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Bor 3dFL-/ Ed Nov. '76
495445 {
STATE OF FLORIDA
UNIFORM COMMERCIAL CODE -FINANCING STATEMENT -FORM UCC - 1
THIS FINANCING STATEMENT is presented to a tiling officer for filing pursuant to the Uniform Commercial Code: 3,
1, Debtor(s) (Last Name First) and Address 2. Secured Party and Address * For Filing Officer(Date, Time, Number,sndFilirg
OHioe)
SIDDONS, Frederick A. do Peggy
~ 5? Calonso Dr.
Port St. Lucie, Fl . 33452 B""-"~ ' ~ ~ _ , - t
11x1 ,
4. This financing statement onvers the following typeslor items) of property: (Check box which applies)
AU of the household jurniturc and jrrrnishirrg; electrical and gat appliance; inchrdirg television y
®set; phonographs and record player; rcjriaerator; etc, and other perso?a/ property now owned i
and located at the rcsWenee of the Debtors at the addrcssgiven above in Box )
s
s
D 5~ Assignee(s) of Secured Party and Addressles) 1
Check if true The stamps required by Chapter 201, FS. have been placed on the promissory instrument
secured hereby, and will be placed on any additional arsd similar instrument that may be so secured
Documentary stamps attached to original note and cancelled
This statement is filed without the Debtors' signature to perfect a security interest in collateral. (Check ~ if sol
f [
i Already wbject 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:
i
! C heck[jif covered: ~ Proceeds of Collateral are also covered.[JProducts of Collateral are also covered No. of edditiond Sheets presented:
F ~ 1ed with: Clerk of the Circuit Court of County, Florida
Secured Party *
t /t Debtor
...~.~li..r~J'?r~~:. .s,,..G:.a:.1.:-~•.i:.:,-e•.~11F~:l...?...... By ...47~~-....................................
/~G/ ~ ~ . .Debtor STANDARD FORM -FORM UCC-1 Manager
* Type juD and complete corporate nornG
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1980 AUG •T AMt iQ 4 4
FILED /1K0 6ECOROEO
_ _ ST.ttIC! COUNTY.F A- '
f:LfR~lt
dRCUIT COURT
RECGRO YER(FfEO---~'~~'
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