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?HIS F WANCWG STATEMENT b prsfenNd b o kltnq offker br ittinq purwonl b the UnUore+ Commerctol Code: J. Moturit~ dale (H ony): `
i Debtor(s) (lost Nome Flrst) Dori eddresa{p) 2. Secured port~Ues) Dori addrpf(ea) For Fiiinq Offku (Dote, Dme, Number, Dori Fllinp Ofkce)
~ r^air, i~oosevelt ~ Queeni =iousehold Finance Corporat on
~ 2"'07 "ssex Ct PO fox 321q FILED ti~tD RECORDE~~.
~`t Pierce Fl 33!}10 r't Pierce ~'1 33!~5a ~-C7C(~ GCUNTY. FAA.
.4:38455
a This finoncMq ftotement Co.ers the followtnq types for Hems) d properrF~ ~ A A w ~ ~ • ~ e _
Al,i. CO'~S~~~`_.it ?r. HJUS'i:~OLL -UODS IP:CLU~I~IG 1 Har^rt'.ond r~ n, LfV• v
2 stern `!'ape Players, 1 washer ~ .pryer, 1 ref'rig, 1 8
( S Asagne ~yli ANnssles) {
- color •tf`_'~'d~
CLERK CIRCUIT COURT
5 Cheer tf kw ? the stamps nrJutred bF Chopter 201, F.5 ho.e been ptoced on the promusor~ imlruments secured
q hereby, Dori wtll M pbced on onr oddtttonol Dori simibr instrument shot mop be so wcured.
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TNf sbtereent b filed wHAoW the debbr's stgnoture b perfect o securH~ iroerest M colbbrol. (Cheri ~ Ii so)
? Alreody Wb(ed b o senrrNp tnNrest in onolher lvrtfd~cfion when it wof brovpht bb Ihif stob. -
? whkh Is progedf d Ilse ortplnol colbNrol described oboe. in .rl+kh o securNr bteresl was penc~ted. ;
f Ct,ed ®d w.ered: ? Proceeds of ColbHrd ore olio co.ared. ? products d Colloterol ore oleo co.ered. Mo. of odd ~eonol Sheers Dresented
Filed wlih:
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9~. Sq refs) of Oebtor(f) r Sgnoture(s),pl Ies)
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F , , . ~ . _ ~ , _ -~tiet;ral STANDARD FORM -FORM UCC-1 SL~~
~c •ppr0•ed bl ?OM AD AM i. ~r_~e'~~. c•e of Ficad;