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STATE OF FLORIDA "A"" "°'
a•~o• UNIFORM COMMERCIAL CODE -FINANCING STATEMENT -FORM UCC - ~ •~nf ~~^~ •~• re..f. *•"••
Any forms used Far hbrr./ wnn +he Olhce of SecrHary of Slate q rswnt to the Uniform Commercial Code must be approved by Tom AO•ms. Seretary o/ State, State el Fionaa.
INSTRUCTIONS:
1. PLEASE TYPE rha f.;.T.. iold only olonq tserlaotion for ma.lm9 10813
2 ~ Re+wLe .cfc..red Po•r+ end rJrbtor copes and send ,!her 3 coDles w~rh mrerleavcd carbon poper to the 4iliny otiicer. Enclose t•linq iee of 43 C0
• 3. If the :pe;e Dravlded for ~~+ l+~~sl cr rhr tcr~ is r^idr•..ore the !tc-n!s'~ si+o:~! be continued on oddNr.~nol srerr~..:r.f~rx!r ~ _ .. i~.^ G-;. -, ~e4. ,t
sl,ch ~~dd~r,.;r cl .^e,.r. ~.erC cr c•r. r-nrrd ro r r f.I• >f 1.-.r w.t!+ ne t.,rsr •:,.eP .rp.et of the irnanc •^q sear.--••, nr ~ :. a - -r a' ..d.~r'•a~s. rt
•-ay L. ,'. ate. i r rr, ~. ~• . ~,.e •.•for ehc .eewed yor+r. i~::~:•r •he n..-. bey .,i a~dnlonoi s!•r_ts o+t ochrd. E'. ...~ rr of ji _r; r..r r.o, :. »Lr ••.a: !e+
.. it ccl,a•era! a crcc. ,r ;ocds vvh,ch me or ore ro become l..rures, glue Me legd description of the reoi esrate and nan.e ct rrc~d ,wrYr a record lessee
S. A"hen o ccpr of the scu.r•ry a3.ec:-+ent is uxd as o {moncing srore~anl, it is requested -h of it be occomponled b! o cor•plrtcd bu+ u-:~gr+ed scr of these
Forms. An odd,+.cnaV tee of 42.E is required.
6. Please sign rha tors- +!•~• :, Doll po:nr pen. Slyriatures muse be ie~~cle yr oiphabefical and numerical copies. 1 ~
7. 11 hllnq rlrh -leek ~! ~.•c.:n Courr cansui! Chopter 28, f. S., or Iecof cie•. is proper lees.
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THIS fINANCING STATEMENT is preferred to o fiLrg officer /or Fili
pursuonf fo 1M Uniform Comrnerciol Cod.: J Mowriry date (i/ one'.
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). Deblw(s) (IOtt Noore frlf-} and oddress\efi 2- Secured -Orty lief, Oed Odd/efs(es) {a 1,l:p O!!KH DOk. l.wr, riMw.bH. and {,I..ie QtrKei !
i~airy Qaeen FLORIDA BANK AT FORT PIERCE
Richard T. Waugh,. Sr • P. O. BOX 3469 S(j89J`"O
•
~il~!~~~i~/. Waugh, Daphne 501 ORANGE AVENUE
5913 Birch Drive, Ft. Pier FORT PIERCE. FLORIDA 33450
I. This (inortcinp sfoNnrenf corers fl+a followirq types (or iterrrs) el ProMrle:
EQUIPMENT
See Attached List
S. Assipneeis) of Secured Iortp and Addressfes)
Documentary Stamps Attached To Original Note
6. Ttr roc mod ponr(rl..bre oq+ar.retf) oODearf ben... ewes rha
rhe eon+pf reo.•e•I M \/~aprH :7I. Flp do SraWer. i rr. 1.r.e been -.
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piocld a the p.omrsory M.MneNf terWld tier, o.d ~ be pbced M w•r addro•d ad s/•::io• rq.emera rAa lnOr be ro recNed
Thif ffrafewrent If llled wlthoW 11ie deblp'i fi9nOlufe to pelfKl O fKVrltr intlfeft in co1101Hd. (Check ~ if f0}
AlreodY subject 10 o security interyf in ono/her 'ryrifdiction when iT wos brou4lit info this dote.
~1 which is poceeds of the originol eolloteeol described oboe. in which o security interest was pxr(ected:
Check ®i( covered: ~ /rocrreds o/ Colloterol we olso covered. [; /roducts o/ ColloNral we otfo covered No. of oddirional Sheets prefenred: ~I
/filed with: Clerk of Circuit Court, St. Lucie County
Florida Bank ~t/~~rt Pi
eY:
FORM - I<oRM ucc-~
Siy.1~o~i~ed -orf~ties)~c~ // .
P16f ~.J~ IJ ,
Approved by Torw Adorns, Secretory o! Stole. Srote nF Flor do
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