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495440
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STATE OF FLORIDA
UNIFORM COMMERCIAL CODE -FINANCING STATEMENT -FORM UCC - 1
THIS FINANCING STATEMENT is presented to a filirq officer for filing pursuant to the Uniform Commercial Code: 3.
1. Debtorls) (last Name First) and Address 2 Seared Party and Address * For Filirg OfficarlDate, Time, Nuntber,sndFilirg
Offioel
MARTIN, lllilson D., Jr.
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P.o. Eox 969 i c. ;~:c
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Ft. Pierce, F'l.. 3345 i
`I. Th is financing statement covers the following types (or items) of property: (Chick box which applies)
All of the housthold jurnitunr end furnithirg; electrical and acs appliance; Jnchrdir~ teltatition
®.nt; phonographs and mo?d ployert~ rejrgenrtorr, etc, and other persona/ prope?ty now owned
and locattd at the readenee of the Debtors of the addrcssgi?rn above in Box 1.
D 5~ Assignee(s) of Secured Party and Addressles)
G, Check if true x~ The stamps required by Chaplet ZO1, F.S. have been placed on the promissory instrument
secured hereby, and will be placed on any additional and similar instrument that may be so seared
Documentary stamps attaehtd to originoJ nou and conceUed
l This statement is filed without the Debtor{ signature to perfect a security interest in collateral. (Check ~ if sal
? Already subject to s security interest in another jurisdicYan when it was brought into this statt.
? which is proceeds of the original collateral described above in which a security interest was perfected:
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~ Check x if cowered: ~ Proceeds of Collateral are also oovered.[]Products of Collateral arc also covered. No. of additional Sheets presented:
~ Filed Clerk of the Circuit Court of County, F7orido
Secured Party * E
........................Debtor x 1
By
Debtor STANDARD FORM -FORM UCC-1
* Type jail and complete corporate narrtG i
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- 495440
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