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TH?S FINANCING STATEMENT is presented to a filing officer for tiling purwant to the. Uniform Commercial Code: 3. Maturity date (if anyl:
~ 1. Oebtorlsl (Last Name First) and addresslesl: 2. SA~ PryYfj~dgdd.rr{a.1aC$ OF For Filing Officer ;Gate, Time, Number,
~R'P~A,~ PAUL, Nile AND GLORIA HC~
r~usrDs,wii~ewe .'i~iI~2LY1~~ and Filing Office)
E ~ mss, z5oz s FED HWY 1919 s~"Y 17 Ali 11= ~ 6
33450 FT $ PL 33450
E FILE ~ 184 =~a.tto tw x~~f?.
4. This financing statement covers the following types and/or items of property: PdT~A
S~ tai
ALL CONSUMl3R HOIISBHOLD GOODS LISTED AT RESIDENCE OR AT SNY
~ PLACE TABY MAY Ba MovED. x°44694
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~ 5. Assigneels) of Secured Party and
Address(es)
6. The secured party(sl, whose signaturelsl 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 be
placed on any additional and similar instrument that may be so secured.
r
This statement is filed without the debtor's signature to perfect a security interest in co!lateral. (Check ®if sol
o Already wbjeet to a security interest in another jurisdiction when it was brought into this state.
O which is proceeds of the origins{ collateral described above in which a security interest was perfected:
s
I Check ®if covered: O Proceeds of Collateral are also covered. O Products of Collateral are also covered. No. of additional Sheets P?esen[ed:
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3 Filed with:
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t3y: By:~
S~gn~ture s) of D.btor(s1 S+pnature sl of SecurW Partvl~esl
STANDARD FORM -FORM UCC-1
'lt FRIG OFF'f = ~ r,~pY__~EpNAaEIiCAI Jr Approved by the Secretary of State, State of Florida
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