HomeMy WebLinkAbout1036 Bor 24F1: 1 Erf. No?: '76
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STATE OF FLORIDA
UNIFORM COMMERCIAL CODE -FINANCING STATEMENT -FORM UCC - 1
THIS FINANCING STATEMENT a presented to s filing officer for filing pursuant to the Uniform Commercial Code: 3.
1, oebtorlsl (last Name First) and Address 2. Securod Party and Address ~ Fo? Filing OfficerlDate, Tune, Number,andFi:irtg
Office)
~'~TT1~It Robert M.
BATIM~ Winette G.
X105 Hickory Dr. i+~~~:. ; • ,
Fort Piece, Fl. 33450 11°' ~ :
4• Th is financing statement covers the following typsslot itdrns) of property: (Check box which applirsJ
All of the household jumfmre and jurnishirgs, electreca/ and gas appliance; Including telr?•isinrr
D set; phonographs and nco?d pbyrr; ?ejrlgrrutor; etc., and other personal property now owned
and located at the residence of the Debtun at the nddrrssgivrn above in Box
ra Assigneels) of Secured Party and Address(es)
D ~
6. Check if true0 The stamps required by Chapter 201, 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 secured.
Ilocumentary stamps altoched to origrrwl note and cancelled
This statement is filed without the Debtors signature to perfect a security interest in collateral. (Check ~ it so)
Already subject to i security interest in another jurisdiction when it was brought into this state.
[j which is proceeds of the original colbteral described above in which a security interest was perfected:
Check[}if covered: ~ Proceeds of Collateral are also coveral.(-]Products of Collateral are also covered No. of additional St?eets presented:
F pled with: Clerk of the Circuit Court of County, F7odda
Secured Party s
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~ ............•,./•....Debtor
.~'l? .....~:~:l.l By ....ef.................................................................
I Debtor STANDARD FORM - FORIf~f UCGI Manager
* Type full and complete corporate name.
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