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THIS FINANCING STATEMENT ~s prcunted to a filing oifictr for filing pursuant to the Uniforrr1 Commercial Code:l 3_ Maturity date (it any1: /
1. Debtor(s) (Last Name Firstl and addressiesl: 2. Secured Party(ies) arxl addressles): ~ ~1/ For Filing Officer (Dace, Time, Numbe~,
~OTO~ ~wl QV~CO Mt~813C~81 i392'PZCAB ~ ~ and Filiog Of(icel
190 N. 30th Street of Holl,y~rood, Fla., Inc:. - ~
Ft. Pieros, !'la. 33450 2502 3outh F~desal HWy. ~to~E~~
~tfR~c Cin
c' w Ft. Pies~oe~ Fla~ 334 50 RECORO•YfR~~~p
3~Q4n . :
4. This tinancinq stacement covers the following types and/or items of property: ~
All household gooda, ttuniture, appllenc:es and consu~mer gooda 6
of every ld.nd aud deecription aw o~ned arid located about the a'~J~~(1'7
premieea at tba Debtor~s residence, or to aqy other location to ch
t.118 $OOf~B mS~b9 1`OV9d• 5. Au~gnte(si of Sea~red Party a~d
Addreu(es)
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6. The secured party(sl, whose signaturels) appears below, states that the stamps required by Chapter 1,
Flonda Statutes, if any, havs bean placed on the promissory instruments secured hereby, and will 6e
placad on a~y additqnal and similar ~nstrument that may be so secured. " ~t
This statement is filed without the debtor's signature to pe~tect a security interest in collateral. (Check ~ ii so)
O Already wbject co a security interest in another jurisdiction when it v~s brought into this state.
~ whith is proceeds of ~ha original collateral described above i~ which a security interest was perfected:
Check ~ if covered: O Proceeds of Collateral are also covered. O Products of Collateral are also covered. No. of additional Shcets presented:
Filed with: •
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BY ~,y1l~.dD~' ~ £
Si9n~ture(s? oi O~btorls> Sipnatur~lsl oi S~cur~d Partyli~s? ~
S i di~i'vinn~y ~ - rvRiri i ~
8~v~ ~ FAG( ~~oved by the Seuetpry of State, State of Florida s
(i) (!l!,°~('i O~F~f.s'~ f - - ~'.'~J3~Tlt. ~l. . . ~ .