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~ TNIS FINANCING STATEMENT is presented to a fihng offlcer for fihng pursuant to the Unifo~m Commerclat Code:~ 3. Maturity date (if any1: /
~ 1 Debtorls) (Last Name F~rst! and addresslesl: 2. Secured Partyliesl and addresslesl: or Filing Officer (Date, Time, Number,
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~ 4. This financing statement covers the fol,lovring types and/or items of property: - A~~ ~ O 45 1 8
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5. Assigneelsl of Secured Party and
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Address(esl
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~ 6. T1ie secured parcylsl, whose signawrels) aPPean below, states tha[ the s~amps required by Chapter 1,
" Ftorida Statutes, ii any, have t~~ plxed on the promissory i~struments secured hereby, and will be
' placed on any addrtional ancf similer ~nstrument that may be w secvred.
~ Th~s 3tatement is filed without the debtoi s signature to periect a security interest in cdtaterat. (Check ~ if so)
O Already wbject to a security ~nterest in another jurisdiction when it was brought into this state.
~ ? which is proceeds of ihe original collaterel described above in which a sscurity intuest v~s pe~fected:
Check ~ if covered: O Proceeds ot Collateral are also covered. O Products of Collataal are also covered. No. of additionat Sheets prese~ted;
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STANDARD FORM - M U -1 ~.~,r ~
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,~y - Approved by the Sec~etary oi State, State of Florida
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