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STATE OF FLORIDA
UNIFORM COMMERCIAL CODE -FINANCING STATEMENT -FORM UCC - ~ REV. 7-7a . _ - : ~ . _
Ant toAas used for fd+n~ ¦an in! Ort+ce of Secretary of State wrsusnt to the Uniform Commerc+al Cods must k approved St Sccretart of Sete.' State of :IOr+da.
1NSiRUCiIONS:
i` 1. PLEASE TYPE this fora. FoW onFy long perforation far editing.
T. Raaave Secured Party ord Oebtor copies and send other 3 copies with interlemed carbon paper to tfu Fitag officer. Encoese filirq fee of 55.OD.
~ 3. If the spore provided for arry iree{s) on the Form is inadeQ+rme the item(s) should be conrinvcd on odditiond sheets, prefer~iy S"s d" or 8": 10". Only acre copy o4
such additional sheets need be preserved to the filing dGcer with the first three copres d the financing stotemrm. Long schedules of collmad, +ndenturcs, etc.,
may be on any sire paper thm is convenient for the secwed party. Indicate the ntrr++be+ of oddiriono! sheets mtahed. Enclose filing !ee of SI.IK'i for a«h additional sheet.
li collateral is crops w goods which ore or arc to b«one fi.Wna, g+re the Iegd desaipt:on eF t!r red estme ord no+ee of voted owmr v record Iessetr.
S. 7rhen a copy d file s«wity agreement is used es a finoncirq stmaeent, it is repressed that it b• «camponied by o completed but unsigned sat d tAese -
3 forms. M additional feed 53.1J0 is rcp+ired.
~ 6. Please sign this loan with o boll point pen. Signatures east be Icgibte on olphobetical od rrureericol copies.
7. IF Filing with CIer4 of Circuit Cowt coawlt Chapter 28, F. S., a 1«0l clerk for proper lees. _
~ THIS FINANCING STATEMfWT is presented to a filing officer for filing persaont to the UnHorllt Cowreerciol Code: 3. Maturity dote t:f onyt: ~'r
7. f)obtorls) llosr fVarae First) and address(es) 2. Socrrred ?orty(Fes) and address(es) ?e. rrr~ OHir« toolr, rr, Wo.+bs., owd rii.e Off`.t
Post offive Boat 3430 Post Offioe Bocc s 4~~4~"
Fbact Pierce, FL 33450 Port Pi~eroe, Florida 33450
This firtorrcieg s101ewNnt corers the fdlowirg types (or iteres) d property:
Property mare particularly desGriUed in attad~~ed schedule
S. ' Assiglloets) of Seamed Forty and Addresses!
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6. ikr sscered pa+rt(r). akase sgeotwelsl ri+pea+s 6eb.r, asses Y+oI tke eo++p raaa.ad by Ct+opssr 101. Fbrdo Stows. i aer. lw.e bras
pkrud or Ike pereory rreresss seewd kwebt, od d Ea pklud a oq oddlPd asd sieier iwbee+e+a riles eal 6a o su+rad.
This stotesnenf is filed witharf IM debtor's signotwe b perfect a secwity interest in collderd. (Check ®i( se)
? AMeody sufijed to a soarrity interest in another jurisdiction wfsen i1 waK bra++ght inro Ihis stoN.
~ which :s proceeds of tM original cdb+erol described above in which o security interest was perfecNd:
. Chock $ if covered: rocoeds of~Col~bte~rsol on also cowred~.s MTOd~u~Hs=oaf Cetiotaroi ere olsescov~ered'.,~Ne. of add'Aiarwl SMNS presented:
Filed with: WJ~>t of Clreuit Oal~t St. 1AL:~LIG F1AJtL.iAYI
JA~9a~I~A, INC. H~IIC ~ ST. I~UC~ OO~+I~Tl'Y
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E sy: Z _ sy:
. ~ Sigrtoturcis) 1>wbtors) fignONre{e) Sacwed iar1T(ies)
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. _ . _ _ STANDARD FORM -FORM UCC- !~i'E ~ . _ _ .