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S[M/MOLE rows. ucc-t STATE OF FLORIDA
UNIFORM COMMERCIAL CODE -FINANCING STATEMENT -FORM UCC - 1
Ant toretS t t~ ter hhK .rte the 01{ice o{ Saretery M SUte wnwet to the lleilet~ CM~ernel CNt tsest be sp0-Oted b Seaetary or SUte, Stste d FlOride
INSTRIlC110NS: q'1~/
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1. PLEASE TYPE this larw. Fold onlt along perleretiow fa moiling. 0~
2. Remote Secured Pats and OeMor copies and send other 3 copies with inte-leared carbon paper tc the lilirag officer. Enclose lilirq la d fS.00
3. If the space v+ovrded for orir item(s) on the form is inodepvote the iterrr(si should be continued on additional sheets, preferably S°^ 8" a 8"^ 10"- Only a+e copy o!
such ai6drr.onol sheets need be presented to the liking officer wnh the first tfiree copies o{ the hnatcing statement. Long schedules of collotcrd, indentures, etc.,
may be onony srtepopcrthotrs conrenientfo. the secwed parr- Indicate the numbtr of additional sheets onoched. Enclose Irirrrg fee o1 ft.00 {a each odditro.+al sheet.
1. if collateral is crops a goods which ere a ere to becawe futures, gire the legd description o{ the real estae and name d record owrrar a record lessee-
5. tlhen n copy of the secwitr agreement is used os a financing stasreent, it is reouesteJ that it be occorpatied by a coepleted but unsigned ur of these
loans. An oddir:onol {n of =5.00 is reareired.
6. Please sign this lam with a boll point pew. Signatures mus! be {egible on elpbe-eticel and ww•ericel copies.
7. 11 {fling with Clerk o{ Circuit Court cmwlt Chapter 2E, F. S., a local clerk fa proper lees. urr.oae -•rsw • •wwnws ce rwc - tort rswo• sore.
THIS FINANCING STA1EAlEtdT is presented b e fifip ollker fa filirr0 pursttont so the I/niforas Carwercfel Cede: 5. Abluritr dote (ff enr):
1 Debsor(s) (lost Nat first) end address(es) 2. Sucwed PerylMsl awd eddressles) fr by OHKar tO.te. tie, trrr.iw. «e fa,.e Ott~nl
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1111 South Bayshare Drive
AS•SOCI~IQd (]E' F'IA~tIOA oos
Miavini, Florida 33131 1655 W3tion Avernie
Miami Beach, Florida
1. Thie finencirg steterwent town the fdlowlrp hrp« (a itewts) of preperfr:
SEE SQ~UIE A ATI'AC~~
S. AssiOnee(s) d Secured -ort> and Address(es)
6. T1r r•crrd ponr(il, .hose ag•atrrelrl appsort babe. •aet that rtrr rtawp rregrred a Cbapw I01, Fbdo Staglar. J aver, Irw b..
pb.sd a the p.awaar werwres secrred hwebr. add 6e pbc•d a o•r odda.orl o•d rn.Jor writ+ar diar tar b to rcrrd
this -toterttent fs /iktd without the debtefs si0notwe b p+er{ad o serwfy interest in cdloterd. (Chock ®ff se)
^ A6eadr subject b e sectwitr interest in onoNter jeritdttt:an when it was brav0lM fnte Ihis state.
^ whidr is proceeds ad fire ai9fnOl edloterd dewibed above in which a secvrily interest wot perfected:
Check ®ff catered: Q hoceeds o1 Colleterd ere alw cewred. ^ -roduch of Cdlote.el are also covered. tie. of odd:tfawd Sheets presented:
filed with: ('lark Of $t. I1lCle OOUritvl Fte Plerce, Flarlda
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CSI, ~r0~3+1P OQRPORATI~if AA~2ICAld SAVINGb AItD IA~I AS90CIA'I'IQd OF
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STANDARD FORlN -FORM UCC-1
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