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INS~Rt1CTIONS. 1. PlEASE TYPE ALL INFOFiMAT10N, arW sp~ w~t~ ball ppnl p~n Sqnalur~ must W Mp~ON on FA~nQ O~~~tw CAfl»~~ P O 86x ?S31 ~ TALL A~iASSf E~23tM
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STATE OF FLORiDA q~
UNIFORM COMMERCIAL CODE - FINANCIN~3 STATEMENT - FORM UCC•1 REV. 1981
THIS FtNANCING STATEMENT is prssenled to a iiiinp ofticer tor tilinp pursuant to tAe Uni~orm Commereial Code:
UEBTOR (Laa1 Nam~ Fv~t d a P~rWn) TMtS SPACE FOR USE OF FtUNG'OfFICER
NAME MEDICENTER ASSOCIATES Dats.nrrw,Nume~afd~nqOttK~
iq $Sorrell I. Strauss, D.M.D.
MAILING ADDRE55
1890 NW River Trail 1~.,
~~r Stuart STATE FL 33494 V~3~
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~ 1.~ULTIPtE OEBTOR ~ (IF ANY) (Last Nsme Fvst ~f s P~r~on~
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SECUREO PARTV ~LUt Nart+e F~ret ~t a Persan) !
NAME HARBOR FEDERAL SAVINGS ~
2A and LOAN ASSOCIATION ~
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MAIUNG ApDRE$S ~ ~
P. O. Box 249 !
c~T~ Fort Pierce STATE FL 33454 ( '
~ 1AUlTlQLE SECURED VARTV pF ANV~ ILaai liame F+rst ~t a Vs~sonl ~ ~
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ASSIGNEE OF SECUREO PARTV ~IF ANV~ ~Utt NaR+e Fvs~ a Ppnom ~ VAUDATION INFORMATlpN
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~ MAIUNG ADDRESS i ~
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~ 4. TRis FINANCING SIATENlENT [OrEr3 I~! fo~~Ow~nfl typsS W~roms ol propany i~nGuOe oescnprro~ of rea~ p~openy o~ ~~~cn io-~reo ~ .
~rtp Ownt~ O~ ~lCOrd wl~tn ilpu~rtdl It rtiOt! SOY! ~s reou~~eo. atucr. ~~t~ona! anee~s 8'~'t ~ i 11 ~ ~
~ As more particularly described in Exhibit "A"
~ attached hereto and by reference incorporated W
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5. P~ocee6s ot co~~ate~a~ are cove~s0 as pror~flsd ~n ~e,;t~ons 6792~3 and 57930fi F S ~ I. ~lo O~ ~OO t~on~iSr.estsG'e~e~ta~
~ s. F~~~.~~~ Cl rk ~ Circuit _Court, St . Lucie County ~ O~e °
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P,. ~Cr.eck i A~~ dccu~*+e~tary sUmp tues due and DayaDb a to Geccmc Oue a~0 DaYaCte G~'suart tc Secro^ 201 Z2. F 5. ~ave Dee^ Ga•~ Z
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fWnda DOCUmant~ry S:amp Taa ~s nOt ~eqwred ~ w
_ 9, rn~s statement ~e h:ea w~t~.o.;t tne eebto~ s s~~~at~re ~o p~ect a tscuney ~nte~est co vte~a: ~Crtect ~ soi i 1~. iCns;,k ! so; ~ Z
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~ . r~rea0y suD7ect to a aecu~~ty ~r;e~est ~n anot~er ~u~~ed~cho~ wre~ d Nas Droup/+t ~.^.to in~~ s!ite o~ OeOro~ ~ i _ Deotc~ ~f a;r~~s~^rtt~~p ~~~!y ;
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~ ~ ~ 51GNA1URE~51 OF DEBTOR+S!
acdu~rea arte~ a chanqe c~ name ~oe~t~sy o~ co~ou~a'e scr„c~~~e o~ ~~e 1 For exeeution ,
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. aeotoro~.- sscu~ed pany L+
~ 3. Rst~~^ cODY 10 _ . _ _ - . - - . - - - - . . - - - - - I see Lr}{
~ - _ _ _ _ , ; hl~~~ 949
~ , ~"~"'E Harbor Federal Savings ! ~ -
` jADDRE55 ' ~ 1Z. SIGNATURE!51 OP SEGUREO
` and Loan plss~Clatl~n _ i I pARTYpE$lORASSlGNEE
~ P. O. Box 249 ~ ' For execution,
• ~~~s~ Fort Pierce, FL 33454 ~ i see Exhibit "A"
;SiATE ZiPC04£ j '
STANDARD FORM - FORM UCC•1 •co~c.eao.5a,-•e+~~.~.'S•a•e s~a~ee<<-.~ oa
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