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Bor 24F1.•f 4'J. Nov '7h
50'7639
STATE OF FLORIDA
UNIFORM COMMERCIAL CODE -FINANCING STATEMENT -FORM UCC - t
THIS FINANCING STATEMENT is presented to a filing officer for filing pursuant to the Uniform Commercial Code: 3.
1. Debtorls) (Last Nsme First) and Address 2. Secured Party and Address * For Filing OfficerlDate, Time, Number,andFiling
Office)
ELLIS, Charlotte
345 w'eatrerbee Rd., Lot 62 ;x,,,. }
Fort Pierce, FI. 33450
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4. Th is financing statement covers the following types (or items) of property: /Check box which applies)
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Afl of the housrhuW jurnitun and furnishing; efectricaf and gas appliance; including tefrvisiun 3
D stt; phonographs and record player; refrigerator; etc, and other persunal property now ownnl
and located at the residence of the Debtors ut the aldress gisrn abo?Y in Box
5. Assigneels) of Secured Party and Addressles)
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6. Check if true0 The stamps required by Chapter 2p1, FS. have been placed on the promissory instruments
'i secured hereby, and will be placed on any additional and similar instrument that may be so secured.
I [>acumentary stamps attached to origina/ note and cancelled
f This statement is filed without the Debtors 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 oollsterel described above in which a security interest was perfected: `
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Cneck~if covered: Proceeds of Collateral are also covered.(~]Products of Collatera! are also covered. No. of additional Sheets presented:
Filed with- Clerk of the Circuit Court of County, h7orida
j Secured Party t
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Debtor ~~ij ~ ~ ~
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Debtor STANDARD FORM - FO ..•CC-1 Manager
* Typt full and complete corporate names ~
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