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STATE OF FLORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC • 1
TNIS FINANCING STATEMENT is presented to a ti~ing oificer for filing pursusnt to the Unitorm Commercial Code: 3.
1. Debtorls) (Lsst Neme First) snd Addtess Y. Secured Pa-ty and Addreu * For Filing OHic
~?~iRICK, Bradley h ~°~ Bonita R
?>85 SE Carroll St. , ,
M~rt Pierce, F1. 33450 ;~.
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This tinancing statement coven the following typeslor itemi) of property: /Ci,eck Do.r .vhicb app rrs/
Aff oj -he houstho(d ju-nirure anJ jurnishing; etec-ricul and gas cppliancex includirrg trftvrsr:~n
~ tttx phonogmphs and iecoid Pb-'er; rejngeriato~; efc., nnd other prrsunu! proptrty n:~w• ~.wreeJ
anJ locattd at tht resid~nca oj tlr~ /Xhton at the aldr~ssgi~~rn ahn~r in H~~_r I.
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6. Chetk if true~ The stamps required by Chapter TOI, F.S. have been placed on the prom~ssory inr
secured hereby, and wifl be placed on sny additior~al and simi{ar instrument that may be so secured.
lbcumrnmry stam~s attached to oriainat note and cencell~J
e, Time, Numbe-, and F iling
Ofiicel
Assigrseels) of Secured Pa.ty and Addreules)
This statement is filed without the Debtors signature to perfect a security interest in collattra~. (Check ~~f so)
^ Alresdy wbject to s security interest in another jurisdiction when it was brought into this state.
~ which is proceeds of the original collateral described above in which a security interest was perfected:
Check~if covered- [x1 Proceeds oi Collaterat are also covered (-jProducts of Collateral are also covered. No. of additional Shcets presented:
Filed with_ Clerk oj the Cireuit Coar! oj C~wnt~, FfortJu
, Secured Party t
..Cl. °: .~4.~~iCl.:.~(..~/LCw•=:-••••• ..............................•••.... .............................................................................................
Debtor
~ ~, By y~ ~•.~~.Y. ~_
. .. -•-••~ or ..............................•....... .. " -•-.....................__.....--•...........'Manager...
STANDARO FORM - FORM UCC-t
• T-•pe jufl and c~~mplet~ ~arporatr namr.
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~9t I~AR -6 A.~~tl= 2~
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St.~ur.iE touHtr.f~ R.
P(tGER POiTRAS
~CERM CIR:UIT C0:'~:
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