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This FINMICINC STAiE~IEMT is praeMed to a fiGng offiat for filing purwsot to ths Uniform Commerci~l Code: 3. M~turitp date (it any}: ~
1_ Debtor(s) (last Name F'ust) snd address(es) 2 Saured Party(ia) and sddress(e~ For Filing Offiar (Date. Time. Number, ~
~l'1 d~ ~1M A~O ~Y.11t1l~.~I. ~1'~509/ and Fiting OffioE) ;
1?2 H~aoken Haod ot Sal]~?YOOd~ 1?la.~ Ina•~ f Lt0 ANC RECORDEO ~
f{, u{CIE CAJMTY FLA.. ~
Por~ 3t. I~aies F1a. 3345~ 2502 3carnth ~rel BvT• nvc£a Ro= ~ RAS
~t„ Pieros,lrl~s. 3345~ a~o~~ vEF?FiEe aouat
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4. This fin~ncing sUtemeM aorea tbe follorrin~ t~rpes and/or items d propertfr: 1 Za PN i
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(a) If described. Motor Yehide u fdlorrs:
•[AI~ YA~[ ~OD~ - T7?[ YODtL NO. e[111A1 MYY~tII ~10T01{ NYM~tR NO. C~L. 5. /.U,S,~gnee(~s; o! Saured Psrlp and
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~ Together witA all Tires, Batteries. Badiaa. HeateR. Eq~ipmeM and Ausssories norr or hawtta attsched thereto: _ j ~96932 ~
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checked at left, all househdd 9oods, furniture, appliances, and consumer yoods oi every kind and j
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iption ow~~ed at the time of tt~e loan secured hereby, or at the time oi any refinance or re~ewal there- f
of, or cash advanced under the loan agreement secured herebY, and ~ocated about the premises at the t
Oebto?'s residence lunless otherwise stated) or at any other {ocation to which the goods maY be mored.
tc AFFIZSID TO ORIGINAL PI~KI~S.SORY HOTg :
This st~temc~ is filed without tAe debta's sigaaturo M perfed a securitq i~erest in albtenl. (check ~ if so)- ! _ ~
' Q already subjat to a searitp irtercst in anothet jurisdid'an when it was brougM iMo this sUte. ~
{ O whid~ is proceeds of the ori~in~l oollrter~l desuibed abore in rrhich s searitp iriterest wss pe~teded:
Checfc p if oovered: ? Procads of Collatenl sre also omrercd. ? Produds of l?oUatual aro also covered. No additiorwl Sheeh PreseMed:
fUTURE ADYANCES ARE ALSO WYERED. filed rnth: '
THE S~CURITY INTERE9T W!LL SECURE RE Oft OTNER INDEBTEDNESS.
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