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Bor 2IFL-I Ed Nov. '76
466229 .
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STATE OF FLORIDA s
UNIFORM COMMERCIAL CODE -FINANCING STATEMENT -FORM UCC - 1 i
THIS FINANCING STATEMENT is presented to a filing officer for filing pursuant to the Uniform Commercial Cods: 3. '
t. Debtorls) (Last Name First) and Address 2. Secured Party end Address * For Filing OfficerlDate,Titne, Number,sndFilirg
'~;RNER, HARC`LD S. & JDDY Ti. BN',t~EFTCI~L FI!']ti~C'~'. CO
3~~3 St?NRISE B1,VD 1.1(11 SCTITH Fr•'D:~AL ~~4;Y `
- r -gym PTERCE, Fh. 33450 FORT ?IERC~,, FL. 3 3450
4. Th is financing statement covets the following typeslor itatrts) of property: (Check box which sppUes)
AlJ of the household jurnlturc and jurnishitta; electrical and ass oppliance; lnchadfrg television
Q set; Phonoarophs and record PNyer; rcjnaerotor; eta, and other persotwl propnty now owned
and located st the rcsldence of the Drbtort of the addressaivrn above it Box
5~ Assigneelsl of Secured Party end Addressies)
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6. Check if true[x The sumps required by Chapter Z01, F.S. have bean placed on the promissory instrumor
secured hereby, and will be placed on any additional and similar instrument that may be so secured
Documentary stomps attached to orlalnsl vole and canceBt+d
I This statement is fibd without the Dsbtod signature to perfect a security interest in collateral. ICheck ~ if so)
? Already subject to a security interest in another jurisdiction when it was brought into this state.
which is proceeds of the original oollaaral described above in which a security interest was perfected:
~ Check[}if oovered• x~ Proceeds of Collateral are also covsred.[]Products of Colbteral are also covered No. of additional Sheets presorted:
F i Itd with: Clerk of tht Circuit Court of County, Florida
' / Secured Pony
..,~!.......~'S~ B~fiEFICI~ FIi:1:~ . CO..........................................
D__e/bltor , 1
. ...:-7.1.1.:....1~.1..aE By
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Debtor STANDARD FORM -FORM UCC-1 Manager
. * Type Jill and complete corporate Hama
466229
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