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tNSTRUCT1pN3: PIEASE TYPE All INfORMA7qN. and ~pn witn Dau point pa~. Srp~h+n must Ds Mq~AM on Fd~np Offica CopNS.
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t. Contact fuw~p Officw fa fN scMOuN a aOA~twn~s ~nlwmatbn. AREA CODE 712
STATE OF FLORIDA
UNIFORM GOMMERCIAL CODE - FINAkCiNO STATEIMENT - FORM UCC•1 REV. 1981 ~ i'
THIS i1NANCING STATEMENT ia prssented to a fllfnp ofticer fo~ flllnp p~rswnt to ths U~iform Canmercial Cods:
OEB'Ofi (Last Nam~ First it a PKSOn) THIS SPACE fOR USE OF FiIIMG OfFICER
NAME Oat~, T~me, NumbK 6 Fd~n~ OHice
1A BURGESS, Robert E.
MAIL1NGApORESS '~'103 Palomar Avenue ~~ZO~~
Ft. Pierce, F~ATE 33450
o - ~m p~
{p 1AUlTIPIE DEBTOR pf ANtl) !lsst Name F~nt ~f a Person) ~ ~ 2 I~IZ 8
u NAw1E BURGESS, Theresa p{p _
~ ~s FI~~~' P
.-ac MAILINGADORESS 7703 Palomar Avenue ROGE~? ~~r~
o ST. LUC:f
Z Ft Pierce, FL 3~~~0
AIULTIPLE DEBTOR pP ANY~ (Last Name f~rst ~1 a Persa+)
NAME ~
~C
MA~LING ADpRESS ~O~O~S
~
~ CITY STATE
SECURED PARTV (Las~ Hams F~n~ 1! a Person)
N~MECredithrift Accegtance Corp.
2A
MAIIINGADORESS 2761 N Federal Hwy.
c~rr Stuart ~ STATE FL 33494
MUITIPLE SECUREO PARTY (IF ANV? (Ust Name First ~f a Penon?
NA1AE
~ 2B MAILIHG ADDRESS AUDIT UPOATE
3 ~
~ CITY STATE _ _ ~
~ ASSIGNEE OF SECURED PARTY (if ANY) lLast Name F~rat ~t a Psrsool VALIDATION INiORMATION ~
'e NAME
~ 3 ~
~ MAIIING AODRE55 c
~
a GTY STATE
4. Tn~a FINAHGNG STATEMENT covsro tM folbwt~ typss a items of propsnr pnUuOe tl~s:npuon o~ re~t prop~rtr on r.nKn ~ouie0
and ownK Of ~~COrO wl1M repuinJl. 11 mws fpi[~ 13 rlpwrs0. ~tqth add~tionll l7~NlS 8'h' x 11'.
t•~hirlpool washer New LA5502X C44326907 Q
W
~ ~ Quasar Microwave New MQ8850 NM 41688325 n *
~ guasar VCR NewVC5740 86043251205 g •
Quasar Camera New VK744 7750293 0
~lla&~~ ~Q~A4 ; rn
5. wocews ot cd~atxat ara co.aw as woriosa +n S~ctw~s 8~9 203 ana ern.~. F s 7. No. ot a0d~tionai 5MSls p~essni~d x~'
g. F;,,e w,,n Clerk of Court SL County _ _ ~ p~ ~
~ 8. tCneck ~ 1!
y~~ Cocums++1rY sWnP ~~~I~ a to bor_ane due and payabie pu~suant to Ssctan 20122. F S. nave been pa~0. Z N
~1i ~ ~
~ i.~ fbnda Documsntary Stamp Tu is not roauirW _ u+
§ ^ O f++
~ 9. Tms autamsm is f~tW wrthout tM OsDtors sqruturs to psAett s sxunry +nlsrest ~n co~~ataat {CMck ~t so} lCnsck if sol Z N~'' i
~ ~ alr~a0y sub~eet lo a s~eunSy inlsnat in ano:Rer ~unsdretlo~ w~en i~ wae DrouyM mro tn~s su:s w d~Dtor'a ~ DeOaor ~a a transm~ttinq uu~ay
ae s e
~ rocauon cnanq~d ro tn+a sut~. ~ Produy,~a ol couateni aro cowrsd U r+ W
~ U~ ~D ~
~ ~ wnicn ~s D~a~s a! tn~ wiyina~ cW~atsra~ clescnDaC aDore m wnKn a secunty ~nteree; waa perf~cts0 r+~
~ - - - ~ N tn
~ a~ to wn:cn me hbn9 nss ~aDaW
~ S~~ E(S) OF DEBTOR(S)
~ ~cp~~~eo a}te~ ~ cnanpe oi name. ~a~nt~ty, w caponte structu~e o~ me
Aebtw or i secursA paAy.
13. A.w,~ coor to: - -
NAME ~
ADDRE55 ~ Z. S~ ATURE(SI OF SECUREO
PARTY(IES) O ASSIGNEE
~
V
GTY ~ " ` I'
STATE Z~P ~
~
= STANDARD FORM - FORM UCC•1 Ac~~ove.y oy se~~e a~Y c~ s a e S~a e o~ F-. a
;t) FILltuG OF~ICER COPY
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~ _ ~ ~
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