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~ STATEMENTS OF CO TINUATI NRPARTIAL RE EASE, ASSIGNMENT ETC. - FORM UCC-3 ~
Any forms usetl for filinq with the Ofilte o/ Setr~tary of State pursua~t to t~e Unilorm Commercial Code must b! app~ore0 Dy
Scuetary ot State State o( Fiorida_ INSTRUCTIONS:
~ I. PLEASE TYP~ tAis form_ Fold o~ly along perforation lor mailing. ~
2_ Remove 5ecured Pr~rty a~d Oebtor cop~es ana senA othd 3 copies with intcrhaved wrpon paper to the tiitng ot(ice~. Enclose Filinq Fee of t5.00_
3_ F111 in orig~nal Financinq Sqtemsnt numDa antl aate (iled.
4. If the space qorideO for any it~m(s) On tAe iWm is inadeqwte the item(s) shoul0 be continuW on additionaf sheets, preterably 5" x 8" or 6" x 10".
O~ly one Copy O1 Suth aaoitiOnal SlfeetS nle0 De p~es~nteA t0 the /lling of/~cer wiih a s~t of thr~e copies oi Form UCC-3. Long scAetluleS of tollate~al
~Y De on any site paper that is co~venient for the slcured party_ IrWicste the numbd of additional sheets attached. Enclox Fiting Fee ot s2.00 ~
for eacb aAGitlonal sAe~t. ~
S. If co~late~al is uops or goods whitA are or are to betome fixtur~s, qive the legal Aestriplion of the ~eai esUte and name of record owner or retord tessee.
6. Please s~gn tnis form wdh a Dall point pen. S~gnatures must be legible on atDhabetical anA numeriq~ coD~es.
7- If f~hn9 w~th p«k Of CuCUit Court consult Chiptlr 28, F. 5., or IOtal clerk for prOplr /el~. .
THIS STATEMENT
is p~es~nt~d to s filinq offiar tor fili~ pursusnt to th~ Unifwm Comm~rcial Codr ( 3. Maturity dat~ (if sny1:
1. D~btwls) (List IWm~ Fint) and ad~drasl~s) 2. SKUr~d PaRyINSI std sddresl~s) ! Fv FiMq Offias (Oatq Trn; Nvnbtr, a Fr~y ar~~
Dr. Felix G. Sheehan Sears, Roebuck and Co. ! ~'~'~Q
Lot 13 Italy Drive ' 2755 N.W. 63 Ct. ~ ~
Ft. Pierce, Fl. 33450 Ft. Lauderdale, Fl. 33309 ~ k,~ S5
I ~`.'•;`c ``r F~ °u~~'~rn
! ' tn:.tit•r.i; s
~ ^ -7 ~y ~'~~~i?t.;5 ~
4. This stat~mMt r~f~rs to orgirol Fintncirg Sbt~tm~t bNrirg Fib No. 2HO~i29 L' ~ et~6A~OQ ~ i t.{ ~I:~.C:: CC';,~
F~bd with St. Lucie County p~~ F~~ Apri~ 24 ~ ~y 74 : ~ _
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5. Continwtion. The orrg~nal financ~ng statement between the foregoing Debtw and Secured Party, b~nng f~le number shown above, is st~ll effective,
6. [ 1 T~rmin~tion. Secured party no longer claims a secunty interest under the finanung statement beanng tile number shown above.
f 7. I 1 Assgnm~nt. The secured party's right under the tinancing statement bearirg file nurnbe~ shown above to the pro' ~~~c i~ ~n Item 11 t?as been ~
~ assgned to the ass~ee whose name and add~ess appear in Item 11. ~'J~~7~70 _
~Vt
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8- I 1 Am~ndm~rK• Finar?c~ng Stateme~t bearing f~le nurnber shown above is amended as set forth in Item 11.
~ 9. QC~CR~. Secured Party releases the collateral described ~n Item 11 trom the financing statement bear~ng tile number shOwn above. ~
~ 70. ( 1 Ch~ck if tru~, All documentary stamp wxes d~e and payable w to become due ar?d payable purwant to Chapter 201, F. S. have been paid.
( 2 ~Iite Stands *
1 Power Mate Vacuum Cleaner 1 Chair ~ Ottoman ~
~ 1 Portable Color T V Set 2 End Taiiles
1 Sofa ~ 1 Chair i
1 Chair 1 Cocktail Table
2 Lamps 2 Single Dtessers ~
- NO. O~ a~1110MI f~IN~f ~~hI1t~A:
oor mp , f
S~aY ~ ~[toebuck and Co . !
B~. Bpa( Pl~6f t~, i
BY`--~ i ' ~-V~'r
S~natw~lsl ot abtalsl Ineoe~sry only if Item 8 is appliablel. j gnature~41 ot Sscured Pa~tyliesl '
~ , _ STA'11DARD FORM - FORM UCC-3
~r_ r . ,.a cc ..c .~~~r~ ~ii~f'i~T~ " ' ADD?ov~d bY S~t~~iary of SUt~, S1aN oi f to~ida ~
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