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~ THIS FINANCING STATEMENT is p~esented to a filing officer fo~ filing purwant to the Uniform Commercial Code_ 3. Maturity date (if a~yl: ~
~ 1. Debtorls) (l.ast Name First) and addresslesl: 2. Secured Partylies) and address(esl: For Filing Officer (Date, Time, Number,
~ = A~Q ~~C~' ~ and Fitirg Office)
o Fall, Glenn & Geneva HOLI.Yii~00D, FI~IUA faEO ~o ~EC~e~~o
RT i~: es~ i?,4 ~t ~ zsoz so. ~sn. ainr 418 43 o`~E co
o"~is _
Ft. Pierce, Fla 33450 FT. PIBRC$, FLA 33450 ~`~`T -
~ FII.S ~ 1330
4. This financing statement rnvers the following types and/or items of property: O~[ 3 9 s~ AN ~j
~ Al1 aonsumer ~oueehold gooda lieted at residence or at ar~y -
other addreea they may move to. 418943 .
~(they, she, or he - uhichever applies~
ax. 5. Augneel5l of Setured Party and
" Addreules)
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~ 6. TAe sewred partylsl, whose signawrels) appears below, swtes that the stamps required by Chapte? 1,
~ florida Statutes, if any, have beer~ pteced on the p?omissory instruments secured hereby, and will be
~ plxed on any additional and simitar instrument that mey be so secured. ~
~ This statement is filed without the debtor's signatun to perfect a sacurity interest in coltatenl. (Check ~ if so)
O Already subject to a ssturity ~nterest in another jurisdiction when it was brought into this state.
? which a proceeds of the original collateral described above in which a security interest vvas perfecied:
Check ~ if cove~ed: O Vroceeds of Collateral are also covered. O Produca of Cotlateral aro also covered. No. of additional Sheets presen[ed: g
- Filed with: $t, IiUQ~C C 9 25 ~
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Siy~~turefs) of ebtorlsl Siynaturs(s) of S~cured Partylies) .
STANDARD FORM - FORM UCC-
(1) FtIiNG Off ICEP. P,OPY-11LPNA8ETICAI ~ a 29g P~ 8~ ~`oved by the Seaetary ot State, State of Flwida ;
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