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THIS FINANCING STATEMENT is presented to a filing officer for filing purwant to the Uniform Commercial Code: 3. Maturity date (if-any): ~ ,
t . Debtor(s) (Last Name First) and addresslesl: Secured Party(ies) and address(es): For Filing Officer (Date, Time, Number,
MARlCOHSQ, Ale~odnder Jt. Amco Financial Services of and Filirq Office)
~1ARlCOW3KI, Edwina B. Holly+rood, FLe, Inge. 446'78 I~T9 ~~7 I7 A~ iQ 3I
2406 l~ii.saisfi~ippi Ave 2502 S. Federal Avy
FtePierce, FL 33450 f „ Fte Pierce, FL 33450 ,~i ~ pt n o
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4. This financing statement covers the o owing types and/or items o property ~ 1~1J~tiLaft~ r•~~.
$ 0.Eiix GfRglt~
All household goods owned by the debtors and maintained at 11iC0~v£n1Flf~'
address above sr any other address to which they may be roved 4'4461`'ybi
5. Asfigneels! of Secured Party and
Address(es)
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6. The setaued party(s}, whose signaturels) appears below, states that the stamps required by ter 1,
Florida Statutes, if any, haw been placed on the promissory instruments secured hereby, and will be
placed on srry additional and similar instrument that may be so secured.
This statement is filed without the debtor's signature to perfect a security interest in collateral. (Check ®i( so)
O Already wbjea to a security interest in another jurisdiction when it was brought into this state. f
j O which is proceeds of the original tuollatersl described show in which a security interest was perfected:
Check ®if covered: ? Proceeds of Collateral ar also cover . O Products of Collateral are also covered. No. of additional Sheets presented:
Filed with: •
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~ i Services of Roll FLe, Inc.
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ey: ~ - - By:
Si ature(sl of Oabtor(s1 Siynatu e s of ecu Perty(~asl ?
STANDARD FORM -FORM UCC-1 t
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~ FfC!NG OfflCER COPY-ALPNABETlCAI. Q R c~p 's„_ Approved by the Secretary of State, State of Florida i
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