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Boi 2IL-1 Ed May '70
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STATE OF FLORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
7titS FINANCING STATEMENT is pnant~d to ~ fiiinq offlc~r tor filinp purwsnt to tl~e UnNorm Comm~rcial Cods: 3.
t. Debtorlsl tL~st Neme Firstl and Add~ 2 S~wnd Party and Addnss * , For Filinp O~cerlDate. Tims, Number.sndFil~~g _
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4. Th is financinp striertrnt cow~s Mt tollowin~ typts (o? i~rms) of propNty: (Chtck Doz whtcb appfit:J
Atl oj tl~e hotwehold f4rnlnen awd Jionlq+Ugt etteh'~co/ ud d~* ~PP~~ tefevidon
~tr~ phoieodrophs ond mord pfeyen~ rrjnj~tnto~ eta.. and odYtr pertoeal properry now owned
hemJtei ecqulre~ /n ~rp7eeemswt rhertojand now o~ hen~Jte~ located ~t the nsidence oj the
Dtbtort ot Mt oddnss ~(ven ~Aort b~ Box l.
5~ Assignae(sl of Secured Party snd Addreulesl
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6. Cneck if true[~x Th~ stMnps hquind bY C~PUr 201, F.S. hav~ bMn P~ac~d a+ ths Promi~o~Y instrumsn
secured hereby. and wili b~ pl~c~d on any sdditional and similar instrument thst msy bs so s~wr~d.
nocumentary nonps ott~eJrsd to or~f wo/r o~d e~nesQtd
' ~ r is statement is tiled without tM D~Dtortl sionatun to p~rbet a acurity in~ in collatersl. lChack ~x ii so)
~ ? Aln~dy wbj~c[ to a s~arity int~nst in ~nothM juri~diction wlwn it was brouyht into this stata
~ ~ which is prooMda of tM orioinsl oo11~N dNa~d ~borr~ in which ~ seurity intuest w~ paf~ct~d:
~ : neck x if tovtnd: x ~ro~~ of COII~M an ~ oovsnd-OP~odu of Colla sre Nso oovead. N0. Of additional Shasts p~esentsd:
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1 ~ ' ` Bencficial Finanee Co, of Aort Pieroe ,
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~tOf STANDARD FORM - FORM UCGt
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