Loading...
HomeMy WebLinkAbout0970 i ! ~ r i 'u ' 1 - . ~ ~ STATE OF FLORIDA a ' UNlFOR.M COMMERCIAL COD~ STATENiENT OF CHAN~iE - FORM UCC-3 REV. 1~81 _ TH~ FINANCfMG STATERIENT b pra~nbd b ~ H!!eq Mi{qr ler (NM~p purawM b dN Unllona Conw~eiM Cod~: Inlwmtlqn a~ rt~ens t anp 2 mutt apN ~a~etlp ~WtA IM oripinN fH~np ~nlwm~lbn a Tl115 SVACf fOR USE Of FIUNG pii1CER n aw~ousir ~rn~ra~a. Wb. TwM. Nurr~Wr i Fdmp Oftltl OEBTOR lt~sl ~lam~ FaN 11 a P~noel N,~E c:as~y , Oqr, 'A YAIIING AOORESS , q a~ SF y~hT -1-~~r . X CIT11_ P~~ST ~ G~STATE -~L----------- ~ I1~1 Y P~ V C m MUITIPLE ~EBTOp pF AHII) ~l.~fl H~mt Falt ~I ~ PNfpn) a NAME fI E~ 11~~• !~:G ~ tB R R P01~:~... ~ .:~cr~K z MAILIHG ADORESS S. LUCIE COuN F~-. w Z O ~ C~TY STATE z ~ - MWJIPtE DEBTOR pF ANV1 (lasi Nam~ fuat d a Psrsonl NAME ~~y~..~ ~ IV ~V MAIIINu ADDRESS • * CITV STATE SEC!)fiEO PARTY iLiSt N~ma Fira: 7t Perv~n! hAME UPDATE 2A 1~1 ~ 600~ II~aN MAI~ING ADORfSS ~ f a~ AUOIT GtTV STAtE - - - - - - - - - - - MULTIPLE SECURFD PAR1Y (!f Al11~ (WI N~rn~ F~r~t ~1 ~ PN~pn? yp~~pAT1pN INFORMATIOH NI?ME 2B IdAIUNG ADORESS 'r F ~ GT~ ~ STATE Tms sut~nt nt~rs to a+9~na~ i~nanunp Stattm~nt peump fd• Numb~r b / Iii~druh ' TM O?ip~M! irti leNd On 1~ 4. ~ CanUnwt~pn T!N pn0~ntl tin~nCw~p stitNn~nt DNwNn tM forpp~rq p~ptor~s) ~+W S~Cw~O PYryiipl bwmy hN numpN Nfprn ~Dpv~. Is ~till ~flietlvr. 5. f~ T~rmmatwn s~cw~a wnr no ionp~r ciwns a s~cunir ~ntersit unea tM hnandnq sut~n»nt Ow~np fu~ numps~ ~rwwn ~twr~. g. ~~an~+~ Sar» 01 S~cunO party's rpnts urWN tM Fnanunp Sbt~rrunt naw oKn uspnW to tM asspnN wnose nanw anO adoross sn set fonn ~n Asspnrrkm item A d~scnpta~ of tM cdiat~rai wbNct to tM asspnmsnt ~s a~so s~t lortn in fttm 11. 7. fu~l Atl W$~cure0 Partys rp~ts under tt~e f~nan,^.mq Stat~nl Mr~ D~sn assqn~tl to IM assiynee rAOSe narns uW a0dross an xl lortn Aupnment m Item tt. ~ 8. Ambr~Omenl. iinp~t~nq Statirt»nt bNrirq h{e numD~r sMwn aDOK ~3 am~nOSO as sIt fort~ ~n Item ~1. Sqnature of Deptor rspu~rsd a~ ttsm 14 unleu ! i am~nOm~nt cMnqts ony rwne or WQmss ol ~ither Darty- • I t 9. L: ReNase S~cwed partr rebas~s only tt~s cW.iau~al Aesc~~pW in ttem 1 ~ irom 1M hnanc~np s4Nrt~M Owinq hN numDer atawn aDOVe ~ ~ ? CAack it Irue. AII 6ocumentary stamp tu~s dw a~d payaDle or to Oscome due arW paY~Dls punuant to Cnapter 201 22. F.S Mve Dssn p~ip. ~ ? 11. n mwe spsc~ ~s requxaa. attacn aod~t~ona! snss~s Bv, x» ~ ~ ; ~ V s r i ~ Z. Ho. 01 AOC~tqnal Srwets ~ 4. S{GNATI;RE~S) OF DEBTOR(5) kstsssary Onry Fw ` Dhse^tW Amentlmenl. See Ilem 8 ~ t - - ~ 1.3. Retum Copy to: ~ NANE AODiiESS NATUREZS~~F~SE~OPARTY E ASSfGNEE ~ i ' t ~ GTM ' ' _ ~ STATE Z?p (',ppE . • (1) FILING OFFICER COPY sTANDA~RD FQ - PQR A~powAbyS~cr~i~ryp~S~ts.SYl~dFforMa ~ BQOK PAGf ~ t