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Bor 2dF/.-/ Ed. Noy: '76
5U'7645
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. Debtorls) (Last Name First) and Address 2. Secured Party and Address * For Filing OfficerlDate, Time, Number,andFiling
BOL•LIhGER, Ines+.a B. ~ Tholl~as C office)
?1~3 Hugo Rd.
port Pierce, Fl. 33450 ua~
This financing statement covers the following typeslor items) of property: /Check box which applies
AU of the household furniture and furnishing; electrical and gas appliance; including tr/evision
D set; phonographs and reco?d pktyer; refrigerator; etc.. anal other personal properq~ nnw owned
and located at the residence of the Debtors at the addrestgiven above in Box 1.
D 5~ Assignee(s) of Secured Party and Addressles)
I t-
6. 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 and simiiar instrument that may be so secured.
! l~cwnentary stamps attached to original note and cancelled
This statement is filed without the Debtors signature to perfect a security interest in collateral. (Check ~ if so)
j ? Already subject to a security interest in another jurisdiction when it was brought into this state.
I which is proceeds of the original collateral described above in which a security interest was perfected:
Check[~if covered: x ,Proceeds of Collateral are also coverod.[]Products of Collateral are also covered No. of additional Sheets presented:
F;ledwith: ClerkojtheCircultCourtoj County, Florida
E _ Secr:red Party s
- ~ cif,. t
I n ~ f
.u C:. ..............................MB~r
STANDARD FORM -FORM UCC-1
s Type full and complete corporate names
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