HomeMy WebLinkAbout0828 Bo?21FL-1 Ed NoK '76
495438
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 Commercisl Code: 3,
1, Debtorlsl (Last Name First) and Address 2. Searod Party and Address * For Filing ONiceriDate, Time, Numbet,andFilirg
MACK, Rachel Office)
1202 North 29th St, s Apt 93 t3airc:..
Fort Pierce, Fl. 33450 liar ~ ~
4. Th is financing statement covers the following types (or itemst of property: (Check box which applies)
All of the household jurnituro and jurnishirra; electrical and aos appliance; lnchedigg tclevision
set; phonoariophs and record pMyer; njrgerotor; etc., and other personal property now owned
and located at the residtrrt't of the Debtors a? the addreuaiven above in Box
D ~a Assigneelsl of Secured Party and Addresslesl
6. Check if true~x The stamps required by Chapter 201, F.S. have been placed on the promissory instruments
secured hereby, and will be placed on any additional and similar instrument that may be so secured
Documentary stamps attached to original note and cancelled
Ths statement is filed without the Debtors signature to perfect a security interest in collateral. (Check ~ if so)
j ~ Already subject to a security interest in another jurisdiction when it was brought into this stela `
~ which is prooteds of the original collateral described above in which a security interest was perfected:
Check[iif covered: ~ Proceeds of Collsteral are also covered.[7Products of Collateral are also covered No. of additional Sheets presented:
Filed with: Clerk of the Circuit Court of County, Florida
Seared Party
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Debtor
BY ~
Debtor STANDARD FORM -FORM UCC-1 Manager i
* Type full and complete corporate namr.
495438
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