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THiS FINANCING STATEMENT is presented to a(iling oftiter for f~ling purwant to the Uniform Commercial Code= 3_ Maturity date (if a~yl: ~
1_ Debto~Is1 lLast Nart~e Firstl and addressles?: 2_ Secured Partytiesi and address(es): ~ Fw Filing Officer (Date, Time, Numba,~ ;
7Gh~ and Fili Oftice)
Je ~sr^^llf, ~uard ar.d ~s~ :~•rco ~`inancj al Ser•rices E `
i312 'lo:~: ~ve. of iioll;~~roo3~ F1a., Ir,c. ~
P~erce~ P'Ia. 3345~ 250? Sou~h Faderal ?iu~f. RE~B•p~ ~ ~Oy~t
^t. Pierce, Fla„ 33~5~ .
4. This finar~cing statement wvlrs the tollowing types and/w items of property: JAyJ 31 I 03 ~ ~
A2.I. ho•.~se~~old ~oo3s, fuir~iture~ applf^r.ces rz::d co::s~,~e~ ~ac,ls
of e~: r~f '.~~.n l a.rrci ~e script~on now o;r.:~ i ar ~ loczte~i ~bout ~~~:A 3~36
~)2'~.»13BS 23t. ~':'i@ ~°D~02'~S ^esi~er^~ O~' -'•1~ c1.'1J Otj1Oi Z~JC:'.V~O:1 ~O
"ti:Z^-: ~t?° ~OJ'~ S:"i~r ~P. :'10 ~ 5. Augneels) of Secured Party and
Address(es)
6_ The sacu~ed partvlsl, whose siqnature~s) apPea+s be~ow, s[ates that ihe stamps required by Chapter 1. ~~36
Flonda Staam, if any, Aave bea~ daced on the promissory ~nstruments secured hereby, and will be
pxed on any add~tional and s~milar ~nstrument that may be so setursd.
Tf?is staiement is fibd vri[hou[ the debtor's s~gnatuce to perfect a security i~terest in cdlateral. (Check ~ if so)
O Alrpdy suD~eet to a security inurest io another jurisdiction wf?en it was b~ought into [his state.
~ which is prooesds ot the o~iginal collateral described above in which a security interest vras perfected:
Check ~ if carped: O Proceeds of Collatenl aro ako cwered. O Products of Collateral are also cove~ed. No_ o( add~tiw~al Sheets presented:
Filed wit •
- :~o •:cL~~, s~ ..z,:. ~ c~~ :C'IfL•r~~c~ T=:• .
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Siynature f Wb or(si ' Si9nan:re(s) of ur~d Psrtylios?
~ RD FORII~1 = FORM UCC-1
. B~ PACf <<7p~ roP~oved bY tM Secretary of State. State of Florida
c?~'.ti, OFfICER COiY-11lPHABFlIt~l
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