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Home My WebLink About0969 I I ( r ~ . ` . . ~ - STATE OF FLORIDA ~ • UNIFORM COMMERCIAL CODE - STATEMENT OF CHANCiE - FORM UCC•3 REV. 1981 y' THlS FINA.:":: ST!lT~t!tT Ia phs~M~d to a fi1Mq oftie~r lor fNMQ pvswM b 1M Unlfo~a~ CoeunMe~l Codr. Intormation in flams 1 and 2 must ~prN ~sattlr wltA 1M orlpMal Ntinp inlo~mation a TNIS SPACE FOR USE OF FIUN(3 OFFICER p prwiou~ty am«W W- Osb. Twn~, NwnOM l fitinp Otf~c~ ~ DEBTOp Ilast tiam~ Fml il a Paaon~ / \ 1 NAME ~y Q \ `1~~ ~ /~s I ~V ~ ~ ,~}r v t tA MAIIING AOORESS ~ a S- ,~-~s GTV •L STATE ~ ~ ~ P ~ 1 1 X wu~r~~e ~srop of ~u,n (List Nam~ Fust 11 a Vaaon) W NAlr1E ~~/S.ra / a (TG\`^ FILEQ 1',L; ~ ~i1~C+ ~ t6 (~QG ER P~i, `':.ERK Z MAII~NG ADDFiESS a a~~,~,, rTP.s' $T. LUCIE COUN Y. FL. W Z ' ~ ~ ~n Q S/ STATE a./~ ~ 2 ~ ~'r • v ~ MULTIPLE OEBTOH (IF AN1~ (4s1 Name First 11 a Psrsoel NAME ~y ~y~A~y ~V~ W~ ~C MAILING ADDNESS ~ * ~ * C~n STATE ~ SECURED PARTtl (last Nam~ F~s! if a Pason) i UPOATE NAME F~NANCEAMERiCA 2n 1201 S. 60th Avenue MAtIING AD~S~~~, 33023 "~°'T ~iUll ~n STATE - ~ MULTlP~E SECURED PART/ pf ANY) (Ust Nam~ Firat 11 ~ PNSOn1 yALIDATION INFORMATIOH I NAME ZB MAIIING AD~FFiESS C~TM STATE ~ 3. 1Ai! f1atMNn1 r~l~rs to onqinai Fin~nelnp Sla•MNnt ONnnp FII• NumWr ~gQB~ ,~/j/~i/[~ ~9 Mdfil~Owith . ~ TTN onp~nal r~a dW on j 4. p Coneirtwfwn Tns ap~oai t~naneinp u~~ment wtw~s tne forpe~~+e O~Dta1s) an0 S~ewW PartylNS) DwirW 1i1~ n;imbsr sno+~n ~DOw. ii stiii stl~c~iw ~ 5. /f~Tavm~natron S~cw~d partr no ~onpe* claims a s~cunty ~ntsrNt ur+der tM l~nsncirtp ststKnent bwinp fil~ numD~r slwwn ~Doq. j , G. ~ Parl~al Soms of S~curW partys nphts u~6er tM F~~a++c~np S4tem~nt Aaw bNn pipMd !o lM asstq++M wROSa narrN an0 ~Odreis are sN fort~ in ~ Auqnmsnf Item 11. A dtscnOtwn of tT~e cdlaterN su9~st! [o tl~ ~ssqnrr~nt is siso Nt }ortn in Ittm 11. 7. C1. Fuu An of S~curod PrtY's rpMa under tna fmancinq Statemsnt have peen assipn~d ro tf~e asspnee whose name an0 adOmss aro set forth AuqnmeM m Item t/. . . H. AmenQmcnt. Financ~n9 SqiM~lnt D~niny hl~ ~umW~ SIW~rn ~DOvs ~S ~mRndeO u f~t iWt~ ~n IIlm 11. Spniluro O! DEbtor requwld ~t Itlm 1~ unless I~ * amendmant cMnQts only nsma o~ sddrsss ot e~tAer party 'f ~ 9. t~ Releas~ Securetl party rsbasas oMy [M cdiatersl descr~DaC In Item 11 fran tRe hnar+cinq atatement Wannp I~te nurtsbe~ sNOwn above. ~0. ~ Cneck ~I true Ail documentary sWnp ta:n tlue an0 paY~~ ~ to bscome due and papaDN pursuant to Chapta~ 201.:2. F.S. navs Gean pad. i ~ ~ H more sp~ce is reQuu~d. attacA W~iitionai sheets 8vr F i ~ 2. No. ol ACOitbnal St»sts ~ 4. StGNATURE(S) OF DEBTOR(S? Necsssary Only Fo? pesent~d ArrrnOrtwnt Se~ Item 8. P ~k R~tum CoVr ~0 C~~ ~~r N~~[~~CA--- - S NAME ~ ~~J. 5~ HATURE(S) Of SECUREO TYpES) dR ASSIGNEE ~ ADORESS l ~ ~TM O~ ` ir~ , ~ ~ STATE ZIR COOE ~ ~ - - _ - - • (1) FiLING OFFICER COPY STAN~ARO FORM FOR~~3 ~oawreoorss~..wyasu~..sauaF~a~a. ~ ~ooK465 P~E ~ . ~ ~ _ . . . .