 S0 FED HWY
F~RT PIERCE,FL,33450 @lY FdRT PIERCE,FL,
4. This fi~encin9 statement oOVtrs tM follOwin~ typeslOr iterns) Of property- (Check Dox whtch apPlital
Aq oj the hourehold Jiontturc and Jirnddrlna; elecMcrtl and aat tppllancta, lncJudLg teitvLNon
~sru, phono~ophs cnd ~ecwM plcyen~ rcjr~erato~ etc., and otl~t~ pe~snnoJ proptity now own~d
~ hrnafier acquGrd !n _nplocement tbenojand now or htnajte~ iocated ot the resldenee oj the
DrDtorr at rhe oddnss 1~iven aDove tn Box l.
' 5, Assigneelsl of Secured Party and Addressles)
1..~
6. Check it true~ The stamps nquirod by Chapter 201, F.S. have been piaced on the promissorY insuumen
secured heraby, snd will bs plac~d on ~ny additiwal snd similar instrumeM thst msy bs so ssaired. .
Dacummtar~• ttornps ottochtd to ori~ia! no~c and cancYlJtd.
li ~ n is statement is filed without the D~btors' siynaturo to pKf~ct a sscurity intertst in ooliateral. lCheck nx if soi
~
~ ? Already subject to s sacurity iot~nst in anotMer jurisdiction whsn it was brouyht into this state.
~ ? which ia proceeds of the oripin~l ooll~unl d~sa~ed above in which s sacurity interest was pe?fected:
I heck x ii cov~nd: Proc~ oi Coll~t~ral an slso caverod.OPr oi Col al aro slso oovend Na of additionai SAeeu presentsd:
~ led with• CJe~k oj drt Circuit Court oj i~' ~~Ci County. F7osida .
Sewred Party *
~ ' - geneticiat Financc Co. of Fort P~erte
' . •'t'isl•9:•t~ederll•i4;~uka+av:•Parc•Pterc~'~ts.'93~D..
Deb
By .~.~.5r~!`!~!kM-.........:.................................~8~r...
Debtor STANDARD FOHM - FORM UCGt _
* 7ypt Ji~ll and compkte corpo~urt nama
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