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, V~~~C V Bm 24Ft: / Ed. Nov '76 ~
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STATE OF'FLORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM IiCC - 1 ~
TNIS FINANCING STATEMENT is presertted to a filinyoHicer for filinp punusnt to ihe Unitwm Commercisl Code: 3.
t. Debto)rls) (L(~ast Name First) snd Addross 2. Sscurod Pxty and Address * For Fitirg OHiterlDste, Time, Number,andFilinp
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4• This tinanCin9 stater~?t tOVers the following typeslor itert?s) of property: /Check Do: which applirs) ~ 10 'Q 4 3 aH 7
All oj the household jarnitun o~ jurniihina.t d~cdica/ onJ gas appfance~ lncludiig trfe?tisiun ]?y~~~ +
~~.,1, ~ phono~nphs cnd rrcord ploYei; njriat~ator; etc., and othtr pe~mnal prope~ty now ownaY/ V~
und locored at rhe niidence oj rhe Drbtonat the addnuaiven oDove in Box
5. Assigneels) of $ecured Party and Addressles)
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6. Check if true[~x ThE sarrips requi~ed by Chapter TOI, F.S, have been placed on the promissory instrument
secured hsreby, snd will be placed on any additionsl and similar instrument that may be so secured
I~m~ntary stamps attoched to oreaina! note and cancelkd
This ststement is filed without the Oebtor~ signaturc to perfect a security interest in collateral. ICheck ~ if so)
~ Alresdy wbject to s security interest in anotAer jurisdiction wfien it was txought into this state.
~ which is ptoteeds of the original collateral desttibed above in which a security interest was perfected=
Cneck z if covered: Proceeds of Collatersl are slso covered.(~Products of Collateral are also covered. Na of additional Sheets presented:
~ F i led with: Cltrk oj dee Circult Court oj County, h7orida
Securcd Psrty ~
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