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~ THlS FINANCING STATEMBdT is presented b o filirg oHicer fw filinp purwoM b!hc Un7fam Canrtierciol Code: 3. Motu?itr dots (if ony:) ~ s~ ~
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~ Oebtor(sl llast Nome Fint) ond oddreu(es) 2. Secwed Porty(~es) ond oddmulesl Fw Filing Offiae~ (Date. Tims. Nunber, '
~ ~(;I.F Fi~'.A~'CE - ~d tir,~ offK.~
q~:ss, Peeny S.
j~l r~ Si to Ct. T'.'7. _'.<~5
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T. PIEi::,I:, ~iURIL'A :,3-}5~ 3
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f t. Thia finoncieg swtement cwcn the followirg ~YFws (a Gtems) of PropsrtY: .
Ail 1~ ste~? on srhedule secur~ t~ list dated ~-21-?5 ;
~ 5. Aui9neNs) of Seevred Por~y and Adde~sslsal ~
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6. The secwed parey{sl. whose s~yrwtwelsl oppeors btbw, states that the s~omps rpuircd by Chopter 201,
Florido Statv~es. if any. have been ploted on th~ promis~ory instnRnenn sccwed hereby, ond will be $
~ ploced o~ ony odditipwl ord simibr instrurnent thot moy be Os secwed. ~
~ This itatemem ~s fikd witlau~ the deb~'s sgnotun b perkcr o wcuriy inrerest in coltateroL ICl~eck ~ if so)
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~ ~ Alreody wbjeet ro a security interesr in another juri~dictan wfien if wos brwqfit into ~his stoh. ~
. L Wh~ch ~s proceeds of the oriyinol aollaterol describod obwe in whid+ a sccvrity interest wos perfected:
~ Check ~ if covered: ? Proceeds of Cdloterol ore olw covered. ? Piroduefs o( Cdbteml ore olw covered. No. of Additiawl Sheets presented:
~ Fil~d wit~1: ~
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' 600K~~?J~ PAGFiG~~
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~ gY , dY_ r~'"~-~`~.~ _ - l--G.' ~ ~
~ Si9raturelsl of Deb~or(s) Si9ewtu~els) of Party~ias) ~
STANDARO FORM - FORM UCC-1
~I~ ~~ling Officee Copy - Aiphabetieel Approved by Ricfwrd (D~ck) Stone, Secretory oI Sroro. Stote of Flor+do ~
EXEC. fDEAS NO. 1679
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