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~ THIC ft?rp~iNG STATEMBJT is presented to o fi11ng office. fo~ flling purwom b the Un~fom~ Cdnmerciol Code: _~Mo1rity dot~ (if ony:) ~~81 ~
~ t. Debrorls) (last Nome F~nt) ond oddressl~sl----- ~+red Party{~esl ~d oddresslesl F~i~ng OH~cer (Oare. Time. Mumber.
~ ' . ' . I ond FiFirg Olfite~
~ Monroe~ Robert R~ Carole T ` ~
2107 San ?farcos ' • _ , ~
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~ Ft. P' :rce, Fla. ??lts~ i - . ; .1 ~ 1
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~ .-r?,is firwnciny sww,emenT cave.s the idlow~ng rppe, (e+ ;:ern:~ ef p.openy:
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~ As :z.sted on schedule "A" security list da ~ed 7-19-76 5. ~;~1s) of Secwed Porry and Add~esslsl
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6. The ss.vred portylsl. whose sigrwh+rels) oppean bebw, srotes tfiat the sromps requircd by Chapter TOl ,
~h Florda Sto~utes. if ony, hove been ploced a+ rhe prom~ssory ~mfrumenn xcurcd hereby. ond w~ll be
a; pbced on ony odditwrwl and s~m~br mstnwnent that moy be os secwed.
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~ This sbtement is fikd withovf rhe deblor's sgnoturc b perfect o sacw~ry i~tercst m collaterol. (Check ~ ~f so)
t? Alreody wb~ec+ ~o o secv.~ry iroeresr ~n onother ~w~sd~dan whan n was broughr ~nto rh~s state.
f-] Whrcfi is proceeds of the onqmol colbte~al dexnbed above in whicfi a secunty ~nreresr wos perf«ted:
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Check 0 if covered: ? Proceeds of Colloterai are also covered. ? Prod~xts of Co~b~erol are also covered. No o~ Add~twrwl Sheeh presented:
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~ EA~~,E FIl~iANCE CO
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; BY: .-''!~Q' - ar ~ - ~L,~- -
~°Y~ Sic~wturels) oi Oebeo~(s) Sgnaturel~~f Portyl~es)
STANDARD FORM FORM UCC-1 ~ P~ ~
r.; r-.'~'-,.r i oved R~cfiord ID~ckl Sror+e. Secretary oF Sta~e, S~ote of Fb.ido
t, F;`;r. ~ . . . : ry - /~.~cliakiefical ~?vw br
, EXEC IOEAS NO. 1679
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