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Bor 21FL-1 Ed Nov. '76
4'71828 t
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.
1. Debtorls) (last Name First) and Addnsc 2. Secured Party and Address * For Filing Officer(Dats,Time, Number,andFilirrg
_ Office} r
?-'"1''iNOND, CLIFFORD B. h CLEL1 BESVEFICIAS, :INj,I~'CE CO ~
r~1~ ~[?CNhNri~ DR. 1111 ~O[JTH F~,'D~~~,L :"::Y ~
TIERCE, r
I: , 3 ?t: [n FT •:aCF., FL . ? 3~i 50 3
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4. Th 1s financing statetnst?t covets the following typsslor items) of property: (Check box which appUesJ
All of the household jurnfnrre ottd furttlshi~x cleceial and oat appliancex includit~ television ~
t; phonoarisphs and KCOId Playtrx rcfi(Saotorx eta, and other ptrsonal property now ownM
~ acrd located at the rcddence of the Dcbtors at the oddnssalven above in Box
? 5~ Assignee(s) of Secured Party and Address(es)
~i
fi. Chock if true The stamps required by Chapter ZOt, F.S. haws been placed on the promissory irrstrurrren I
secured hereby, and will bs placed on any addtional end similar instrument that may bs so secured
Donrmentary stamps attechtd to orlslntl note and conccRcd.
This statement is filed without the Dabtor~ s~grrature to perfect a security interest in oollateraL (CheckLx1 if so)
ii
Already subject to a security interest in anther jurisdiction when it was brought into this state.
I ? which is proceeds of the original collateral described above in which a security interest was perfected:
' Check~if coverod: ~x Proceeds of Collateral are also oovered.(]Praducts of Collateral are also covered No. of additional Sheen presented:
Filed with: CJerk of the Cirrtrlt Court of County, F7orlda
` Secured Party a
B~:;r^FICIAL, rIP;uPrCE. a..'..........................................
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t Debtor i
Debtor _ ~ Manager
STANDARD FORM FO CC-
* Typc JLII and complete corporate nam4
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19@0 JAN -8 A!~ 9= 52
EO ANO PECOKOEO
1 )~~~UCIE CCUNTY~FLA.
i RROGER POITRAS
C4~RK CIRCUIT COURT t
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