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uCC ~o-r tr158-Read« from: Ferris Prinunp Co., Orlando, Florida 32801-122.5285 A s]C~n5
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i IJbo-i«ri~ Primirsq co. STATE OF FLORIDA r3~p i
UNIFORM COMMERCIAL CODE -FINANCING STATEMENT
(Use ONLY for recording in offices of Clerks of the Circuit Court -NOT for filing with the Secretary of State.)
INSTRUCTIONS:
1. TYPE All INFORMATION, using a typewriter having a good ribbon, AND ACCURATELY TYPE THE NAME BELOW EACH
SIGNATURE.
2. Be sure to fill in All numbered spaces which are applicable.
If any space is not large enough, type therein "See attached sheet(s)". (The size should be 8'/~" x 14" or smaller.)
4. If collateral is farm products, or goods which are or are to become fixtures, type in space No. 4 a description of the real
estate which "reasonably identifies what is described", and give name of record owner.
5. SEND ORIGINAL OF EACH PAGE TO THE CLERK'S OFFICE to be recorded and returned. IF you are paying an additional fee
for having recording information noted on a copy, also send a legible carbon copy of the first page.
6. BE SURE TO CHECK ONE OF THE TWO STATEMENTS UNDER NO. 8 BELOW.
This FINANCINt; STATEMENT is presented to a Clerk of The Circuit Court
_ for Recording pursuant to the Uniform Commercial Code.
1. Debtor(s) Name(a) and Address(es) (last name first) 2. Secured P«ty(ies) and Address(es) This apace fa Clerk's use. ONLY
Seminole Springs, Inc. ~ Pennamco, Inc.
371 Midway Road 555 City Line Avenue
Fort Pierce, FL 33450 Bala Cynwyd, PA 19004
3. This Statement covers the folbwing types (or items) of PERSONAL PROPERTY, FIXTURES, or FARM PRODUCTS. '
See Schedule A attached hereto and by
this reference made a part hereof
4 A description of the real estate which "reasonably identifies what is described" and the name of the owner of
she real property.
Owner: Seminole Springs, Inc.
See Schedule A attached hereto and by
j this reference made apart hereof
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5. Maturity date (if aryl ~ 6. Number of sheets attache
7. Assignee(s) of Secured Party(ies) and Address(es)
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~ 8 ONE OR THE OTHER OF THESE TWO STATEMENTS MUST 8E CHECKED. (Otherwise it is not recordable.) i-~,
Check if true: ~ The stamps required by Chapter 201, F.S. have been placed on the promissory instruments
secured hereby, and will be placed on any additional promissory instruments, advances or
similar instrument that may be so secured.
Check if true: ? Stamps are not required by Chapter 201, F.S.
9. If this statement is recorded without the Debtor's signature to perfect a secunry intereat in collateral, check one of the following:
! i Collateral was subiect to a security intereat in another jurisdiction when it was brought into this state.
? Collateral is proceeds of the original collatersl described above in which a security interest was perfected.
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10. Check if true: ~ Proceeds of Collateral are also covered. ? Products of Collateral are alw covered.
11. Filed with: Clerk of the Court, St. Lucie Coun y, orl
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' n g d. Pennamco Inc . ~~t,~xrerr, t
eye . ~ ~ By:
Sigal+tiQr~(i Q>:bsbr(a) : Sgnatwe(a) of Secured Pa )
(TYge n+rt'18<~el~rr;~ )ipnaTure) (Type name bebw _
"°x r- .
s ;t/ Original (To be sent to Ckrk~'tor recorc>]ilig.) _ ~ _
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