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STATE OF FLORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
THIS FINANCING STATEMEN7 is p~es~nted to a filiry oHicer for /ilirg purwant to the Unitorm Commertial Code: 3.
1. Debtorls) (lsst Name First) ~nd Add~ 2 S~a~rod Party and Address • Fw FilingOfticerlDate, Time, Number,andFiling
~1li~~C.1~(.. ~1NA1'~.~ (A Oftioel
MAttTIN, RAY J. , FIARA J.
t~goo 5ont5~'[' 1~- 11~{( 5- ~EO~AC_ Nwi=
FT ~EPt~ ,~7
A- 334Sd FT_ {~i EP-~ ~~LF!- 3345~ . .
a. Th is P~nsncinp ststement oovers the followitg typ~slor i~ of propsrty: (Check Dox w~htch ~pplles)
A/l oJ ihe /~owsrhoJd jurnltun ~»d firrnLrhl~ e/ectrlca/ and aat applJante; lnclud[~ television ~ ~
setr„ phono~sphs and mord P1~Y~ryt njrj~eroton~ etc., ond other prrsona/ p~ope~ty now owneJ
~ and lont~d ~t tbt retidenct oj the Drbton ot ~ht addnssaiven ~Dov~e in Box •
~ 5~ Assigneels) of Secured Perty and Addressles)
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~ .......~........C~SSic......~Po~c~a
6. Check ii true(~ The stamps requind by CMpttr T01, F.S, have bssn daced on tfN promissory instrument
r,wrn~l F?oralry, and wiN bo pl~;ed on ~ny ~dditiorwl o~d simit~r in~trurr»nt thst m~y M io ~scured.
l~~xu?nent~ry :t~mps stqcHed ~o oifafnd nolr ~wd ow~et!!ed
' Tnis statertient is filsd without the Debtor~ siqnawn to paf~ct a sscurity intarat in coll~tertll. lCheck ~ if so)
~ ? Already wbject to s sscurity intenst in anothsr juradiction wh~n it wa broupht into this stete.
~ which is proceads of the oripFnd oollatsrd d~scribW abwe in whith a sscurity interest wa~ pe?tected: rt
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Check[~if cavered• ~ Proaeds of Collstsnl an alw co~ted.(]Products of Collateral are alw w~rered. N0. of additional Sheets presented: _ ~
~ F ~ ied w~ih: c7e.t o/ a~e Ct,rutr cowr ol - ca.nry, Fto.tda
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~Of A FORM - FOR UCG1
STAND RD .
* Typt Jlrll anQ ~ompf~le curporate nain~
• fIIED ~NO RECU~~LG - s
~ ST. LUC;E COUH~r F~A .
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