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- . - STATE OF FLORIDA ~ .
- UNIFORM COMMERCIAL CODE - FINANCING STr4TEMENT - FORM UCC - 1 '
THIS F1IVANCING STATEMIENT ~s presented to a filing officer for tiling pursuant to the Uniform Commercfal Code: 3.
1. Debtor(s) (Las* Name Firt) and Address 2. Secu~ed Party and Address * For Filing Officer(Date, Time, Number,andFiling ;
Office) ;
~ LE1~. I S, R I CHARD J A~'ES ~ RFNEF 1(' I AL F I t~lANCE CC~ - ~
RT 1 f3t~X 4nQ 14~T 1~ 1 1 141 SC~ FFD HhtY
~~RT PI FRGF,FL,33~5(`. F(~:RT P! ERCE,FL.
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4. This finan~ing statement covers the (ollowing typeslor itemsl cf property: (G~eck bos x~hrch appfiesJ - ~
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All oJ the househcld jurnitu~e ~nd jurnishi~tg; etectricot and gas oppliances, including tele?~ision ~ ;
("}~seis, phonographs and record plapt+; rejrigeroto~.~ ete., and otlrer personal prope~ty ~roiv ox•ned ~
~J~~ ~+e~eajter ec~uired in replacement thereojund nox• or trereafte~ locoted a~ tlre ~esidence oj the ~
Debto~s ut the add~ess Riren obo?•e in Box l. ~
~ ~ Assignee(s1 of Secured Party and Addressles)
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6. Check if true[~x The stamps required by Chaater 201, F.S. have been placed on the promissory instruments ~
_ ~cured hereby, and will be pleced on any additional and similar instrument that may be so secure~. - ~
vocurnenta~)• st»npt attached to origina? nott and cancel/rd - ~ ;
' This statement is tiled without the Debtors' signature to perfect a sacurity interest in collateral, (Check ~;f so) ~
; ? Already y~bject to a ucurity interest in another jurisdiction wtien it was brought into this state. j
1~ vrhich is proceeds of the original coirateial dtscribed above in which a security interest was perfected: ~ - z
Checkj
x~if coverad: C Proc~ede of CollacKal sr* ~Iso covered.[~Produ spf Co" are also covered. No. of additio~al Sheets presented: ~
Filed with: Clrrk oj the Circuit Cou~t oj ,_rGr~''C'G~ ~ Counry; Floridn -
` .,~~urea rarry * - ~i
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~ ' Oebtor STANDARD FORM - FORP/{ UCG1 ~ ~ Ma~zge~ '
/ * Type fidl a~id comvlete corpor~te name. - {
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