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` THIS FINANCING STATEMENT is presen~ed to a filing otfice~ for fiting purwant to the Uniform Commercial Code: 3. Maturity date (ii any?:
~ 1. Debtorls) iLast Name Firstl and addressles): 2. Secured Partylies) and addressiasl: ~~~C1 For Filing Officar (Date, Time, Number, '
SVaO ~I38I1C~81 $@I`Y~,C@8 Of and Fiting Office)
Johnson, Tom~ie and Agnes ~lly~ood, glorida Inc. iT
IUCiC C~'tfNTY flA.
1703 N. 14th St. P.O. Box ~,,311 ~a~: =;~'~~s
F'C• P~61'G6~ Fl8• CLE%K ~1~ COURT
Ft. P3s1`ce~ Fl8• PFrr~~, y:. ~r
4. This tinancing statement covers che tollowing types and/w iiems of prc~perty: ~ i0 11 so PH ~ 1 J
All houeehold goode, furniture, appliaaces, and consumer goods
of everq kind and deacript~i.on nar auned and located about the ,
premises at the Debtor~e reei.dence or at ar~r other looation
~ to xhiah the goods m~q be ~o~ved• 5_ Auignee(s) of Seaired Party and
3187'~ A~.~~~~?
318`762 ~
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6. The sewred party(sl, whose signaturelsl appears betow, states that the stamps required by Chapter 1,
Florida Sts[utes, if any, have bew~~ placed on the promissory ins[ruments secured F?Keby, and v~itl be i
ptaced on any additional and sim~lar ~nstrurne~t that may be so secured.
This statement is tiled without the debtor's signarure to pe~fecc a security interest in collateral. (Check ~ if so)
~ Already wbjeet to a sewrity i~tere:t in a~othe~ jurisdiction when it vras brought into tnis state.
? which a proceeds of the oriyinal coUateral desc.ibed above in which a security incerest was psrfected:
Check ~ ii cwered: O Procesds of Collateral are a~so covered. ~ Products of Collate?al are also covered. No_ of additional Shsets presented:
Filed withc
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BY: ~ .
80 jiynatur f~~torlsl Spnstur~(s o urW P~rty(ip)
a~j STANDAR~ FORM - FORM UCC-1
/lpprowd by the Secretary ot State, State of Florida
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