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Bor 21FL-1 Ed Nok '76
495442
STATE OF~FLORIOA
UNIFORM COMMERCIAL CODE -FINANCING STATEMENT -FORM UCC - 1
THIS FINANCING STATEMENT is prassrtted to a filing offiosr for tiling pursuant to the Uniform Commercial Code:• 3
t. Debtorls) (Last Nsme First) and Address 2. Sacurod Party and Address * For Filing Officer(Date,Time, Number,andFilirq
Office)
HINli'.S, COriLti@ ilrnrh, i.•' ~ : , i.' i !
1607 North 15th St. i>t-t~ ; .
Fort Pierce, F1. 33450 `
4• This financing statement covers the following typeslvr items) of property: /Check box which opplles)
All of the household jurnitun and jurnlshirrg; electrlca/ and gas appliancr; lnctudtng television
® set; phonographs and record player; rcjr(gerotor; etc., and other personal property now owned
and located at the nnidenee of the Debtors at the addressgiven above in Box 1.
D 5~ Assignee):) of Secured Party and Addressles)
ii. Check if true The stamps required by Chapter 201, F.S. have been plsoed on the promissory instrument
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
This statement is filed without the Debtorf signature to perfect a security interest in collateral. (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:
Check[~if covered: [x~ Proueds of Collateral are also covered.[]Products of Collateral are also covered No. of additional Sheets presented:
Filed with: Clerk ojthe CtrcuitCourt of County, hTorlda
~ ~ I Severed Party
..Debtor' ......i.l...................................................................................
BY ..................................................~a^~....
Debtor STANDARD FORM FORM UCC-1 r s
* Type jolt and complete corporate Home.
1980 AU6 -7 1lMi i~ 4 3
t F EO ~ PECOROED
S ~~((l!CC~~E CO TY.FLA.
~t06ER P~TRAS
CLEIq(CIIICWT COUIIt
RECORD VERIFIEO~~----
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