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Bar 2dFt-1 Ed No?s '76
4'7182'!
- 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 Code: 3.
t. Debtorls! (Last Name First) and Address 2 Severed Party and Address * For Filing Officerl0ats,Time, Nurnber,andFilirg
~u~Rpr^., c'?~?,n~aF P~ Rr A. Rr^,*?FFTCIb.I F7;:;PICF (X1, office!
^r1 ~.F, F^•SPER DR. 11!11 SOI?TH Fr.DI'.R^.T: h"rJ`f
~''~T ST. T~'CTF, rrT:. ?3~;52 FORT ~T_~'RCF., FL. 3?l,50
4. Th is financing statement covers the following types (or items! of property: (Check box which appUes)
All of the houxhold jrerntturc and jurnishutgx clectnca/ a»d gas appliance; includi?~ television
Q xt; phonographs and record player; rcjrgctatort, eta, and other persona! property now owned
and located at the residence of the Debtor at the address given above in Box
D 5. Assigneels) of Secured Party and Addressles)
6. Check if true x~ The stamps required by Chapter 201, F.S. have been placed on the prom'asory instruman '
secured hereby, and will be placed on any sdditional and similar instrument that may be so secured
Docrr?nentary stomps attached to original nose and cancelled
~ This statement is filed without the Debtors' srgnaturo to perfect a security interest in oollateraL (Check ~ 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 security interest was perfected:
i
Cherk~}if covered: Proceeds of Collateral are aho covered.[]Products of Collateral are shoo covered No. of additional Sheets presented:
Filed with: Ck ojtheClmritCourtoj ~ Counry, Floslda
Secured Psrty * '
B:..:FF'ICI.'.1: F7..:~:~:F..~::........................................
. . . .
Debtor
" :tea!': ~
sy
Debtor STANDARD FORM - F UCC-1 Manager
* Type jtrU and complete corporate names
I~0 JAN -8 AN 9~ 52
FILED ANO RE T
~
A
E ST.LlIC1E CGUN
ROGER POITR
@ CLERK CIRCUIT CDU11
3 RECORC ~ERtf!E!1.--
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4'7182'7
- ~ g~323 Pa~E~S~ -
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