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~ THIS FINANCING STATEMENT ~s pnsented b o filinp officer tw filinq purw~ont b iM. Unifa~n CaerMrc:ot C.ode: 3. Mohniryr dott (if any:1 j~g~
~ 1. peblp(sl (lost Nome fint) oad add~essles) 2. S~scwed Pb~ryr(~esl o~d ad~drass(es~. . Fot filing Offioe/ 1Dc1~. Time, Nun+bN.
EAGLE FNA:'`'CLt ~,a ~i~ orf~.~
Sheiibrooks, ~•3illiar.s P~ Lillian ~.n. SQti ~2i,~ '
S. 22r,d. St. (2~3? S. T~DE~tAT_ ;Iyz~N•~
T~. Pierce, F~a. ~~~50 Pi~.tc~, r~.e~:i~~:~ ~~~t~a =
~ 9y ~
~ 4. Thit Bf10fKH19 ff01lRlplf QOVl~6 th! ~OIIOWi~I~ (W itlmf~ Of pnOplffr: _
'_s ?isted on schedule "4" securi*y list dated ~-~-75 ~
~ s. Aasq+e.ls) of secu.d Po.fy and /1dd~sst«)
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e- The secu~d Par?Y(sl. wFwse sispaturelst oPP~s bdow, stetes Nwt the srampa rquind by Qiop~er 201,
fbrido 5lotutes, if any, hove been ploced on ~he promis~ory ~nstnxnents aecu~ed hereby, aid will be
~ ploted on orty odditionol and sMnibr ir~stn~ment Mot moy bt os siaw~d.
~ Th~s slatamem is fikd wifha~f the deblor's siqrwturt b pK~eR o s~cwit~I ie~e~st in oolbleml. ICMtk ~ if sa /J
~ ? Mreodr wbjed ro o~curity ints~est in ono~ha jurediction wlw~ K wvs brought ina Nrs Wo~t_ /
~ ? Which is proo~eds of tl+e wqinal oolbterol destribod abo~re in which o tecwitr iMerest was perfedsd: f
Check ~ if aorered: ? Proceeds of ~dloterol we olso eovend. ? Pmduces of Collotarol o~e also cwered. No. of Additiaal SAee~s present~d:
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fikd wifh: '
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Si~noturNs? of Dsb~wls!
STANDARD fORM - f0 UCC• 1 ~p0if
~I) Filing Offiter Copy ~ Aiphabet;eat _ a~~ ~o~~ s~«,.. Secnrory of Sror~, Stote ol Fla~da '
_ c EXEC. IDEAS NO_ 16~9
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