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INSTRUCTIONS: • 1. PLE/1S! TypE ALL INFdIWT1pN. ~rW spn wNh baq poinl pMt Sipn~fuh mwl p~ Ipipb pn FMirp OtfK~t Gopiy, MpNE kl Ji6A
~ 2. Contacl Fuinp Of~icar for M~ scMOuN a sdWtlo~W intom+M+on. AlEA COOE ~!2
STATE OF FLORIDA '
UNIFORM COtWMERC1Al GODE - FlNANCiN(~ SYATEMENT -~OiiM UCC•1 REV. 198t
THtS FINANCtNG STATEMENT is pressnted to a filinp oltecer for filinp punwnt to t1?s Uniform Commercial Coda:
DEBTOA (La~1 Name Firsf if a Parion) ~HIS SPACE FOp ilSE OF FILING OFFICfR
NAME Dale. T1ene, NumWr A fdmp WIK~
yA STEPHENS, Holly ~010~
MAILING AOORESS 1972 Esterbrook
` ~ Pt. St. LucieS~~TE FL 33452 ~ ~m d~ ~~L /
m MUITIPIE DEBTOR pF AN1~ (lasl Nam~ Fust d a Personl flf R
w NAIAE r'
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~ 18 -
z M1All,ING ADDRESS F I L i li
Z ROGER f i _ _
o ST. LUCIE t ~J' - ! -
~ cinr sT~rE
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~ MUITIPLE DEBTOq QF ANI~ (Laat Nartfe Frcst If a Person?
NAME
'701426
MAfLING ADDRfSS
~ CITY STATE i
SECURED PARTV ~USt Name Fast if a Petson)
NAME Credithrif t Accept . Corp.
2A
MAIIING AppRESS 2 ~ 61 N Federa 1 Hwy .
crrr Stuart, STA7E FL 33494
MULTIP~E SECUAED PARTY (IF ANn (Last Nams Fersi H a Fe~son!
! MAA/E
2B
~ MAIUNG ADDRESS AUDIT UPOATE
C~T~ STATE
ASSiGNEE OF SECUREO PARTY (IF AN`n (Ust Name F,r~t ~ Pe~SOn) VA~IDAT1ph INFORMATfON
NAME
~
AIAIUIVG ADDRES$ ~
GTY STATE
4. Tnis FINANCING STATEMIENT corsn tM 1oNOriny ryp~s d ilems of p~op~rty ~~nUuOe tlescnpt~on of re~l proCerfy on wA~th !pq(eQ
tntl ownM OI i6cOr0 rA~n rpwr~d). IT mOr~ sp~c~ i5 r~quir~tl, tltach Wal~q~al slf~ltS 8'h' R t l'
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New Sylvania 25' color Superset CLD253AK 94964 ~ ~
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rJ. Proceeds of col7atenl are corsrsd aa p~ovid~o in Ssctions 819.203 and 879 308. F S-`--_ 7~NO. ol WO~t~onal Shests p!elsntid: ~
6. iile0 witA: 0 ~ ~
8. fCMCk )~.,A~~ docwreentsry atar^0 qxss dus and ~ ~
1C O+Y~ W!o becorr~e dua an0 payaWe pursuant to Sectwn Z01.n. F.S . nava bas~ paid Z ~
,r_, fbrida Docurt+sntary Stamp Tax ~s not reQulre~. < ~
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9. Tnis s:atement if ftta0 w4nout ths d~btor'S apnatun to perte^I a s~cunty ~ntersa! m Col:ite+ai ~.ty~k ~ if sol (Cnack if 30) Z ,1 2 ~,a
avsWy suGject to a e~cunty int~re~t In anotnsr ~uns6iction wnsn R was WouqM mto tn;s st~te w dsDtorb ~ Depior ~a a!ranam~fbnp uhtlty ~ ~
~ocation chrps0 to tnia atat~. V''i a
ProOucts o1 co~lstsra~ aro corere0 ~
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w~KA if p~oCeeQ! Ot tM OriQinil CWt~isri! Oe3tr.p~Q aDore in whiCA a SeCUnIy ~nle~eSt wi! plrlKtetl ~ N Q
^~s to wnicA ih~ RtenQ Mu Iapy60 - -
~ SIGNATURE(S? OF DEBTOFi(5)
~ acau,ro0 ~ftN a c++anp~ ~t name. +G~rtt~ty, o~ capaate st~ucture ot tne x ~
deC!wor Secu;sdGU1Y- _
~.3. R~t~m top)r to. ,
NAMIE CTA ~
ApppESS ~ Z. StGNATUREIS) OF SECURED
PAqT/QES) OR ASSfGNEE
CITY
STATE ZIP CADE
STANDARD FORtSA - FORi~A UCG1 ApDroveA Dy Secretsry o~ S~ate Sfate of F,r:~a
(1~ FiIiNG QFFIC~H CflPY
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