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STATc OF FLORIDA ~
" UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC -.1
THIS FiNANCING STATEMENT is presented to a filing otficer for filing ~urwant to the Uniform Commercial Coda: 3. - - ~
1, Oebtor(s1 (last Name Firstl and Addreu - 2. Secured Party and Addreu * For Filing Oiticer(Uate, Time, Number, and Filing
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ti~FLLS,~~I Ltl A?•'_ T f~F~IFFI CI AL FI NAM('F ~
A 1 15 1'6)I i`JSFTTA AVE- 1 1~11 S(? FE[? Ni~lY ~ ~
FCRT PI FR('E, FL, 3?4?~ F~RT P I FR~F, FL, 3~~150 ~
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4. This financingstatement covers the following types(or items) of property: (Cl+eck box ?.~ldch appllesJ _ ~
A!1 oj the household fumlture and jumishfng; electricol and gas appliances, fncluding televlston
~ nse1s, phonographs and ~ecord player; refitge~atort, efc., cnd othe~ peisonvl prope~t~• now owned ~
X~.~ior hereajte~ ocquired !n repfacement thereojarul now ur he~eajte~ located ct die resrde»ce oj the ~ _ f
DeDto~s at the address Ri?~en abo?~e in Box 1. _
- D 5. Auigneefs) of Secured Party and Address(es) ~
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6. Check if true[,~ The stamps required by Chapter 201, F,S. have ~een placed on the promissory instruments - 1
sec~red hereby, and will be plactd on any additional and similar instrument that may be so secured. '
D~eumantar?• sramps attached to original nott and cancelled. • ,
This statement is filed without the Oebtors signature to perfect a security interest in coltateral. (Check nx if so) j
~ Already wbject to a security interest in another jurisdiction when it was brought into this state. - i
~ xfiich is preceeds of ihe oriyinal collateral described ab:,ve in which a security interest was perfected: ~
3 Check[~if covered: Proc~tdc of Coll~tKal r~ ~Iso covered.[]Products at Collateral are also covered No. of additional Sheets presented: ;
Filed with: C7erk oj the Circuit Court oj ST LUC ( E County, Floridu ~
- ~ Secured Party * ~ ~
; ...~l~::S~':~~t•s17..1•......~Ct4Y~~./..::.~.......:... ~,EMEFQIC'1 AL FI tdA~!('~,('~:~ ('F F7.P1 ER('E
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Debtor STANDARD FORrJI - FORAA UCC-1 Mana~er ~
_ * Type full and co~nplete corporate narh~ i
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' fILEO AIiO R6C~RDEO ` - _ .
st. ~.uciE couN r ?u. ~ ~
- - it00ER ?OITRAZ - , -
CLERK CIAGIlI? COURt L _ _ • - ~
RECORO YE~~FIE~.•+~'°'~', c.~ - - z
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