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~ THIS FINANCING STATEMENT is presented to a filing officer for filing purwant to thE Unitorm Co~rmerciat Code: 3. Maturity date {if any)= '
~ t. ' Debtorlsl (Last Name Firstl and addressles): 2. S~ ured P r (iesl and address{~1: For Filing Ofticer IDate, Time, Numbe~, ~
JA~i1~I1g8~ H1'f/BDti 8Y1d ~Ol'~a aVCO ~ ~5~. ~I'P~CAB and Fiting Offiu) ~
FILEQ •'•'~G !:EGJRDEO t
T105 H~ilt~n ~f ~°O~~ ~ sT. ~uci~ GOUNTIf FIA. :
F't. Pi~ros, Fla. 334Q5 2502 9outh Fsd~ral Huy. Roc_t :~.~~r~AS !
CIFF.IC =..;;;T CdURT
F~t. Pierae, Fla. 3345~ 4 F ~ " - " , : - ; ;
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~ 4. This finartcing statemsnt covers tAe following types andlor items of property_ MAi I.7 2 is PN 7~
All houaahold goods, ltut~~itur~~ appliaa~cea snd ~ons~er good~
o~ evsry 1dn~d and clsacription aav ovn~d aad located about the 30'7945
pswisea at th~ debtor~ a resid,enas or at ai~r othsr loaation to 5~g~~s) of Secured Psrty and
? Y~.O}1 tr~ gOOdY 3l~j1 bA o01i0l~• Addrenlesl
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~ DOC STAt~3 ARE AFFDCSD TO B9IGINAL PFi~?MIS30RY NOTE. ~ 30'7945
y g_ The s~wred partylsl, v+rhose signaturels) aPVesrs be~ow, states that the stamps required by Chapter 1,
~ Florida Statutes, if any, twve been pldced on the Prort?issory ir?strume~ts secured herebY, artd will be
~ paced o~ any additionaf and simila? ~nstrument that may bs so secured.
This statament is filad without [he debtor's signature to perfect a security interest in cdiateral. (Check ~ if so)
~ ~ Already wbject to a security interest in another jurisdittion when it was brotght into tAis state.
? which is proceeds of the origi~al cdla[eral described above in which a security interest was perfecced:
Check ~ if covered: ? Procesds of Collaterol are also covered. D Products ot Collataat are also co.e~ed. No. of additional Sheets presented:
Filed with:
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Si ~lsl of Owtorlsl atur~ of I~~sl
STANDARD FORM - FORM UCC-1
Approved by the Secretary of State, State of Florida
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