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0271
; , _ 1 - - ' ~ . ~ - : _ - . - . ' - . ~ . - . - . THIS f!NANCING STATEAABJT is prexnted ro o filir~q officer fix filirq pvcwcnr to ~he Unifwm Gartxnercial C.c+de: 3. Mohirity dah Iif ~my:) S~sO - : Debtorls) (lost Nome First) ond addreu(as) c ~ss} For filing Offioer (Out~e. Time. Nanb~r. - _ ' P _ BUX 3265 - ' _ «,d fii~y c~rfro.~ _ - Smith~ Luc.y i~i. . I~~T;RE~L.H`~'V'Y.~~ . . . - l~t~ D~vonshi-re Dr. F~~_ _ ~':~_~;C:; 1•` !~''~jn-1 ?3•~50 ~ _ Tt. N1P.t`C~~ ~'la. ~ ~I~~~ ~ ~n~~ 44 ` n:is firwnciny sta,e~,?u,t ~oven n,e followi^9 ~yF•, tor iten,:?.of proQs.ty: - ~ - - ~ _ - ~ As ~is~~d ~n :;che~u~e nf~?~ securit.y l~st date:] 5-~7-?5 _ _ ; _ - - s. ~~+~t:l ~ sK~.d ~nr «~a. ~ } b. ihe ~enxad ponYls), whoae s~gnotwe(i) eppeors b~law, srates tiwt iF+e starnps r~quirsd by Chopter 201, : Florida Statutes, if onr, have becn ploced on th~ promissory irutru~nents ~crvred Fxreby, ond wii) be _ ~ pi~sced on ony oddit~onol vnd s+milar anstn,nxrtt rhat mo; b~ os iecv~ed. - - This stotweKnt is fifed wiH?ait the debier's si~wtvre to ~xrirti o sxvriy imercst in co(laterol. (Chedc 0 if so1 _ t: ? Alreody wbjsct.r~ a~e:vriry inte+est in anotna_r j~rrisdictia~ wfi~n i! vws bro~ht into this ss:.te. - _ . ~ I] 1Nhich is procMd: of the ori~ir~l cdbmol describsd oba,e i~ whicfi a yc~svriry interes+ wos Qerie.-ted: _ " t - Check 0 if rovercd: ? Procreds of Cotbserol oro olw covcrod. ? Prodvcts of Cdlateral aro aiso mrarcd. No. of Additiorol Sheeh presen~sd: - - Fii~d wi1h: . - _ _ . . ~ s: t . ~ 27i - - - _ u~u E ~!':~~C~ t~Q~_~ - i. ~ i ' . i . . - er, _ ~ic~-~ ; Sgnotweisl of Oebtort:) _ Siyrwf~;retsl of SRUSd i - ~ - - STANDARD FflRM - FORhti UCG1 - - - ad ~ F-~ ~irnq officer • Afpliabetica5 - . - ,~.o~a b,, a~-f?~r ~R~~ s«~,e. s.~,.~«„ a~ sa», s~ o~ . s- l~',~C~~~ , E)ffC. IOE~S NO. 1679 -