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TNIS FINANCING STATEMENT is presented to a filing officer for filing pursuant to the Uniform Commercial Code: 3. Maturity date (if anyl:
~ 1. Debtorlsl (Last Name First) and addresslesl: 2. Secured Parrylies) and address(esl: For Filing Officer (Date, Time, Number,
fling Office!
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4. This financing statement covers the following types andlor items of property: ~1.ERii CfflflllT COURj, i
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6. The secured partylsl, whose signature(s) 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
! may be so recur
placed on any additional and similar instrument that
This statement is filed without the debtor's signature to perfect a security interest in collateral. (Check ®if so!
O Already wbject 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 security interest was perfected:
Check ®if covered: ? Proceeds of Collateral are also covered. ~ Products of Collateral are also covered. No. of additional Sheets presented:
Filed with' r`~, ~~{~•-~-~~r-v~~Tti~~ 11~r~Q g
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~ S~gnaturels? of Oebtorlsl S~gna els) of Secur artyliesl
STANDARD FORM - FORM U -1 +
C Approved by the Secretary of State, State of Florida -
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