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THIS FINANCING STATEMENT is presented to a filing officer for filing purwant to the Uniform Commercial Code: 3. Maturity date (if anyl:
t f)ebtor(sl (Last Name First) and addresslesl: 2. r P For Filing Officer (Gate, Time, Number, ?
A OF and Filing Oftice? ~
RUTa cxAMBERS HoLLY~rooD Fi,. INC 46&523 ~
1001 AVE F 2502 S FED HWY ~T.IUC(E~: r!Ik'-r FIA.
FT PIERCE, FL. FT PIERCE, FL. 33~?5o RGCf r ' : ~ ; ~ S
350 # CLERK COURTD,
4 This financing statement covers the following types and/or items of property: n
ALL CONSUMER HOIISEHOLD GOODS LISTED AT RESIDF3dCE OR AT ANY ~ 6 'Q ~ AM
PLACE TO rrxlCH THEY MAY BE MOVED. 4523
' 5. Auignee(s) of Severed Party and
( Addressles)
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6. The secured partylsl, whose signaturelsl appears below, states that_the stamps required by Chapter 1,
Florida Statutes, if any, have been placed on the promissory instruments secured hereby, and will be
~ placed on any additional and similar instrument that may be so secured.
i This statement is filed without the debtor s signature to perfect a security interest in collateral. (Check ®if so)
~ Already wbject to a security interest in another jurisdiction when it was brought into this state.
O which is proceeds of the original collateral described above in which a security interest was perfected:
Check ®if covered: D Proceeds of Collateral are also covered. O Products of Collateral are also covered. No. of additional Sheets presented:
Filed with:
1
S~p^ature(s1 of Oebtorlsl _ - Si turels) of Secured Pertyliesl _
STANDARD FORM - FORM U -1