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~ TH15 FIWINCING STATEMBrT is pmsented to a filag officer fa filinq purwonr b the Uniionn Comrnerciol Code: 3. Nlohxiry dote (if ony:) R
Debtwls) (lost Nane fint) and oddreuks) ? ~av~
(~-es1 wx! odd~essl~s) ~ for Filing Offioer (Do1s. Tim~. Nksnber.
~ (sj-N t~~iNANCE ~ _ ~,a ~i~ ofr~~
~-ic(~ee, Elmer °c Lizabeth .n. BOX 326~
~0 ~ox 19~i5 (2057 S. FE~?LRAT. ~I`~~1'.)
~ 'j t. P' ~rce, ? . ??!~5'~ . PIiF.CE, FL'JftIDA 33=~50 ~
~ . n,~: fi~oe~ciny stafen,em ooven rhe following ~rv~s (w ir.n,:) of p.ope.ry: ~~s~
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~ .~s listpd on s~hedu ie " secur? +:y 1~ st dated ~-21-75 s. : or s«„?ea Po w,d ~da~..sl.al ~
Assq~eel) NY
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~ 6. The ~saw~d por~ylsl. whosa s~ynotu.e~s) opp~an bebw, states Nwt rhe sampt rpuired by Uwpter 201,
Flondo StoMes. if on~, hovt been ploted on ths promissory insrrvmenn secvrcd herebp. ord will bs ~
~ placed on ony oddit~a~ol and s+mflar instnxnent thot moy b~ os secued.
~ This statwnn+t is ?ikd wi~haA the deWw's signonxe b perfsd a s~curity imereft in colla~eroL (CFieclc 0 if so) ~
~ ? Alreody urbject ~o o sec~rity ~ntercst ~n onotF~er jurisdict+on wlxn A was brwght inb th~s sio?e.
? Which is proceeds of the w~yinal cotlaterol descri6ed obove in wl+id+ a security intcrest wos per/ected:
~ Check ~ if corered: ? P?oceeds of Cdloterol ore also covered. ? Producrs of Colbtaal orc olso cwered. No. of Additionol Si+ee~s prese~Md:
F~led with:
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~ Sy~ Sqrwhx~fs) d Ocborlsl ~ bY• Siy~wlu'~(s) of , Portylia)
STANDARD fORM - FORM UCC-1
(11 F~ling C~fficer Co~y . A':phebetiwi Appro~red by Ridwrd IDick) sto~+e. Secretory of Storo. State of Hw~do x
EXEC. ICfAS NO. 1679
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