HomeMy WebLinkAbout0947 . PUi.L - o11oE11 F~1Oy ~~2~. ~Na~ww AvE. _
~ ~ PART u+~uGO, n~. eoev
BtiSINESS ORMS
INSTRUCT{ONS: 1. PIEASE TYPE ALL INfOAMATlOtr, ~nA !pn witn D~;I panl p~n. SpnNUn must b~ Ip!~ on Fd~np OIt~tN Cop+ss. M~~~
Y. COnt~ct FHnp pfit~r fa h~ /cMduN a rd0llional InbrmYlon. AREA CODf ]i I ~
STATE OF FIORIDA
UNIFORM COMMERCIAL CODE - FiNANClNO STATEMENT - FORM UCC•1 REN. 1981 i
THIS FINANCINC, STATEMENT ia presentsd to a filinp otficer for lilinp purswnt to tM Uniform Convnercl~ Ca1s:
DEBTOR (Ls~t !J~ Ffnt il a P~non? THIS SPACi FOfl USE OF FIUNG OfFiCER
IIAME Daro. T~m~, NumOa 6 Fd~np Oftic~
1A ~i '7U~03'7
MAILIti~j /JD_ORE~r~I~'~idM
r5~
an STA7E 3~~52 / ~
MUITIPIE DEBTOR IIF AN1~ (Last Name F~rot ~t a Pe~sonl ~ Z rl~ V
? NAME ~
~
z MAIUNGADDAE55 FILLu ~
w ROGE!'~ ~ ~
T , . ~
Z ST. LUC~E. . '
Z GTV STATE ;
~ MULTIPLE DFBTOfl (IF AN1~ (LSSt Nime F~rst ~t a Pe~son) ;
i
NAME !
'70103'~ ~
MAIUNG ADDRESS . ~
:e
~ CITV STATE f ~
SECUREO PARTY ~last Name FirSt ~t a Penon) ~ ~
NAME
2A Cr~dithrift Aacept~aoe co~ ' ~
~
MAILIN(3 AODRESS
27fi1 H Federal Hvy ~
CITY Stu~"t~ STATE ~ 334~4 ~
MUITIPLE SfCURED RARTV ~IF AN1~ (L~.it Nams FKSt ~I a Vsnonl ~
NAME ~
28
MAIUNG AODRESS AUDIT ' UPDATE "
i -
i ~t
G7V STATE
C - - - .~Ti'
E A$$IGNEE OF SECUREU PARTV (IF ANY) (LSSt Nams Fvst d a Person~ VAUOATION INFOR!MTtON
E NAME
~ 3 ;
~ MAIUNG ADDRESS '
4
'f
~ CITV STATE -
4. TDrs FINANGNG STATEMENT cowts IM folbwinp rypes o~ itsm~ of p+opsrtr {mNuOe descnpnon ol rNt proper~~ on w~,cA /Ot~ted
~ntl own~r ol record wDen rsquered~. It more space ~s ~epulred. att~ch a6d~twrtai sCeets B'h" x t -
, ~o~ ~\1~u~ V~sQri~~~02'tAd ~Qi1~pi~T14 Q -
~ ~ Yitahe~naide Diohxaaher < *
n
~ WQ
6 ~
~ O ~
~ 5. Proceetls ot cWlateral us covsrsd as prws0ea in Ssctio~s 879 Z03 and 6J9 306. F S _ _ 7. No ol aCtl~t:ona~ Snsets p~easnted: o ^ f
~ G. FdeC wrt~: CZA2~Y ~F y~Yl''te~ st~ . ~ - < ~ ~ "
8. ~cneck Ail yocumentuy stamp taxes due and payaDb or to becortee tlue anC paYaD~e pursw~t to Sect~on 2pt 22. FS . Mve Deen pa~0 Z~ '
~ .p
i- Fbn6~ OocumlM~ry St~mp Ta: is not ~lquire0. W O
~ - T ~
~ J. Tn~e etatement n l~tetl w~tnout tne deDtor e sp~alure to pafxt s secunty ~ntereat ~n couate~at ~Cnxk ^,f sof i ICMCk ~ it so! Z w
~ ~ airoa0y ~uGtKt to a sxunty mtsrsst m anotner ~u~~sa~ct~on wne~ ~t wae Oroupnt mto tn~s sta;s or OeDtor a ~ DeDta ~s a transm~tt~np atd~fy ~
tocstio~ cnanps4 to tMS stals r
Products ot coUatsrai are coversd ~
~ wMCn ~s procssOS af tne a~~p+nai co.i~ter~i descnDesf a0ove wn~cA a sxunty inte~sst was penecteC ~ N~A
~
~ aa to wn~cn tns hi~nq has ~aPaeO -
~ SIGNATURc~S) OF DEBTOR~~)
acCwreo atter a cnanps of name: ~oent~ry. w corponte auuuure o~ tne
~ ~ d~btor or ~ slcurlE D~Y n ~
~ 13. As~um coPY ~o ~
~ NAME c~stt~ift y
~
ADDRESS 2`~ $~~el'~1 ~ I. S~G ~URE(SI Of SECURED ^
~ PA Y(IES? OR ASS:GMEE ~
a
Citr ~t
~ STATE ZIP CODE
~
~ STANDARD FORM - FORM UCC•t ~ : , ~ ~ -
~ (1) FILlNG OFFICER G~PY
~ 3 x ~ ~ .4.~;~ ~