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THIS FINANCING STATEMENT is presented to a filing officer fo: filing pursuant to the Uniform Commercial Code: 3. Maturity date (if amyl:
~et,torlsl (Last Name First) and addresslesl: 2. Secured Partylies) and addresslesl: For Filing Officer (Date, Time, Number,
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4 This financing statement covers the fouowing types and/or items of property: ROGER POITR.'• S
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5. Assigneels) of Secured Party and
Addressles)
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f; The secured partylsl, whose signaturels) appears below, states that the stamps required by Chapter 201,
Florida Statutes, if any, have been placed on the promissory instruments secured hereby, and will be
g placed on any addrtanal and similar instrument that may be so secured.
~ 7n,s statement is filed without the debtor's signature to perfect a security interest in cdlateral. (Check ®if sol
Already subject to a security interest in another jurisdiction when rt was brought into this state.
J which is proceeds of the original collateral described above in which a security interest was perfected:
Check ®if covered: C~ Proceeds of Collateral are also =overed. ~ Products of Collateral are also covered. No. of additional Sheets presented:
F •ied with:
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Signaturefsi of Oebtortsl S~gnaturefsi of Secured Partyhesl
' STANDARD FORM -FORM UCC-1
Approved by the Secretary of State, State of Florida
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