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STATE OF FLORIOA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
THIS FINANCING STATEMENT is pnant~d to ~ filinp ofi'~ tor fitirq punuant to tM Uniform Commxcisl CaN: 3
1. Debtor(s) (Last Name Firatl and Add~ Z. S~wr~d PartY ~nd Addrs~s * Fw Filinp OHiar(Dau.Tims, Numba?,andFilirg
Offia) -
S~EARS,ALBERT 9ENEFICiAL FINANCE ~6~DIXR -
AVE I " 1141 S0 FED H11Y ~
~^~T PIFRCE,FLORIQA F(~1RT PIERCE,FL,33450
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4. Th is finenCiny sbtsmsnt o0wrs tIN fopOwinO HP~slor iqrns) M Prop~tY= IChetk Dox whkh epDHet)
A8 oj the Aowchdd firrntArro uid f binldif~ elechitd u~d ses oppl(o~ca?. lntl~d~ tNevltlon ~
(-1 xt; P6vnoa^aPhs and rteo~d pLye~ njr(jereto~ eta, u~d ot/~tr ptssorwl property now own~d -
IXYJ or bc~eafrq ~cqaGrd /n rsp/~csmewt Nunoju~d now or ltt~rajur lotottd at tht rrsJdence oj the
Debtors ot the od~ess ~tvrw ~Aove Bo: L
~ 5. Assig~se(s) of Secured Party and Addressles)
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6. Chsek if true~ Th~ stampt nWind by Ch~Pt~ 201, F.S. haw b~sn plsad on the promiscory instrumsn
i secund heisby. and will b~ pl~ad on any addftionN ~nd wnilar instrument that ma~/ bs so s~cured.
` !)ocurrentory ttanipt etaehed to ortjfn~! nole ~d c+~c+eQtd ~
G `n;s statem~nt is fiNd withaut tM D~btw~ sipnrtur~ to D~~ ~~~tY in coilstKM. (CMdc ~x if so)
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Alrrady subj~ct to ~~curity inta~st in ~twMa jurisdiction wtNn it was b~ou9ht into thK ststa
? which is proa~d~ of th~ ori~inai ooll~rN dMer~d abovt in which s s~writy interest va~ pKhct~d: E
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c t eck'Lx~i'f cov~nd• x~] Proc~ of Co1t~N w~bo cov~nd.[]Products ot Collate~al are slso eowhd Na of add'n'wnal SMets present+d: ~
ed w;tn• c~erx or rbe cururr cou,r oj ST UC ! E coun ry, Fro,rao
Soc~i~d Ps~ty s
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f !J ~ BENEF I C I AL f I NAA'C'E (:C? 1 141 SP, FED F 1
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~.J~:~ By ...~':.:4..~:~. .
~~Of ~ STANDARD FORM - FORM UCGI Ms~~ ~
* Typt Jbp and canplete co~porote mm~a '
294593
w FIlfO AM~ RECORDE•
iT.tUCIE C4UNTY FtA,
~ R06Er ?JITiI~S
CtERK C::;~;t;iT COIIAt
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