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. . 4~83
. , Bo~ 2IL1 Ed. May '70
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STATE OF FLORIDA
UNIFORM COMMERCIAL CODE = FINANCING STATEMENT - FORM UCC - 1 •
T?11S FINANCING STATEMENT is pnsented to a fiiinp offiar for filinp punuant to tM Unitorm Commercisl Cod~: 3. '
t. Debtwlsl (Last Nsme Fint) and Addross 2 S~wrod Party and Address * For Filinp OHioKlOate,Tims, Number,andFili~g
::~:iJ.i, jA.~tA:~ 3:i :'r'I uAI, FT_.iA.i~ officel
?911 a:zbar ~~i,h re ieral ;i:r~r
: ort :'ierce, :I. 33~t~~ ~'orL Pi~rc~, Fl. 33u50 ~ ~
a. i his financinp staterr~t oovats the following typsslor itansl of property: (Check bo: whtch appllu) ~
AU oj the hou.tehold jumitu~+e and J4rnithir~ electrica/ end aar oppJlanceJ L~cludl~g telcviston
f',r 1 set~ p/ionoanophs ad morti pioyer; relr~rnto~ etc., ond other pasond property now oxmed .
iJ or henajte~ ncquJnd in reploceinent rhenoj and now o~ here+ajter located ot the ~rsidenet oJ the
Debtwt af the add?rts ~i?cn ubove In Box l. - •
' 5~ Rssigneels) of Secured Psrty and Addrossles)
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t. Check if true~ The starrips roquired by Chapter Z01, F.S. have besn pisced on the Prort?issory i~strumen ,
~:curcd .herebY, snd will be Pl~oed o+? m~Y additiot?si and sunilar instrurt~et tAat may bs so secvred.
D:mer?ientary ttanps anach~d to origind note anJ cancetkd
li ~~:r scatement is fibd without the Debmr~ si9r?ature to perisct a sacurity interest in collateral. (Ch~dc ~x if so)
I ? Atresdy wbject to s sewrity intersst in another jurisdiction when it was txouyht into tha sbte. .
~ which is proceeds of the orispnel oollaterol described abo~+e in rvhich a sscurity intsrat w~s perfected:
hec~:' z~if oovered• Proceeds oi Collataral are also ooverod.QProducts of Collateral s?e slso oovered. Na of additiond Sheeu pcesented:
~~~~d with: Cferk oj the Ctmrit Court oj Counry, F7o~ida
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.~iecvred PartY * p
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.............,..........Debtor.................f~.............5'fANDARD FORM 8 FORM~:'.............. .....~~r... ;
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* Typt f~!! and cornplea corporote na~na
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