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THIS FlNANCING STATENIB4T is presenfed to a filirg off'xer far filinp pvrwamt to tfie lM:fom+ Comrnercial Gode_ 3: Matwity dote (if ony:J
1. Debtw(s1 (~st P1eme Fint) at.d addressres) 2_ Secvred P+ortylies) ond oddrcu;es) For Filing OFficer (Daie. Time. Nu~rn,'~er, t
- - Lon€, Timot,h~r ~ Patricia E~-1GLE F~~TAI~TC.~ -~~,a F~~~ arf~~ - ;
107 N. 6t~,.st. P.O. T34fi . _ _
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- Pt. Salerno ~'la. ?3492 ~?~=`7 5• ~'FL~FPA~, H~ti`Y.) • ~ -
' ~~7'. Pil:~t::~~, ~LC~RIDA 33 ?
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- 4. ~his firwncinq sfaleYr~N tovers the fdlowin9 ~YP~ (ot itwns) of property: -
- As list on schedule "A". ~ecurity list da+~ed ~-1,=75
s. I1si~gnes(sl of Secv~ed Peny ond llddress(~s)
' 6. The seaxed po?ty(sI. whose si9^ctvrc(sl oppeors below. stotes tfwt tfie stomps reqvircd l+p Chop~r 201, -
_ Florida Stotvtes, if ony, have been ploced o~ the promis,ory instrv^~er~tt sstwe~ her~, c++d will ~e
plocrd on ony odd~tiawl ond similor instn~e++ent that may be as secured_ - -
_ Thi: staterneY?t is 6kd withw~ the deblor's sqnotsxe to p~fiec~ a s~cvrity inTerest in co(lafeml. (Cf~ ~ if w) ~
? Alreoclr wb~eti ro a se.'vritr irfte~esf 3tf arwlfrcr jtrr
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fion wFfMf ii was b r v~ r g
ht int~o e his s~o1e. .
- Q Whrch a procee~s of :Ae txiginol collvte~ol described obove itm wfi+d~ o aecuriry i~terest was perfected: - -
~ Check 0 if corered: ? Preceeds of Col{aterol ore olso covered. ? Prod~crs of Cdbterol arr olso mMered_ No. of Addit~orwl Sheets prasmMd: -
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_ STANDARD FOP.11A - FORM UCC-1 - -
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