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THIS FINANCING STATEMENT is presented to a filing officer for filing purwartt to the Uniform Commercial Code: 3. Maturity date (if any1:
t. Debtorlsl (Last Name First) and addresslesl: 2. p~
r~y (~L For Filirg Officer (Date, Time, Nu ,
AUSTIIrT, I~!ICHAEL ]tZI'IRI'1G~~Y1~~ OF and Filing Office)
HOLLYWOOD, FL. INC.
AUSTItd , RITA 2502 S FED HWY ~ ~ ~ ~ ~ ~ _ ~ T
1809-C FULTON DR ~ PIERCE FL.
FT PIERCEI FL ' f ~ ~ P A.
33+50
4. This financing statement covers the following types and/or items of property: T ~T -
YaIF~
ALL C02ISUI~iCR HOUSE80LD GOODS LISTED AT RESIDF~ICE OR AT AItY s
PLACE TO :~FiICIi T;?EY tIAY BE :0'JED. ~
5. Assigneelsl of Secured Party and
Addressles)
6. The secured partylsl, whose signature(s) 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 severed.
This statement is filed without the debtor's signature to perftct a security interest in cdtatersl. (Check ®if sol
O Already wbject to a security interest in arwther 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: O Proceeds of Collater 1 are al covered. Products of Collateral are also covered. No. of additional Sheeti presented:
Filed with:
hBCO FII.AIICIAL SERVICES
fay- ey:
S+gneture s) o Debtor{s) Signature s) of Secured Pertylies)
STANDARD FORM - ORM UCC-1
r ~ [1^Fi` w ~ Approved by the Seuetary of State, State of Florida t
1' FIIIF,r GF. OPY-ALPHABETICAL BC(~L~ P~AE~.~e~
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