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Bor 11FI.-! FJ. No:: '7A
519349
STATE OF FLORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
THIS FIMANCING STATEMENT is presentsd to a filirq office~ for tiling purwant to ihe Uniform Comme~cist Code: ~ 3
. Debtorls) ILsst Name First) and Address T 2. Seturod Party and Address # For Filing Ofiie
2~:cLl,UGIiLIN, Mike & Mary
321~0 West Lake Lr.
'r'ort Pierce, F1. 334,0 ~ ~
This financi~g statert~-t covers tl~e following typeslor items) ot ptopetty: /Check box which applies/
Alf oj tht houuhuld jurniture and jurnishirta; eltr~rica! orwl gas app/ancts, inc•/Ldiqg trJn~isr.u~
D srt; phono~ruphs a~ ncord Pluyer; reJrigerator~ etc .¢ruI olhtr penanaJ pro(~trt}• nup• uwnert
a~uJ locat~J at the r~srdence oj the Urbton at the aldress given aAo~Y in Bo.i 1.
Office)
Number, and Filirg
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D ..................................................................................................................... ~ 5. Assigneefsl of Secured Pa~ty and Addressles)
6. Check if true0 The stamps required by Chapter 201, F.S. have been placed on the promissory instruments
seoured hereby, and wiU be plxed o~ any additior-al and similar instrument that may be so secured.
Uocurn~ntury stnmps uttached ro originul not~ and cancellyd
Tnis statement is filed withwt the Uebtori signature co perfect a security interest in collateral. (Check ~x`~ ~f soi
^ Aiready wbject to a seairity interest in another jurisdictiOn when i[ was brought into this state.
J whith is proceeds of the oreginal col~ate-a! destribed above in which a security i~terest was perfected:
Check[_x'~if covered: ~ P~oceeds of Collatersl are also covered.(~Products of Collateral arc alw carered. No. of additiona! Sheets presented:
F i led with: Clrrk oj the Circvit Cav~t oj County, F7oiido
~ Secu~ed Party t
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~~. ~t~ ~/ STANDARD FORM - FORM UCC-1 Manager
* Typ[ full and complete cnryrumt~ nom~.
519:34y
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Si.LUCfE COUN~ Y.FL~.
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