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rr~~s Fiwwcit~c sr~~teJr is presented b o filinp officer fa Rlinp purwaK b ~he tM+iform Comrnencid C,ode: 3. Ma~wify dnt~ (if ony:)
1.. Deblor(sl (last Nome fi~stl ond uddrassNs) 4. Secured Pbrlrl~sl and add~sles) For Filinp Offiar (Dote. Tim~. Numbu.
BroWn, tbnglas 1d. & Margaret Fr1GLE ~7~TA~'CE . F~'"° OH1ij ~O
2103 Slisabeth Av. P.(J. RC~X .~2F5
Ft. gierae, Fla. 331t50 1~£1)El2r1L H~V'Y.)' 3~~0
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i. n•~~~ ~C~:, i-I_t?~t7I~.~ ;i 3-;50
ibis finoncinq stobm~nt cwers M,e lotlowirg h~P~+ (w i+erey) of p~opsr+~r:
Aa listed oa schsdule °A" security list dated 10-11t-75
s. ~~,t or s«w.a P+o.+y d+a ~aa~.,.p.~
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~ 6. The secvrd porrylsl. vrl+ose siprwtun{s) aPPpn bebw, stmes rtwt the s~omps rp~ired by Clwper 201,
~ Florido Sbtutes, if ony. have beee~ ploced on th~ promiasorr instrumants ~etured he~eby, ord wiil bt
p{oced on ony odditiono) and sirtwlor irotrumem ~hot moy b~ os s~cund. -
Th~s sta~N is fifd withou~ the debbr's s~qrwA+re b perfect o a~wity imarest ~n colbterol. (Ch~dc ~ if so)
? N~wdY s~+blKt ro o secwiry inte~st in anoN~er juresdittion wl~+ if wos brouyhr iMo this stote.
? Whid+ is p.oorsds of ~he ori~i~ot collo~e~al descrihed abwe in which o ~ecwity imerest wos perfec~ed:
Check ~ if aoread: ? Pr«eeds of Colloterol oro olso covered. ? Produc+s o( Colbteml are olw cwered. No. of Additionol Shee~s p.e:enNd: ;
Filed wiMa
EA FINAN C3
sY: y: ~ /
sqrwh,?.Is~ of Deb~o.ls) oi S~cw.d Panylia)
STANDARD FORM - f0 UCC-1
il) Fifing Off~cer Copy - Alphabetical /lpproved bp Ridwrd ~pick~ Swn~, Secretory of Staro, Srote of Horido ,
~ 7yi~ O~C. IOEAS NO. IA79
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