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STATE OF FIORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMEN7 - FORM UCC - i
T ra1S FlNANCING STATEMENT is presented to a titinp officer for filing purousnt to the Uniform Comme~cial Code: 3.
. 7abtorls) (Last Name Firstl aod Address 2. Secured Party and Add?eu * Fo? Filing OHicer(Date, Time, Number,andFiling
Ofiicel
T I FFANY, J@HN BENEF I C I AL F I NAP~CF
~~~4 St~h~11T ST 11~1 S0 FED HWY
-~;ZT PIERCE,FL,3345C~ FPRT PIERCF,FL,3345n
Th is financ~ng statement covers the followiny typeslor items) of property: (Ch~ck box which opplies)
Al! oj the household furniturc and furnishing; elechical and aat applianct; indudrng television
set; phonoaraphs and record playert, rcjNgeraton~ etc., and urht~ pe~sonu! property now nwned
vt,,,_J or herea~ter acquircd in rcpfacemenf tl~trrojar~d now or htnojter locoted ot tht res~dence oj the
Debtors at the oddreu ~qe~m abo~m f» Box
? 5~ Auignee(sl of Secured Party and Address(esl
~eck if true~ The stamps required by Chapter 201, F.S. have been pleced on the promissory instrument •
~cured hereby, and will be pleced on any addition~l snd similar instrument that may be so secured.
i- umenta~~• rtamps attached to original note and canetUtd. {
i ~s statement is filed without ths Debtors signature to perfect a security interest in collateral. (Check Q if so) ~
` ~1 filready wbject to a seairity interest in arwther jurisdiction when it was brought into this state
j J which is proceeds of the oriyinal rnllateral dtscribad above in which a security interest was perfected: ~
s ~~f covered: [x1 Proc~ed~ of Co1latKal w Mso covered.[]Products of Collateral are also covered, No. of additional Sheea presented: ~
~ -~:d with~ Cle~kojthtCiicvitCourtoj ST LUCI F County, Florida
~ Secured Party *
~ ._fA~~j?..'.~.~.:L'..~.... SENEF I CI A F I NA~1CE _ CP .~F . F.T..P..L ~RC
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Debtor STANDARD FORM - FORM UCC-1 Manager
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