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iHIS FINANCING STAiEMB~1T is pe.e.rttsd Tp a fiilet0 ofricar tar filieeo peneroett to Mee lletifoewe Coe.ee.raal Code. MoWrity dab (if onyx)
1. gbw~t~ ,'host Nonr rrsl) nerd oddeesslstl 2. Seeaeeed t4ny(iw1 and oddreesl~) For Fdinp office. (oo+., ret», Nuteber, ~ /
and f+iitq orfio.l
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fit. Piaa~a~~ Fla. 33450 ' . - - ~ • '
I. 11eis Rttoncieep stoteeeewet oonns Mr foMowieg Wt~ ler ieueetl 01 Pi'ap«M=
is ~~1~ilU •,N H01iNiWid ~dt s. AesipetMtsl of Sncwed Pone and Added
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whoM belaer• fleece Mwt Ma alawepe eequiwd tfr Cteopter 1_i'f . 'r T
6. The secured porMsl, w aiPas 201 • . _ ~ i _ _ . _ .1 ~ 1
Florida Stotules, if any, lace foeen Plorsd aw Mr proewiasorl? iresleflereeeMS ssoueed hereby, and wilt be
plood on any odditisred aed sireiior irWrrwterrl Mat ewof? b• as scarred.
This stotnewM is fMd wiMaul Mr debtor's siyrraMe to psrfsQ o asosrily irrerest in cotiaeeed. IChedc ®M ao)
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? Abeady subject b a seawity irteretf in arroMar jurisdr[tion wlnrr i +ros bwugltt ieMO Mein stole. 't-
? VYhicfi b gooods of Mee ori0ial eoMotsed dssvt~sd above in while o seaerily iettsrest was parfeded:
CMc# ®if conned: ? Peoceedt of CaNaesrd ow atso conned. ? lroducts of CoMorerol nee oho aonerod. No. of Additional Sheets preseniod:
f9Md will
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. Siyresttrreis) d Si~totae{Fl
STANDARD FORM -FORM -1 P~
a Approved by ftidaed IDidc) Stone, Secretory of State, State of Ftorido
~t' F~l.tr_~r, :~',FF"'-R ,may-AI.PNABETICAL otE[. IDEAS tMO. 1679
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