HomeMy WebLinkAbout0075 ~
i
( .
~ -
~
~ - _ _
~ 1N~5 HNAtrCM1G ST~?iFMBrT is p~sMw~d to o iiliq oHio~r tor fiti+0 pu~rw~r to +h~ llni~oim CannMrcial Godh 3. Nlaairitp dolt (N an~al 8/80
wbw.1~1 nm+ r,~» ~a aaa~.:.l..l z. s.~„~.d nan~l~~w o~a aaar..:tal . h~~ 0~o..1ow., r~., ~.~b..,
j ~nit~y Juc~e ~ ~ vL
~ i=i'
; P ~
CE 'i O/a °~1
~ 506-B S. ?3rd. St. ~?t~X ;.'.65
~ Ft. rierce, Fla. 33450 I~I~~ER.4T ~~j,'~'.).
s I~~~'<',~i:, I'!.C't~~D:~ ; ~0
a. n~is ~ina+c:+~ s~obw+uk ao~.s d,. fol{o~wino h~PM (a of piop.rh?.
As listed on schednle "A" secnrity list dated $-21-75
~ s. Msipn..tsl ~ s.ow.a Pbe+~? ona /1db.atw)
6
~
i
i
~ 6. T~I! f~OM~ POfl~S~~ MI~10~! f1~lOAM!(f~ ~S ~01M. fbNt ~IOf 1~If f101~~t 1~11~ ai VIOpIM '1(~~• .
~ Flaido Swtu~es, if anY. Iwre b~w~ pioad an ~ pr~a~nissory inserutima s~cvnd hw~bp, and will b
ploord an on~? oddtiotwl and aimilor imtn~wnA Nwt ~ao~r b~ os swwsd.
~ This sto~MnMM is fiMd wiflwuf 1he drblor's sipiwww b p~r(~d o rpaiy? irMwst in odbMd. 1(~et1t ~ if so)
~ O N~dr a~rbNd to o s~awihr inM~t in aiaMw 'ry?idict~on whw i1 ~ras bwqla iroo N~is staM.
~ ? Whid~ is poc~ds of N+~ aip+al aollowd d~sai6~ abor~ in wfwd~ o wawiqr irNw+q was p~hcNd:
C1wck ~ if ooN.~ ? Pr«s~ds of Cdlolaol aw oho co~nd. ? Plroduds of Co11oN~oi ar~ also awwrd. No. of lldd'itiawl Sl~s p~nad:
~ Fld wAb,
1
~
~ BoQKz43 P~ ~ ~
e,,. ~
Sipna~wNs) d D~bral~) 5iqnoti,r~(s! of ~hl+a)
STANDARD FORM - FORM UCC-1
(I~ Fi ~ng Officef Cop~ - AlpEiel~ticaE ~?pp.wed M IGcl~ard Io~d~t S~on.. s.«.ro.y of saa, sto» of po.do
- - 7 EXEC. IOEAS N~. 1679
, , F c - - - - _ _ ~ . _
' ~W'~'~x.~~'-'`~'" = ~ ~-.,~"S
~ -~y~ -