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~HSTRUCTIONS 1 PiEASE TVPE ALL INFOR1iAT10N, snO spn wrtn Oa11 pant p~n Sqnatuns must W ~p~bN on Fdmp ON~t~r Gop»s
2. Fiu ~n wpenal i~nanur+9 Stat~at numOK ano aat~ I~t~d Im Iqm J. D~ww)
s cw+~ac~ Fa~np ark« w. 1« scMOur «aeo~tw~W Mlormatwn.
STATE OF FLORIDA
UNIFORM COMNfERCtAI CODE - STATEMENT OF CHANtiE - FORM UCC-3 REV. 1981
TNIS FtNANCIN~ STATEMENT N p~d to a fHM~p ottk.w for fMMp prsu~nt !o MN 1JiMionn Co~!~n~dN Cod~=
lnlormstion 1n iums 1 and 2 mwt aprN ~:aetly witn tM aqinY tilnp ~ntormation a THIS SPACE iOR USE Of FILING OFfICER
~«bb' W». T~, NumDSr i F~Inq OHic~ •
OEBTOq (LUi Nam~ FrN if a Pwsaq
NAMIE
JotuLSOn, Joe K. 564~3
~A 316 Granada Street
MAlUNG ADORESS
~ Fbrt Pieroe, Florida 33449
.
- CiTY STATE ~
~ MULTI?LE OEBTOR qF AHn I~+st Namx F~n! d a PNSOM
21
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¢ NA4iE
W f,~E~
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Z YAIIING ADORESS ROG
~ , ~ _ .
ST. LUClE .
~ GTY STATE
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~ YULTIPIE OEBTOii OF ANn ILasf Name F1rst if a Pe~soni
NAtdE ~~1~0~
~ Ci
MAILING ApORESS
! ~
~ CIT~/ STATE
SECUpED PARTY llatt Nams FNSt il a P~tfon) - UppATE
H/W E
2A Southeast Barilc, N.A.
MAIUNG ADDiiESS 300 South 6th Str~eet
Fbrt Pieroe, Florida 33450 ~uaT
qTy STATE
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MULTIPLE SECUpEO PARTY (IF ANY) Ilast N~nN Fiqt if ~ PNSOnI yAL10AT10N INFORAIAT:ON
NAME
28
MAILING ADORESS
~ cirr STATE ~2 Bcx.~lc 453, Pac~e 2406
3. T~is stat~msnt rN~r• to a~y~na~ finaounp Slaqm~nt Wannp fd• Nump~r antlfqeOwit~
F e O (~~L71t ~OUl~ TA~ ap~na~ wu h:W on $IlUal"y ~9
i
~ 4. ` Continwtwn Tl~e onqinal /inantiny stat~ment bstw~sn tM fcwpoiny p~ptor(s) arW S~tw~O P~rty(1~s! bw~np f~l~ nump~r ~nown aQow. ie stiil ~ffectir~
5. ~ 7srm~nas~on S~cuhO psrry no bnq~ cia~ms a s~ew~ty iM~rsst undlr t~e hn~nC~nq sttlNnMt D~ariny hN numpsr shown ~ppve
i' Pama~ Some of Secured partr's nynts ~nCer tM Flnanuny Staltment haw OM~ assqr+~d to Me assp~ae ~rAOSe name an0 addross are sei Ionn ~n
Ass~yrtment I~em 11. A desenptron ot tM cdtats+al suO~~ct to tM alS~qnm~nt is slsp sel forth m Itsm 11
7. Ful~ AI~ 01 $eture0 Psrtr's nynts undar tRe Fmsnc~~+y Stat~ment Nave Wen asspned to tne ass~ynee wnose name an0 adCress are set I~rtn
Asspnment in Item tt.
~mendmem P~nsrcinq Statement Dearirp ~~~e numper uw~rn aDove ~S amandltl 33 SN torth ~n Itlm 11 Sq~aturE Of DeOtq reQunlO at Item 1! unk~5
f am~ndment chsnq~e ony nsrne « sddress ot e~+ner pa~ty •
~ g. ~~~ease. Secwso psny ro~asea o~~y tt+e caiaten~ oescnoee in Item tt from tne f~narv~ny statement btar~ny file numbRr ahqvn aDove ~
1~. r(}{CMCk rt true Ali documenlary stamp lues due arW Dayab:e w~o Decome Oue and D~Y~~k Durswn~ to Cnapter 2ptZ2. FS. have been pa~d
~ il more spsce is repu~ed. altacn adeiUOna~ sneets 8 n* 11
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} ~ Z. No. ol Adtl~tionai Sbeel~ ~ 4. SIGHATURE~S) OF DEBTdRIS1 ?~eceasary Only Fw
(
~esenteC: Amsndmsnt- S~e Ilsm 8
Joe K. Johnsc~
i 3. Ren,m coor ~o:
~ NAME Southeast Bank, N.A.
ADDRESS .S~r~t ~ S. S~GNATURFaS) Of SECURED oARTY(!E~ OR ASSlGNEE
Fbrt erce, F ori Southeast Bank, N.A.
A~. ~ ~s Randall A. Ezell, Vioe President
STATE 7.1p OOAE
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STA FORAA - FOHiiA UCC•1/ Apprwd Yr Secnury . W Fbrid~
~ He-order from Associated l~errls Printera ~ Ortando. FL (30S) ~41-8300
~ Fil~ng Officer CoPY
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