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STATE OF FLORIDA
UNIFORM COMMERCIAL CODE -FINANCING STATEMENT -FORM UCC - 1
THIS FINANCING STATEMENT is presented to a filing officer for filing pursuant to the Uniform Commercial Code: 3.
t. Debtorlsl (Last Name First) and Address 2. Seared Party and Address * For.Filing OfiicerlDate, Time, Number,andFiling
Office)
DAVIS, Beatrice .S.
305 Essex Dr• Henrle• .
Fort Pierce, Fl. 33450 tta}
T h is financing statement covers the following typeslor items) of property: (Check box which oppli~ s/
All of the household jurnitun and jurnishir~; elrctricol and gas appliance; including trler~ision
® art; phonographs and ?rrord player; rrjsigerator; etc ,and other personal property now owner/
and located at the rsidencr of rhr Drbtoa at the addnssgivrn above in Box 1.
S
i.J ca Assignee(s) of Secured Party and Address(es)
o. Check if true[x~ The stamps required by Chapter 201, FS. have been placed on the promissory irKtrument
secured hereby, and will be placed on any additional and similar instrument that may be so secured
1)ocumtntary stomps attorhed to original note and cancelled
~ This statement is filed without the Debtors signature to perfect a security interest in collateral. (Check C it so!
Already subject to a security interest in arwther jurisdiction when it was brought into this state.
i [J which is proceeds of the original collateral described above in which a security interest was perfected:
{ Check x if covered: [x1 Proceeds of Collateral are also covered.r]Products of Collateral are also covered No. of additional Sheets presented:
~ F ~ led with• Clerk of the Circuit Court of County, Florida
l Seared Party s
Debtor
t3y
Debtor STANDARD FORM - FO CC-1 Manager
g~ * Type full and complete curpomte names
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