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~ THIS FINANCING STATEMENT is presented to a fili~g offiter for filing pursuant to the Uniform Commertial Code= 3. Maturity date (it any?: ~
~ t. Debto+ls) (Last Name First) and addresslesl: 2. Setured Partyliesl and addtesslesl: For Filing Oificer IDate, Time, Number,
s~' HAZEi,LIEF ~USAN h9C0 FINA!~ICIAL S':'RVIC~3 r a~d Filing Office)
~ 20ti8 !i ~7 ~ ST 2502 ~ FEDERAL HWY it~E~ AMO RECOROEU
41~ I` =T. WC~E COpNTY fl#.
~ FT PIER~E FL 33y50 LT P~ERCE EL 3~~50 . noc£pRO~T4~s
~ ~ FILF ~ ~3ag . c~ fkK .t°"UtT COJ?
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~ 4. This financing statement covers the foUowing types and/or items of propercy: S:P I 3 9 33 aN ~~'J
~ ALL CO'~SU~!Efi Y:OUSEfiOLB Cc'h~~~ LISTE~J AT RE~IDF~~GF OR AT A?'!Y
~ uTHER RDDRr 3yF MFY '~OVE T0. - ~ 4168`7'7
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5. Assignee(s) of SeCUred Party and
Addressies)
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6. The secured partyls), whose signaturels) aPPears below, stata that the stamps required by Chapter 1,
Florida Statutes, if any, have beer~ piaced on the promiuory irxtruments secured hereby, and wi11 be
= placed on arry additbnal and similar instrument that nwy be so secured.
~ Thn sta~ement is filed without the debtor s sgnature to perfect a securi[y incerest in cdlateral. (Check ~ if so)
- O Already wbject to s securicy interest in another jurisdiction when it was brought i~to this scate.
O which a proceeds of the oriyinal collaterel described above in whicA a securiry in[erest w~as perfected:
~x~ Check ~~if covered: O Proceeds of Collateral are also covered. O Products of Collateral are also covered. No. of additional Sheets preseoted: -
~ _ Filed with• r []C'T~ ^cli14TY ~t 1 ?R
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• StJSAN HA7.ELLI~F AVCO FINANCIAL ~FRVICF3
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BY , ~ynatun(s) of bto+ls) S' stur~(s) of S~cur~d P~rtylies)
TANDAR FORM - F R CC-1 ~
- U~ ~ Approved by the Secretary of State. Stat- ot Florida
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