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~ THIS FINANCING STATEMENT is presented to a tiling officer for filing purwant to the Uniform Commercial Code: 3. Maturity date (if amyl:
a t . Debtorlsl (Last Name First( aril addresslesl: 2. Secured Partyliesl and addresslesl: For Filing Officer (Date, Time, Number,
WL1sOR~ R & ~ A~OO 8•r~loes~ ~ and Filing Office)
g 104 (iotLa>, fort ~ HallJ~rood, Fla Ina. - . : :c+~ -
Ft. Pisro~, Fla 33450 2502 8. moral Hvy - ~ ' ~ • I ~ .
1~'t. Piaroa, Fla 33450
_ ~ / 1716 ~;~`7~
~ 4 This financing statement covers the following types and/or items of property: tl ~ ~ 1~
All oans~esr boaanholci goods and appliano~a looatsd at t~hs ~ ~l~
debtors raidd~snos or at ar>~r otl>rr looatlon to Wl>,~oh t2ry nay
~0*~~ 5. Assignee(s) of Secured Party and
Address(es)
6 The secured partylsl, whose signature(s) appears below, states that the stamps required by Chapter 1,
Florida Statutes, if any, have been placed on the promissory instruments secured hereby, and will bs
placed on any additional and similar instrument that rttay be so secured. '
k This statement is tiled without the debtor's signature to perfect a security interest in collateral. (Check ®if so1 _
~ Already wbject fo a security interest in another jurisdiction when ii was brought into this state.
O which K proceeds of the original collateral described above in which a security interest was perfected:
Check ®if covered: O Proceeds of Collateral are also covered. O Products of Collateral are also covered. No. of additional Sheets presented:
Filed wit
1
By - By'
S~gnaturetsl of Debtorlsl S~gna el>~o Party(
STANDARD FORM -FORM UCC-1 RQ(H! PACf~~
Approved by the Secretary of State, State of Florida
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