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Bor 21FL-1 Ed. Nov '76
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466231 _
STATE OF FLORIDA
UNIFORM COMMERCIAL CODE -FINANCING STATEMENT -FORM UCC - 1
THIS FINANCING STATEMENT is presented to a filing officer for filing pursuant to the Uniform Commercial Cade: 3.
t. Debtor(s) (Last Name First) and Address 2. Secured Party and Address * For Filing OffiarlDate, Time, Nurr~ber,snd Filirq
Office)
. ?T i.IAMS, JAMFS E . , do JCti)s.S RITB~ BFSIEFICIAI: FINr.NCE CO
? an6 B(?(~K r'~ 11111 SOLPPH FEDER nL HWY
_ ~ ,T:.._<CF, Fr.. 331~So lr olF.xcr., FL. 33150
4. This financingstatement covers the following typsslor items) of property: (Check box which app(les)
AU of the household jurnltuse and furnishfrta; electrical and eat appliance; including television
~stt; phonographs and record player; njriserotor; ett, and other personal property now owned
rr=wwand located at the rrstdence of the IXbton at the addressaivtn above in Boz I. ~
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5. Assignee(s) of Secured Party and Address(es)
D
~ 6. Check if trueQ The stamps requirod by Chapter 201, F.S. have been plead on the promissory irrstrumen F
secured hereby, and will be plead on any additional and similar inst?ument that may be so secured. ,
Documentary stomps attochtd to origlnd nose and tarcel/rd
~ This statement is filed without the Debtors' signature to perfect a security interest in collateral, (Check L-x, if so)
? Already subject to a security interest in another jurisdiction when it was brought into this state. ;
~ which is proceeds of the original collateral described above in which a severity interest vws perfected:
Check x if covered- Proceeds of Collateral are also covered.(~Products of Collateral are also covered. No. of additional Sheets presented:
~ F i ied with: Clerk of the Circuit Court of County, Florida
Seared Party *
~..tL. ~~~:~X~t:~:-:~ ........8~'NEFICIFL F '%:ICE.C4..........................................
~~r:::4?.... Deb'tor - ,
' L~~~~ . ' ev
C.~ STANDARD FORM -FORM UCC-1 r
* Type jinU and complete corporate names
X66231
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