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STATE OF.FLORIDA ~
UNIFORM COMtitERCIAL COUE - FINANCING STATEMENT - FORM UCC - t ~
; t11S FINANCING STATEMENT is presented to a tilinp off"~cer fot filinp pursusnt to the Uniform Commercial Code: 3. .
1. Oebtor(s) (Last Name Fi~sti and Address 2. Sewred PsnY and Addmss * For FilingOfficerlDate,Time, Number,andFilirg
Officel
. FOLt+t`C~ ~F"'~F I!' I AL F I~lANC'F -
~C*?,iAr~ A~/E 1 1~ 1 5(~ FEP Ht~,'Y
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1. Thisfinancingstatemsntooversthetol{owinytypes(oritemslofproperty-/Cheekboxwhtchapplies)
All oj tht household fumlturr and ju?nishblS; tlectricd and aas appltance; includr~g tcle?isfon
sr~ phono~aplu und r~cord playcrr. irlrtseraton< <ic., and other p~rsons/ propcrty now owned
o~ hemjter aequind in nplocement ihenojand now or h~xajter locoted a~ the nsidt»ce oJ ohe
~ Debton at the addrcsr ~civen oDove !n Boz ~
5~ Assignaels) of Secured Party and Addressles)
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~ .'n _-c~c if uueQ The sternps roqu~red bY ChaPter 201, F.S. have been P~aad on the promissory instrumen f
~ secured hereby, and will bs placsd on any additiond and similar insuurt~ent that rtwy be so sewred. f
~ .~ocumenmry stamps attaclud ro oriatnd non and conctlltd ~
~ s scatert?ent is tiled without tAe Debtas' signature to pe~fect s sewrity intercst in collateral. (Check Qx if so)
~ ? Already woject to a sewrit~r interut in anotha jurisdiction when it was brou~t into this stata
~ which is p?aceeds of the wiyiMl oollsu?sl d~scribsd above in which a security iMerest was perfectad:
,ecK ~x if coveted: ~ Proc~edt of CoIlstKSl an Nso covered.[]Produtts f Collsteral are slso oovered Na of sddicional Sheets p~esenced:
~ e' +ith Clerk oJ the CircuH Court oJ t-• ~ i• Caunty, Floridu '
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- Seared Party * ;
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8enrticial Fin:.n.r Co_ ot Forc Pi~-rcr
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Debtor STANDARD FORM - FORM UCC-/
* Type ful/ and eomplete corporate nama
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BJOK 2vJ FAGE
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