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STATE OF FLORIDA
UMiFORM COh1MERCtAL CODE - FINANCING STATEMENT - FORM UCC - 1
f NIS FINANCiNG STATEMENT ~s oresented to a tiliny officer tor tiling purwant to the Unitorm Commerciat Code: 3.
~6tor(s) (Last Name First) anc7 Address 2. Secured Pa?ty and Address + For Filing OfticerlDate, Tirt?e, Numbet,~dFiling
' Ofticel
'.:J~.A3, A~'1P.i~'.:'Y ~ ~:~iA ~s.JEFI^.IAL :~I`lA:1C~ v0.
~:;o i~5th 3T P.~. ~OX 3629
r ~_:.~JY) r'L 331~5o FP ~~I31~~.::~ FL 331.~`'0
~ This financing statement cOVers the foltowi~g typeslor items) of p~operty: (Chtrk Dox w~hich applfes/
.11I oj the household furniturc and jumishingt~ cltct?icol and gas appliance; incl~eding tete?•ision
Q set; phonogranh.r and rtcord playen, rejrigenuros; ttc., and orher persona! prope~ry noK ow•ntd ~
X or he~ta~ter acquired in nplacement thereof vnd now or htnojter focated ot th~ rcsidence oj th~
Uebtors ut the nddress Riven ebove in Box 1.
~a Assigneels) of Secured Party and Addreules)
D .
' ''+cck if true+`,] The stamps required by Chapter 201, F.S. have been plactd on the promissory instruments
I c~:_u,ad nereby, and will be plactd o~ sny additional and similar instrument that may be so secured.
' r~cumrnto•y stamps attoched to origina! note and canet!!td
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E ~ n~s srateme~t is filed without the Debtors siyrtature to perfect a security incerest in collateral. (Check ~ if so)
~ ~ A'ready wbje~:t td a security intetest in another jurisdiction when it was brought into this sWte.
4 which is prac_nds of the ori9inal rnllateral d~scribed abave in which a security interest was perfected:
~ _,e_K x:if cov~rcd- ;r.
~ Ptoc~sds of CollatwN ar~ also covartd.~Products of Collate~al are also covered. Na of sdditior.al Sheeu presented:
~ -i ,~ith: Cler o t t ' uit Cou?t oj County, FJorida
~ - , . Setured Party *
~ ~l~ 9::i ;rI~IAL r~.1A:JC:,..:0..............................................
~ Debtor
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Debtor STANDARD FORM - FORM UCC-1
* Type jull nnd compfete corpnr:rte nam~
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f LED AND RECJfi0E0
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s~ 5~- LUCIE COUMTY flA.
~ . ROCEfl ~OITRAS ~
CIEAK CI~.CU~T COURT
RECORD vEaliiE~ i
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