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51y343
STATE OF FLORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
T!11S FINANCING STATEMENT is pre9ented to a tiling officer fw tiling pu-want to the Uniform Commercial Code: 3.
t. Debtorls) (Last Name First) and Address ?. Seairod Party and Address • For Filinp OiticerlOate, Time, Numbei
wELLING, Alfred L. 8~ Gloria ort~~et
~tt 8, Box 793A
Fort Pierce, F1. _
4• This financing statement covers the following types(or items) of prope~ty: /C'h~ck bo.~ which uppli~s/
AI! oj the househuld jurnitun and jurnishing; electricat onJ gas appleunce; includirq; fel~~•ision
D set; phonoa-uphs and record p1u)'rr; rrjriatrutnr; etc., and other personal property noM' ON'IICtI
and Iocuted at the nsid~ncr of the DrAtors a! thc aJdress given obu-Y in Box /.
1'
ardFilinp
D •.• .•, I a Auigneets) of Secured Party ar-d Addressles)
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6. Check if true x[, The starr~ps required by Chapter 201, F.S. have been placed on the promissory insl
secured hereby, and will be placed on a~y additional end similar instrurt-ent that may be so secured.
fbcumrntary stamps artacheJ to oriaina! not~ and canctlltd
7his statert~ent is filed without the Debtors signature to perfeet a security interest in collateral, (Check ~,t so! .,
^ Already wbject to a security interest in another jurisdiction whe~ it was brought into this state
^ whith ii proceeds of the original rnllete-al described ebove in which a security interest was pe~fected:
Check x ~if covered: [~ Proeeeds of Collateral are also covered.(-]Products ot Coltate~al are also covered. Na ot additio~~ Sheea presented: __
F~led with: Cferk of th~ CrrcuJtCourt nj County, hlorido
Secvred Party s _ .
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Oebtw STANDARD FORM - FO CC-1 Ma~age~
* Type ~ull ond compfelr corpomte namt.
519343
19~ H~R -6 ~~! fl~ 24
FILfC Aef ~~CO~DfO
S1.lUCl COUNTY.f! A.
ROG~R POITRAS
CLERK CtRCU1T C0~
:,~•r ~y ~'i F~F"'= ~:
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