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°r THIS FINANCING STATE~ILB~fT is presorted b o filing offices fa filing punct~orM a the Uniform Ca+rnerciol Gode: 3. Nlahwilp doh (if orl:)
I t . Debbr(s) (loft Nome f:R?1 and oddnssslasj ~d ~r(~) gd~dressles) for filing Offioe? ~ .Time, Numbs, '
~ 'TAYLOR, HENRY & JIILIA .n. FIjVAjV(;B and fir Offial ~
~ 3010 Ave J BC'fX 3265
Ft. Pierce, FL 33450 PILRC~, FLORIDA 33434 4s~,4
~ This firrarrcirrp stoterrrerrt corers the folbrrirrp types (or igms) of properly
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AS PER 3 CHEDULE "A" HOUSEHOLD 000
acrd Addressies)
Y
n. BOX 3265
~ ~ PI RCE DERAL HWY.)
FLORIDA 33450 ;
c b. 1lre seared portylsl. whose siyrrohrrNs) appears blow, states 11rot the stomps required by Choprer 201, s
fbrido StoMes, if ony, bore been pboed m Nrs promissory iMtrunrerrts sscwed hereby, and will be
pbced on ony additionol and sinrilor iratnrrrre?rt shot moy be a wand. .
This sbtoneM is filed wiNrout the deftsor's siprwtune b perfeO o security interest in colbterol. I~reck ®d _
? Alreody subject b a secwil irrtaest in anoNrer jrrrrsd'iction when i was brought into this store.
? Which is proweds of tfrs original colloterd desaibsd above in which o searil interest was perfected:
Check ®if oorered: ? fhoceeds of Colbterol an oleo covered. ? Ptaducts of tolbterol ore also covered. No. of Additiorrol Sheets presented:
Filed wilh:
' , G ~C -,?Z EAv F N
y eye siyno?urels) of oebtortsl Sr~tolw>r(s~l~f Pbrtyl -
STANOARO FORM -FORM UCC-1 gQ,~
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