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Bor 21FL-I Ed. Nov '76 ~ ~
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STATE OF FLORIDA
UNIFORM COMMERCtAL COOE - FiNANCING STATEMENT - FORM UCC - 1
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THIS FINANCING STATEMENT is presented to a iiliny office~ tw tilinp purwsnt to the Unitorm Commercisi Code: 3 ~
1. Debtorls! (Lsst Marne Fi?st) ~nd Addrns 2. S~airsd Party snd Addreu * Fw Filing OfticerlDate, Time, Nu~~,andFilinp
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4• This finsnciny ststert~ant oovers the followiny typeslor items) of proparty: /Ch~ck bor whieh opplier) r
Afl oj tht houxhoJd jurnlrun and fumishi~~ tfectrit~l and aas appliance; includf~ ~eltvision O`C I 2 2 3 PM
srt~ Pho~o~pht and ncoM Playtr~ rejniatrotor; ela, ond otherpt~sona! proptrty no?` owntd ~^_~O
LJ ond located at tht rrsidence oj the Drbton at the oddr~ss aiven aDove irt Bos ~~V
D . . 5~ Assig?eels) oi Secured Pa?ty and Addressla) '
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6. Chxk if true x[~ The start?ps tequired by Chapter 201, FS. have been plsond on the promisswy instrurnent ~
setuted hereby, ar?d will be plsccd on sny additionsl and similst instntment that mty be so secured.
Docurnrntery stomps attaehed to oriaina! note and caecelltd. ~
This statert~ent is filed without the Debtors' signeture to periect a security interest in collatersl. ICheck 'Lx1 ~f so! #
? Alresdy wbject to s security interest in snother jurisdiction rvhen +t was brought into this stata ~
? which is procteds of the originsl ooNstetal describsd above in which s 9eCUrity interast was perfected:
Check[(if oovered: ~ Proceeds of Collateral are also ooverrd[]Products of Collateral are slso cwercd. Na of additional Sheets presented: i
Filed with: Clerk ojthe CimeFt Court oJ j" L~ Counry, FTorida }
Secured Party *
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~ ~tOf STANDARD FORM - FORM UCC-1 M~~~
* Typt jull and complet~ corpomte name.
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