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FORM M-~o~ STATE OF FLORIDA UNIFORM COMMERCIAL CODE -~~MT~o ~MO -os ~~~a ~~
fA/M[L~M /AIMTIMO CO.
STATEMENTS OF CONTINUATION, PARTIAL REIEASE, ASSIGNMENT, ETC. - FORM UCC-3 ~~~~w. r~o~~ow
An~ fo~~s rsN for /i1~n~ wit~ t~t ON~ce o~ Secretsq of St~tt pMSwut to tUe Ud/w~ Co~uc~a~ CoOe ~wst Ee apprprM p~ R~cASrO (O~U, Stone. Secr~bry of Stst~, State of FNrira. s
INSTAUCTIOKS:
1. PLEASE TYPE ths form. Fo1d on1Y oloaq pertomtion tor mniliny. •
2. Remo~e Sac~uity Porty and Debtor rnpies and s~nd otser ~ copies witL int~~leared ca~boa papec to the t~l~aq olficet. Enclosf Filinq Fet o! s5.00. f
3. Fill in onq~na! Finaaanq Ssatemenl numbsr aad date tded. ~
4. I! the space pror~ded for any item's) or. t6e lorm is inadequate tde itemi~) should be cont~nued on additionol sheetf, prelerably S" : 8" or !" = 10", t
Only one topy ot such add~honol sheeb aeed De presented to Ih~ Idinq offscri witA a ut of ~h~ee cop~es of Form UCG~- Lonq schedW~s ol co4 ~
laterat etc., may be on any siza poper that iu conrenient lor the secured pacty. Indicate the number of add~~ional aIIeets otiached. Enclcae Filinq FN t
o! 52.00 !o~ ench add~tiooal sAe~t. ~
5. lf collatecal is crops or qoods ~vhic6 are or ar~ b Decome li:tures, qi~e tAe legai descript~on ol tAe rea{ estat~ and nam~ o!'[ecord owrner or r~cotd !
leuee.
6. Please siqn this form with a bail yoint pvn Siqnatures muat be l~qible on alphabetical aAd numerxal eopiea, ~
?. It Llmq with Cletk ot Ciccuit Court conaud Chapter 29, F. S., or Iocal derk Iot prop~c tee~. j
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TNIS STAtEMENi is or~sen~~d ~o o lilinq o(ficer (w iilinq prrwonl ~o ~M Unifwrw Co~n.w~ruol Cod~: 7 Mo~~r~f~ do~e ,~f ony -
' Debror ~ tu~t Nom~ fi~s~; ond oddr~as;rfi 2. S~eur~d -ortyiiMl ond eddr~lslM) ~r ~d•~'a a~K« De~ t.~ eti...~e~. ...e i.t..y pfK~
~, x~ R. ,~e P. , c~ow~s r~a~x ~ a~rn~r oor~ 5~U514
Jo~~n, Zhamas B. P. O. Box 2349 , ~~~fi ~„ _-
P. O. Boac 698 Ta~a, Florida 33601 ~ ~~ 3: /9
Vero BP.ad~, Florida I sf~'~.,~rD_~~„t„
~at O. R. Bcx~k 174 _ 27. 9Q~p,~ ~E/ECl,~
~ ir+~s srot~men~ rel~n ~o a:9ine1 finonc:nq Sto~~~en- ~ ~' ~p~ 0 ~
~M/~~ ~
f~ltd wi-A ~pl~ fil~d 19.~(j_ ~~~
`- . Conhn~oSion. o.iyfno ~ niinq s~atem~nt b~~w~en IM /aeyoinq p~b~w o..A Sec~red iorrr, bso.mq I,le n~m6s~ shown obor~. ~ srill ~ffeai.~.
~:~~ Terminotion. S~c~red po.ty no lonq~r cloi~s o secvr:~y inNrpf under ~M (inonc:nq uote.n~nt b~o.~ng /~le nu'nb~r shown obon ~~~~
~ ; Atsi9nenenf. TM secur~d po~ty's riyht under tM (inoncirq stole~M b~o~ieq fil~ ~umbM siw..n obove to tM p~operty d~u.:b~d i~ Ilan 11 hoa b~en ossqn~d
lo ~h~ oss:qnee whos~ no..M ond oddr~ss opMor in It~ 11.
3 .: AmendmeM. f:nonc~nq Stoum~nt b~w~ny fil~ nvmb~r sl+own o~or~ is a.n~nd~d os se~ !aM in Item 11.
9 , Releau. Secur~d -any .deoses tM co1laM.o1 d~~trlb~d in Ilem 11 f.an ~he lina.unq s~of~m~ns b~onoq f.l~ rwinb~r ~Auwn obor~.
~0 ,: Cl~eck if truf. All docomenror~ sfo~np fo.~s dw wd poYObl~ o~ le b~cwne dut o~ pa~oW~ p.nsua~f ~o Chopt~r ZOI. f- S. lwr~ ~n poid. '
1 1 ------~-- --- - - -- - -~- - - -- -- - - - ~~ - - - - -
No ol odd,~~onol sh~~ts pr~s~n~~d:
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a~_ bffaA( Pl~Gf ~~ • - .
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S:qnsfvrr;~l e( p~btor{s} iMC~stiw~ onl~ if 11«w t is aoplicobl~l. ~ Si e s' d S~cvr -o+t~;
STANDARD FORM --- FORM UCC-3 ~
( 7 ) Fi?ing Offi~~r f .;~~ - .11pba~tKal Apytor~d b~ Richard 'iD:c7c; . Secr~tiy c,: ; .