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STATE OF FLORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATfMENT - FORM UCC - 1
F~!S FINANCING STATEMENT is prese~ted to a filiny officer fw filiry purwant to the Unitorr~ Commercial Cods: 3.
. ~~ebtor(s) (Last Name First) and Address 2. Sscured Party snd Address * For Filirg OHicerlDate, Time, Number,andFilirg
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_::;:iIT.~t~A!_:F?.~ :,i~ST. 1141 3outh 'r'elaral i~f.
31". L'J.:l:.~ ~L. 334~2 Fort :'ietC~~ r1. 33~~J bTLtUr,A~~C0UM1Y FLR
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This f inancing st~tert~ent covers the follOwiny typeslor items) ot property: (Chtck bo.r whtth app!!t~) ~A 4 c~~ ~~Q
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AU o/ the houtthdd fumintn ond furnithina; dtcMcol ond aa.r upplanct; includfna telev[tion ~ ~
~jjsrt~ phono~nphs and record pJeyer; rejrlgrroto~ etc., and othtr ptrsond p~operty now own~d ~(tL~ ~S
1--f ~r l:ertajte~ occuired in r~placemtnt rhe~eojard no?v or henaJ?~• tocared at the .estdenee oj rh~ `S
Gebtors at the addnss x(ven obove in Box 1.
D 5. Assi~eelsl of Setured Party and Addressles)
;:~ti~rk if VueLj The starnps nquired by Chapter 201, FS. AavE baen plscsd on the promistory i~strument
~~cured hereby, arui will be placed on sr?y additionsl end similar instrument th~t may be so sea,rod.
! li. v um~ntary stamps arwched to o~rginQ! noa and cancrU~d
~ s,,,tement is tiled without the De6tors' siynaturs to psrfsct s sscurity interest in cotlat~ral. (Check nx ;f sol
~ ~ Alresdy wbject to a security i~terest in another jurisdiction whon it was txou9t+t into this stste.
j [J which is proceeds of the originsl oollatersl described above in whi.;h a sscurity interest was Exrfected:
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I~f covered: Proceeds of Collsteral are alw covered.OProducts of Coltaterat ere slso oovered. Na of additional Sheeu presented_
~ with~ C(trk oJ the Circult Coart oj _ County, Ffodda
~ ~ - ~ SecurodParty *
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osbtor
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Debtor STANDARD FORM - FOR . UCC-1 Manaqer
* Typt full and complttt corporott namG
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