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7HtS FINANCtNG STATfMBrT is prescnted ro o filir~g officer (w filiny purwont so ihe Un~(om~ Conrne+c:ol Codc: 3. Moturity dats (if ony:)
1. Debtor~s) (l:~u Nome fint? ond addressles) 2. Secured Pnrty(~es) ~+d uddrcssl~s) For F~ling Offroer (Date. Time. Nuinber.
STAPLETON HAROLD AN D - - ' T ~ ~ " r~ , . _ o~a F~i~~ offK.~
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tB1~3Y 3tst ?~tir~Ot F'+` :'vi, Ii..~'-til:ri._ .:..-t..)
Fort Pieros, Fla. 33~50 '~1~
~ This firwtrcing staten+ent toren the followin9 ~YPes (w items) of property:
As per Sohsdule "A"
s_ Assigneel:) of sen,red Pony a~d Addrsss(wl
6. The ~eaxed portylsl. wMose s~9^nrwels) oppeoa b~low, sta~as thot M+e swmps rsquired by Choper 201. : _ . t _ _ . _ . , . - . . . . . .
Fbrido Stotvtes. if ony, hove been ploced on rhs promissory msuw~ents sacwed hereby, ond will be
ploced on ony add~t~orwl ond s~m~lor instr~wnem thot moy be os secwed.
Th~s storeinem is fikd w~rhour rhe debror's sgrwnxe ro pe.fed a secwi~y ~nreresr ~n cdloreraL (Checfc e~f so)
~/1lready wbjeti ro a secvrity interest in onother jurisdiction wha+ it wos bwght into this stole. ~
? Whicfi is poceeds of the orginol collaterol dexrlbed abwe in which o secvriry ~nte~est wos perfected: ,
~ C1iKIC ~ if covered: ? Proceeds of Cdbterol arc also cwered_ ? Products of Cdbteral ore also covered. No. of Add~tio~wl Shee~s p~esented:
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~ Filed with:
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~ ~ , ~2b0 F~ 43'1 l~ 1,~. ~ ~ _
BY . L~~
' 6y:
twelsl of wls) S~gnoture(s) of Sscwed Partyties)
~ STANDARD FORM - FORM UCC-1
~ Filing Officer C.~Y - A1FhaUetieai /1pp?oved by Ricf~ord (D~ck) Stone, Secretory of 5?ote, State oi Flo+ida
. fXEC. IDEAS NO. 1679
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