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`t 8o.24L-1 EtL Jq~e. '67
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STATE OF F~ORI~A
UNIFORM COMMERGIAI CODE _ FINANCING STATEMENT - FORM UCC - 1
THIS FINANCING STATEMENT is p?~s~nted ~o o filirq offic~r (w (ilinp pwsvont to th~Unifom~ Commuciol Cod~: i 3.
1. Debtu(s) (last Nan~First)ondAddr~ss 2. S~cvhd Parry ond Add~~ss~' ForFilirqOffic~r(Dot~,TinN,NuwbN,undFilie~
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~~!T~~ ST 1 1n 1 cr~ c~r: ~1t:`Y
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1. Th~s finontiny storemenf co~a~s th~ fol~owin9 typ~s (or items) oi proporty_(Cbec4 box u.bich ~plies)
11! oJ tb~ huusrJwld goods nou- ouned o? hcrra/tcr ac?uired in ~eplaccment tbe~eo/ and now o~
~4~~~u/t~r /uc-ated u! IhP Debtu~s' plnce o/ sesidt•RCe at add~ess grven above in Box 2.
5• Assiyn~{s)ofS~cwedPorlrmdAddhss(~s)
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i 5~ Chedc it trve Th: stomps reqvired by Chapttr~~, F.S.havobc~n plactd on th~ pranissory instrum~nts
~ seeur~d ha.~by, and ~rill b~ ploe~d on ony odditionol and :imitor inslruawnt that enoy b~ so s~eur~d.
! !>ocurne~Nur~• .r~arnps attctcbed tu o?iginal m~[e nnd cancelled
i T h~ s statement is filed without th~ Debton' siynatw~ to p~r(~ct o s~cwity iM~?~st in collatwal. (Ch~ck L is so)
k Alr~ody s~b~•cr ro o s«u.~rr inter~st in anotb~r jvisdicfion ~rh~n it wros brouyht into this stot~.
~ w6ich is proce~ds oF the oriyinul collote?al d~scribsd obov~ in which o s~curity int~r~st wos p~nc~t~d:
s C he ck x if cov~~ed_I$ Proc~eds ot Collo~erul or~ olso cowrsd. [Produ s o( Col ot~rol ort also cov~r~d No. of odditionol ShNtsp~~s«+t~d:
~ F,Ied w~~h: _ C/er4 0/ ~be Ciscurt Cowt o/ Cowt[y, FloridQ' _
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STANDARD FORM - FORM UCC-1
Tvpe /u!! and complete co~po~a[e name.
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