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' INSTHUCTIOfiS 1. PIEASE TYVE ALL INfORMATqN, ~n0 ap~ r~l~ MII ppnt pM SpMtur~s must De I~q~Db on F~I~.~y O~t~ce~ CopK!-
t. Fill ~n prq~r~y financu+p StN~n+snl ~npp yW 0a1~ hf~d I~n It«n 3. Wb+rl
J. Comact FNinQ OM~cw !d tM uMduM a a0d~tansl ~nfdma~wn
STATE OF FLORIDA S~mtnolc Form UCC-3
UNIFORM COMMERCIAL CODE - STATEMENT OF CHANGE - FORM UCC•3 REV. 1981
THIS FINANCIN3 STATEMENT I~ pns~nt~d fo a Hilnq oflkw lor iNbq p~rw~nt lo tM U~ibrm ConwnKdN Codr.
Inlormatio~ in ~t~ms 1 arW 2 muat aprN ~i~clly rrtt+ Ms dqlnai fdmy ~nlpmalqn a TNIS SPACE FOR USE OF iIUNG OFFICER
aa W~rqusly arnM~dW. _ - . - - _ Oatl. T~me. N~mGM 8 Rbnp OttK!
DEBTOit ll,ast Nam~ Finl if a P~non)
NAME GY~lIiP$ II1~YpY~1S@S~ II1C. ~~fCI~~~
1A
MAILtNG ADORESS 4470 Okeechobee
c~r Ft. Pieroe STATE Florida 33450 16 ~~'2~
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~ MULTIVLE OfBTOR pF AN1/) (Last Name fvsl d a Prsonl
i NAME FIIEC r-
ROGER r _ :
~ te ST. LU~i~ ; ,
2 1AAIUNG ADORE55
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~ C~TY STATE
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MULTIPLE DEBTOR pF ANY~ ~(Litt Name fv3t o~ a Person)
NAME "
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MAILING ADDRESS
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GTY STATE
_ - _ _ . _ . _
SECUFiED PARTY (Last Name Frst ~t a Personl ~ppATE
NAME Southeast Bank, N.A.
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MAILING ADORESS 2045 tidest New Haven Ave.
AUD1T
arr w. Melb. sT~TE Fla. 32901
AAULTIPLE SECURED PApiY (IF ANY) lLaat Name F~rst ~f a Psrson) YA~~DATION tNFORMATlON
NAME
i 2B
MAILIN^v ADDRE55
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CITY STATE
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~ 3. TAi~ st~tem~nt r~hrs to enp~nal financinp Stafemsnt Deannp Fde NumWr anCli~~alwrt~
~ St Lucie County, F ori Tna w~y~nai was }~+~a o~ Mar , ,9
~ 4. Conanwtwn 'na onpina! finanun9 etat~n+snt Detwesn tne fw~qo~ny p~Dto7s1 u+0 SecursC Partyl~~s) Dsu~np tde numDer snown above. ~s suu eftacuve
~J. Term~natae Securetl party no ~on9e~ cla~ms a secunty mtarsst unosr tne ~~~anc~nq statement Dsannp hle numpe• snown aoore
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€ 6. ? Part~at Some of Securad pany's r:pnts urWer tne Finananq Suterr»~t nava peen ass~qne~ to tr.e us~pnee wMSe name anC adOrass are aet !ortr ~n
~ Assqnment Item 17. A descnpbon of tAe cWiat~ra~ aub~ett to tM ass~qnment ~f aiso x~ fohn tn Item t ~
7. ? fu11 At~ o~ Secu.ed Putys nqnts unoer the F~~anany Statement Aare Deen ass:q~eC to t~e auiqnee whose name a~e axress arc set brtn
ASSqnment m Item 1 L .
8. : J AmtnOmtnt. F~sn~mq Sl~temaM Oeannp bie r.umDer snown above ~s amerWeO ss set tortn ~n Item tt S~qnature ol DeGto~ roqwred a~ 'tem t1 uniess
f amendmen~ cAar+yes only name w a0dress o1 e~tner parry. *
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~ 9. Li RtFSSSe. Securld partY rebases on~y tDe co~lateql OescnpeA in Item t t from tne hnanuny s•atamen~ peann9 h:e numDer snown aDOVe
~ i~.~Chetk it Irue. Rtt documentary stsmD 3uts bue arC rafab;e o~ to becrr,e ~ue and payabFe pursuant to Cnapts~ 2*~? 22, F,S. rare been pad.
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{ ~ Z. No. of AdOrtanal Sheeb ~4. StGN~1URE~5~ OF DEBTOfySI Necessary O~ir Fw
Wesente4 AmendmeM See ftem 8
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~ t3one 8~~ ~ ~
~ 13. R~tum Copy ~o: - - -
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~ HAMESOITt~aSt Bd11~C•I~.A.
~ ~~ES'' 2~45 West New HAven Avenue ~5. Hl1TURE~S) OF SECUREp PA pES~ OR ASSIGHEE '
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~'T" tir'est Nfelbourne, Florida
~ STATE ZI~CODE 3~01 ~tti7eL~lTle C. Dllf~7
~ _ - =-_-lAs_s~La~t Vice-~President
~ STANDARO FORM - FORM UCC-3 Approve0 b~ Sscretary of State. State of Finnds
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