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UNIFORAlI COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1 ~
THIS FINANCING STATEMENT is prese~ted to a filing ofticer for tiling purwant to the Uniform Commercial Code: 3. ~
1, btorls) (Last Name Firstl and Address 2. Secured Party arxi Address * For FilingOfficer(Date,Time, Number,andFiling
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4. This financing statement covers the following typestor items) of property: (ChecA box x•hich app?iesJ ~ t
ll of die househofd jurnin~re and jurnithings, electricol and gas appliances, ine/uding tele?~ision ~
~ets, plionogruA/is and record player; rejrigera~or; etc., ond other person~l property now owned ~
o~ hereajter acquertd in repfacement the~eof and now o~ he~eujter /ocated at the realdence oj the ~
Debtors at rhe uddress Aicen ubo?•e in Box L 3
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~ 5. Assigneels) of Secured Party and Address(es) ~
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6. Check if trued The stamps required by Chapter 201, F.S. have been placed on the promissory instruments _ .
secured hereby, and will be placsd on any adt}itionat and similar instrurrient that may be so secured. - ~
I)ocumr~itarp st~mps attached ro originai nott and cancelled - ' €
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This statement is filed without the Debtors' si~~iature.to perfect a security interest in eollaieral. (Cha~k~x if so) , ~
- ~ Already subject to a security inte~ast in another jurisdiction when it was brought into this state. ~
? which is pr~ceeds of the oripinal collaterat deseribed above in which a security interest was perfected: _ ;
Check~if covered: Proc~eds of Co!!~tKal sn slso cevered.[~Produ s of Collate are alsc? coverad. N~. of additional Sheets presented: ~
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Fi1Qd with: C(e~k oj the Circuit Co::~t oj ~ County, F7oridu ~
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Deotor STANDARD FORM - FORM UCC-1 r ~
Type ju~: ~.^a _^^~~n/ore corpnrJre name. .
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FILED All~ RE(;QRDED ~
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