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THIS FINANCING STATEMENT is presented to a tiling officer tor filing purwa~t to the Unitorm Commercial Code: 3. Maturiry date lif any1: /
t. Oebtor(s! (last Name First) and address(es): 2_ Secured Partylies) and add~euiesl= For Fili~g Otficer (Date, Time, Number,
~ID~ Nonsan ~ E. °c There sa !lvco F'in~.ncial 9ervice ~ of a^d Filing Office)
5~9 :~z?erside Driva Holly~aood, FL., Inc. 451498
Pt. st. Lucie, ~FL 33452 z5oz s. Fecteral '^i9 J'_?' 4 3~,~; 3g
;~1985 Ft. Pierce, FL 3345~
F~LEU Fkli FEGtiituEU
4. This financing statement cove.s the following types and/w items of propercy: S ROGFR PQITRAS A
A7.1 liousehol3 ~oods pre sently ouned Andkept at the rioove ctE~K c~s~ct~Y co~~~
u3d~ss ar un;~ other addresa tho ~anich the; ~ay ~e raove~, ~c•«~.,_~~ 9. t~s~~
5. Augneels) of Secured Party snd
Address(es) '
451498
~ 6. The secured parry(s), whose signature(s) appears below, states that the stamps required by Chapter 1,
Florida Statutes, if any, twve been placed on the promissory instruments secured heraby, and vvill be I
~ placed w? any additional and similar instrument that may be so secured.
This statement is filed wi[hout the debtor's signature to perfect a security interest in oollateral_ (Check ~ if so)
O Already wbject to a xcurity interest in another jurisdietion when it wes braght into this state_ ~
G wfiich a proceeds of tne original collateral described above in which a security interat was pe~fected:
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Check ~ if covered: O Proceads of Collateral are also covered. C7 Products of Collateral are also covered. No. of additional Sheets p.esented:
Filed with: e O O ~ C@ Ll ,
'Foz~auan E t :1vco nanc ce o,
The re sa ~eid
sv: - sr: -
" Siynaturels) oi Oebtor s) . J Siynaturtls) of S~c~rW P~rty(ies)
STANOARD FORM - FORM UC~-1
8~31~ P~1~8 ' ~roved by tbe Seuetary of State, State ot Florida
~1~ FIL!fiG OsF!CER C!?~Y-plPi~AB~T1CAl
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