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~ THIS FIN/WCING STATEMENT is presenttd to a fiting offiter for filing purwant to the U~iform Commercial Cade= 3. Maturity date (if anyl: ~
~ 1. Debtor(s) (Last Name First) and addresslesl: 2. Secured Partylies) nd addr~e~s(es1: For FilingOfficet (Date, Time, Numbe~,
~ ~yt;p $9I'P.LCAS O~ , and Filing Oftice)
H017~i~100d~ F101'1d8 Z11C• ~EO AkU QECQRDEo
f ~sY, B1am David aad 8~~•0• Booc li311 ~UtlE c~UNtY FLA.
! At• 3~ ~ ~a1g F't• Pi61'Oe~ Flt, - C1EPK~Ci;;~U~TCpURT
P`t. P1ATCes RFCRA( ti ~ ~ ,
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4. This finaneing scatement ooven the tollowing types arxl/or items of property: ~ ~ ~`O
Ail houeehold goode, ftiu~iture, appliaacea sad consumer gooda ~
of every ]dnd nnd description no~r amed ar~d located about the
preaiasa at the Debtors~ residenae~ or at aqy other location
~ to vhich the goode mqy be ooved.
~ 5. Assgnee(s) of Securtd Party and
4 ~b Addresst~)
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~ 6. The sscured partylsl, whose siyrwture(s) appears be~ow, states that the starnps required by G~apte~ 1,
Florids Statutes, if anY, have bee~ placed on the promiuory instrumeots secured henby, and will be
~ paced on arry additanal a~d similar Inscrums~t that may be so sewred. ~
This statement is filed without the debtor's sipnature to perfect a s~curity interest in cdlateral. (Check ~ it so)
~ ~ Alr~dy wbject to a security intersst in anotf~ jurisdiction when it was brought inio this stste.
~ which is Orocads of the o~igiiwl oo~ate?al desc~ibed above in which a seturity intarest was perf~ctsd:
~ Chsck ~ it cove.ed: O Procesds of Collaural arc afso covered. O Products of Collaterat are slso covered. No. of edditional Sheets presented-
~ Filed with: .
~ AVCi~ FIHANCi1AIi SERVICE$ ~ HOLLYWOOD~ FId~ INC•
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K ~ Speutur~(s) Owtor(s) ~
~ . Slpnatunls ot S~cur~d Partyli~s)
~ Q(t E~Qn~ STANDARD FORM - FORM UCC-1
~ 80 ~K P.'~G OthJ Approvsd by tlk Seaetary of State, State of Florida
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