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O 5 UNIFORM COMMERCfAI CODE -FIN SANC~MIO
STA 1 ^°"O" oto~eetws
I~:MENT - ~RII~ I~CC - 1 REV. 7-71 a eo:2STt. ~acwwsacc r~,
Aver foams uses tM le.n~ odti IM OMsce M SKnbry N SUIe etMStteal b IM Y.wrterw tewrewtW CaOe wsus' Oe epp+arW b Setretere of Sbte. Stele of :bnAS., -
INSTRUCTIONS: i
1. PLEASE TYPE this fares. foN only along petformton fa eseiiirtg.
2. Reaore Secwed P«tr and Detita cepies and send other 3 copies with interleered carbat paper a the lilirsg officer. Enclose filing fee el S~.LO.
3, tf eke space prorsded lot owp stare(s) on the lam is inodeQoote the i?eesfs) slwulo be continued on oddihonol sheets, peferoblr S"¦ 8" a 8"¦ 10" O~+Ir one copy of i
suth addstwool sheets need be preserreel to the Llirag olhcer with the lust three copies of the financing sraemem. Long schcduie•, of'coltotcrel, ir.denwres, etc., ~
mar be on enr site paper that is conren~ent fa the secwed parr. lodicote the n,reber of odds+~onol sheets asoched. Enclose hlrr9 Ice of SLOG fa each odd.+~onol ,hoer. t
1. If colytnol is crops a goods which ate a are to become Fiehrne, giro tke legal description of the real estMe asd nave of record owrwr or ncard lessee. R
S. tihen a copy of tFre aecwitr ogreeaerst ss usel as o linancing s~aereent, it is requested that it be eccoraponied by o cosep4ted bu+ unsigned ser o! rhese y ~
loans. M oddirionel fee of Si.00 is rearued.
6. Please sign this Form wilh o ball peiet pen. Signatures wust be legible on alphabetical a+d nwecrrcol copies.
T. if tiling with Ckrk of Circuit Caxt cmwlt CFseoter Itj, f. S., a local clerk Fa potty fees.
THIS i1HAMCING STATEiNl:NT is presented too !il' officer Fa filirsg pynrtorrl N Ilya Uwifaw Cawswsorcial Code: Mohrrar dote it onr'
t - - Oebtafsl Hest Naree fi¦sti erd eddresstes) 2. Secured ?orerlie+) owd oddresstos) t« t.t...e Ost.ae. oaw. uee. n,.eew. o.d r.t,.y
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RICE, Kenneth D. THOMAS, Rosemarie M.
1002 Royal Palm Way, Apt. P. O. Box 1711
C, Ft. Pierce, FL 3.3450 Ft. Pierce, FL-33450
~ This f:szoncing stahewent covers the felbwinq types (a items) a! property:
F
1979 Lincoln Continental Mark V, I.D. No. = ~ _
9Y895607143 _
S- Assignees: of Secured ?atr aad Eddress es
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6. Tie rcesed ponrtsl..ion egaat•~e(sl eepeas bb., taws rbr she ea+w .q.+.d br ChuVta 701. Flndo Swrws. ! over. b.e ta.w
doted o.•ke p.ae¦enrt +r...we.ts secwed t¦rrebr. ewd a b. pbcad ow r>N addrowd od s+aier eierreres Mat w.oe 6e so sacral '
i e
~ this srolerwent is /fled withart the debtor's signature » perfect a secw:ry interest M celloterel. iCheck ®H w!
Already sebject too secwitr wsteresl in enotfnr jwisdiction whee it was brought iwto this sbfa_ ~
p _ which is proceeds of tM aiginol celbnral described above iw which o security interest woo perfected:
k :neck $ if w•ered: ? hoceeds of Collotord on ales covered. ~ ?roducts of Cellahreii tyre ales ce•ered. No. of additional SMets presented:
filed with- Secretary o State; C er o Circus our or Lucie County, orl a
ar: ar:
Kennet .~'g'1~L'~ °ibior``' Rosemarii~"°iTt':'s' rtr:i.,? '
r u r~tu,ts Officer cepr - wfPha?tt4cal STANDARD FORM -`FO~ UCC-1
a Atp.eed by feuMery el SeoM Score el Fto..de
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