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z ~ STATE OF FLORiDA
UNIFORM CUAAMERCIAL CODE - FiMANCING STATEMENT FORM UCC - 1 , -
i TMIt FINANCING STAIEAAENT i~ pr•~er,r.d ro a f~l~nq off~cer tor t~lirq pvrsuant ro ehe lk+~form Comn+.Rwl Code: 3. Morw~ry do
1. Debtorfs) (lost h{ome Fint) and add~as(es) 2_ ~d PcrtyC sl ond oddress(e~) , For Filirp Officer (~at , T & + icd
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= 4_ This financ~nq srotement covers d+e Edbw~ny typas tu ~tems) of properfy: - s ~
~ - urt+itvre, opplionces or+d other hov~ehold poa.ls and d+ntrels locat~td in ar obo+it pebtwi residenm sFwr+r. abave.
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< Orher (de~aibe) S. Ir.ssigneefil of Secu:sd ~orty ond Addresstes)
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- 6. Clieck if five ? ihe stamps reqvirsd by C}wpter 201, f.S. have beer+ 3~1 fi _ - `
plotd on the promissory in:tnxne~~ta sect~ed
hweby, and will b dxed on vy odditiwwl end s~mi{or instrurr+cnr ihat may be so xcursd_ ' ~V
ihis stolec+xr.! is fe!ed witho:rt ehe debtoi s s:p~w?ure to perfect a xcv~iry intercst i~ colbterol. (Check ~ if so) _
~ Akeody wbiett b a~tuity imercsl in onother jurisdidion when it wos txaqht into ti~is srote.
' Q which is proceeds of the aripinnl callaie~al dcwibed abore in wh7d+ o sacwity inieresT wos perix4d: ' - , ~
. C~w.i~ gj if cwsred: ? Prooe~ds of Collateral aa aiao ~wsred. Q Products of Collot~rol are alw corered. No. oi odd~rional Sheets pns~n?~d: y
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Filed rvith: th~ Cletlc crf the CErcvit a:.oKt of Co~xuy. Fbrc3a. -
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~ Sdynotu?eG) of Debtor(~t ~atke(s? d S~cwed ~a)
. .!!~-w YMIfOA~1 GOMM(wC1AL GOO[ - fINAMCIMG STATEMENT IfIM6lE FOl~il) FLORIpA 1.67 - ~ ~ -