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~ THIS FINANCING STATEMENT is presen[ed to a filing officer for filing purwant to the Unif r Co cial Code: 3. Maturity date (ii any1: /
~ 1 Debtorls) (Last Name First) arxl address(esl' 2_ Secured Party(ies) and addr For Fiting Office~ (Date, Time, Number,
~ hVCO FI~:A?TCIAL Sr`~VICES OF '
~ K.OP'PF.':•;HO:FF''.~R~ JEROLD HOLLY'rICOD FL. I;:C
~ s~ saca~so~ z5oz s~D ~-:~~n ~9~9 Nklf 18 A~ ~ 54
~ PT ST LUCID~ FL. 334D~
33452 ~ PI`~l ~ ,~$'j'7 FILEOANp R:COft~EO
ST1~t)CIE Cp~ T F A.
~ 4. This tinancing statement covers the touowing types and/or items ot proper ty: "~OGER POIT~A
CLERK CiRCUIT 1
~ :1LL CQAISUl~1E.~ !-IOUS :!?OLD C~OAS LIST~:D AT P~SIDs?i~C~ ~J?' AT PL:1C RECORO YER'~t[D
# ~~r~~c~~ ~r ~.iAY ::o~r~.~. 444bi19
~ 5. Augneels) of S~cured Party and
~ Addreules)
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6. The sea?red pa~tylsl, whose siqrtature(s) appean bebw, states that the stamps required by Chapter t,
f Ftorida Statutes, it any, have been placed on the promissory imtruments setured hereby, and wifl be
d~d on arry addi[wnal and similar instrument that may be so setured.
This statement is filed without the debtor's signature to pe?fect a security interest in collateral. (Check ~4 ii so)
3 ~ Already wbject to a security ~nterest in another jurisdiction when it was brcwght into this state.
~ ~ which is proceeds of the original Collate~al described atwve in which a feCUrity intErest vras perfetted: •
~ Check ~ if covered: ? Proceeds of Collateral aro also covered. 0 Products of Coltateral are also covered. No. of additional SF~eets presented •
~ _ F~~ed w~th: GT LUCIE COUP~TY O,r,~1 b.-~
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ev: - - - BY~
~ S~qnsturels) o e Sipnstur of S~cur~d Party ~
; ST DARD FORM - FORM UC 1
~ r~ /lpproved by the Sec~etary oi State, State of Florids
F~I ,~s~~rsn r;}cy- - ALPHABETILAL s~Q~ Wt7 ~
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