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~ ~ Bor 2JL-! Ed Moy 'l0
FIl;O AM9 ~ECOROEO
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57.1UC?t ~OUNtY FL •
RGG_R P~~TR~S t~ .
C!E°K C?t c,U?t COURT
flfccne YEF!~IEO
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STATE OF FLORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
"~11S FINANCING STATEMENT is presented to a filinp office~ for filing pursuant to the Unitorm Commercial Code: 3.
Debtoris) (last Name Fiist) and Address 2. Secured Party and Address * For Fiting Officer(Date, Time, Number,andFiling
Ofiice) `
~'~DERSS~N,DAV I D ~iENFF I C I AL F I ~!ANCE C~C }
~?OX 1112 1141 S(~ FED HWY
~:'~?T PI ERCE, FL, 33450 F4RT Pi FRC'E, FL, 3~45(`
~1. Th is finencing statement coven the fOllOwing types(or items) Of property: (Check box which appli~sJ ~
Atl oj the household fuminrre and jurnishing; eltctrica! und gas appliance; incfuding rele?•irion
sru, phonographs and rtcord ployer; rcjrigerotor; etc., and other p~rsonal property now owned
or hertajt~r ocquind In rtplacement thereojand now o? henajter foca~ed at rht residtnct oj rhe _
Debton ar the addrcss ~qiven above tn Bos l. ~
~a Assigneels) ot Secured Party and Address(es) ~
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.~.+~eck if true x[} The stamps required by Chapter 201, F.S. have been placed on the promissory instrument ~
' v~,:,,red hereby, and wiN be plxtd on any additional and similar instrument that may be so secured. ~
~unrntary starnps anached to a~iginal note and raneelled
~ s s[atement is filed without the Debtors' signature to perfect a security interest in rnllateral. tCheck Qx ;i so) #
i ~ Alresdy wbject to a security interest in another jurisdiction when it was brought into this state. ~
~ which is procteds of the ori9inal cotlateral described abwe in which a security interest was perfected:~ ~
~ z;~f covered- [x~ Proc~ed~ of Coll~t~ral r~ Nso covered.QProducts f Coll t al are also cavered. No. of additional Sheets presented:
~ ? i w~th: Cferk oJ ffie Circuit Court ~j ~ Counry, Florido ~
~ Secured Party * ~
` ~ B=ncf~.~a! Finance Ca of Ft. ti~ree
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BY . .~:l4r .
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Debtor STANDARD FORM - FORM UCC•1 Manager ~
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