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Bo~ 24FL-1 Ed. No-: '76
519334
STATE OF FLORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
TNIS FINANCING STATEMENT is prasentsd to s filinp oHicer for tiling pu-want to the Uniform Commercial Code: 3.
7. pebtorls) (Lsst Name First) and Address 2. Sea,rod PsrtY ~~c1 Addre~ * Fw Filing ONio
ti'r.II,Y, 9°~laQ G. & I~aomi L. ~
~t 1, Box 1b9, Lot 27 "~~ . L• ~:c
r^ort Y.erce, F1. 33450 :~~- -~ "
This finsntir-p Stateme~t oOVers the following types (w items) of property: /Ch~ck Dos which oppllts)
~~1p oJ ~he household jurnitu-e und furnithi~; el~ctrica/ and aas oppliante; includi~g frft-•ision
pC~CIC~r~ phon~raplu and neord playrr; rejrratrotor; etc., cnd other pertonal piope~ty now own~d
f-~ a~ locored at thr rrsidrnce oj thr Ik6ton ar tht oddress aivtn oDo-~e in Bor l.
D .....................................................................................................................
6. Check if true~x The swnps required by Chapter 201, F.S. have been placed on the promissory inr
yecured hereby. snd will be plaud on any sdditionsi and similar instrument that mey be so secured.
Docu~ntntary stmnps s~uchtd to wiaind note ur+d canctl/ed
e, Time, Number,
Office)
~~
5~ Assigneels) oi Secured Party and Addressles)
7his satement is filal without the Debtors signature to perfect a security interest in cotlateral. ICheck ~ ~f so)
^ Alre~dy wbject to s security interest i~ anoMer jurisdittio~ whm it was brought into this state
^ which is ptoceeds of the original oollstetsl destribed above in which a security intetat was pertected:
Check x it :[x~ Proceeds of Colbtersl are also cove~ed.[]Products of Collaterat are also covered No. of additional Sheets prese~ted:
Filed . ; Cle~'pj the Ci-cuit Court oj Counry, h7orlda
~ - Secu~ed P.n„ *
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DebiOr ~~ ~ .
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..~.....l.Fr : :~~~~i%~.L~~ ............ ..el::i......... . ....... BY •J• :~........ ......:....... ...~...................................
~tOf • ARD FORM - FOF~I{l~UCC-1 I~+tanager
* Type full and eomple~t corporote narna
51933~
19BI NAR -6 aM I I~ 2 I
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S RO~ER POITRAS~~
CLERK CIRCUIT COURT ~
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