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Home My WebLink About0353 a. • 1 I ,I ~ f - f E • ~ . . . . . . . . . _ - ' _ ~ THIS FINMICING STATEMB~IT is presenlsd b o filirg olfics~ fw filinp pwsuarM b th~ Uniborn+ Comnercio? Godr. 3_ Mahwity dm~ (if any:) i ~ 1. Deblw~s) (lost No~ne f~sr) a+d oddreulss) 2. S~cwed Partylies) ond-oddr~ssles) Fa Filieg Wfion IDo1e. Tin~. Nfurtiba. ~ Thoinas, Mary J. F~!1GLE ANCE a,e ~i~ o~.~ i 2103 Av Q P.`,~~'~ ~'n ~-r; :r5 _,-~,T ~~rt~,T1'.) ~ 3i34~ 7 ' . t. Pierce, Fla. 33450 - --zl, ~ ;;-}:0 F'. ~ j - 3 n,n ~irg sto+~,n~m aoK.s ,h. to0owi~w +rws ~t o~ w~r: ~ ~ ~ As listed on schedule "Ap aecurity list dated 7-24-?5 ~ ~ s. /lssiyn..~s1 of s.cv~.d vb.1y a,a /1da~s+l•d ~ ~ ~ 6. The secu~d ponylil, wlwae sipiwhw+(s) appeois bdow, sta»s fhot the stomps nquirod by Uwper 401, ~ Fbrido Sbtv?es, if any; Fwve been ploo~d on 11ie promissory irWrunenn ~ecwed hereby, ond wil! be ploocd on ornr odditionol ond similor ieWrunwnt that may b~ ot s~cwed. ~ This sbeeerrN is filed wiM~w1 the deblw's siy~whi?~ b perfed o~ouritp inlensr in cdloterol. (CFwclt ~ if so) a ? Alreodr strbjed b a sxwAy inNeeft in anOd+N ju?isd'iction wFwn A wOt brought inb M+is s1oM. ~ ~ ? Whid~ is proaesds of N~e ai~ieol aolloteral described above in whith a secwiryr interest was perfected: ~ Chec# ~ if ea.erd: ? R«eeds of Colloterol ae also coversd_ ? Produc~s o~ Colloterol me olw cwered_ No. of Addit~a+ol Sl+ee~s preaented: ' ~ - ~ filld wit~l: ~ ~ ~ ~~8 r l,l~C~' ` t f ' / - i By: dY: ~k`" ' /a!J_~L/ ` ~ - sl d Debiatsl 5i9 0 isl~ Ml~sl STANUAR~ FORM - FORM UCC-1 ~p{~ ( I) Fiang Of{~cer ~opy - Alphslietica~ ~.oKd b~, ~t-~dwrd ~b~c~f~s~o~.. ~r~or , ar~ af fbr~da ' - - _ . EXEC. IOfAS NO. 1679 ~ _ t f,~ ' ~ ° , ~-~y,.s'~.TM' y.,.~c~~. ~ ~`~~~r~~~'',.°'~t-- . .