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_49544'7
STATE OF FLORIDA
UNIFORM COMMERCIAL CODE -FINANCING STATEMENT -FORM UCC • 1
THIS FINANCING STATEMENT is presented tD s filing offiosr for fling pursuant !D the llnHorrrr Commercial Cade: 3
t. Debtoris) (Last Name First) end Address 2. Scoured Party and Address * ~ For Filing OfficarlDate, Time, Nurnber,sndFilirg
MII,LII~, Darrel do Gladys ofr~oel
3 i o5 KII~ITUCBT evE.
FORT PIERCE, FL. 331~jU
4. Th is financing statenrant covers the following types (a iterrrs! of property: (Cheek boz which spptits)
All of tht household jrrrnttwr and jr+rnithiw~t dertrinf and oar eppfirncar, inc4dug tekvisiow
~.tet; phonoarephs and nrcord pMyrr; rrjigrratoe; ems, and othtt personal pnopertp now ownrO
u and /ocattd at tht rraidence of tht Debtors at the ddira aivrn abosr iw Bo: 1.
5~ Assigneels) of Severed Party and Addressles)
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o. Check if true x~ The stamps required by Chapter 201, F.S. bare been placed an the promissory irrstrurtren
severed hereby, and will be placed on sny additional and similar instrumesrt that may be so severed
Doeu?nentay stamps attached to orianiel hoar and cwrcel4d
This statemer?t is filed without the Debtors signature to perfect a security interest in Dollateral (Check ~ if sol
Already subject to a severity interest in another jurisdiction when it was brought into this state.
? which is procetds of the original collateral described above in which a severity interest was perfected:
i
~ CC heck x if coverts: Procetss of Collateral are also oovered.[]Prodiicts of Cdyteral are also covered No. of additiwial Sheets
preseiitedcoverts:
Proceeds of Collateral art also Dowered.[]Products of Cdlateral are also Dowered N0. of additiaral Sheets presented:
~ F ~ led with: Clerk of the Cirarit Court of county, Florida
Secured Party
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STANDARD FORM -FORM UCC-t
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