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STATE OF FL.ORfDA ~°I'ATE~iIENT O~ ~~f~?NQE UNIFORM COMMERCIA~ GODE - Form UCC-3~ Rev. 1981 ~i
THt3 FIhtANCING STATEME~7' i~ pr+esented to a tiling officer tor fili?~ pursuant to the UnNorm Co~mmercial Code:
~,~a~~, ~ n~ ~~,a 7~t ~o?~ ~t~Y ~cn cn~ r~ TH{S 8PAC~E FOii USE OF Fllf1~~1 OFFlC~R
Fntormatian a es WeviouslY amended. ' pate, Time~ Num4e~' srxl Filing Oft'oce
. DEBTOR (1..a3t I~l2mB Fif3t N 8 Ps~'Slx1) .
• ~E Pet~rsen, Jared P. ~
1A
1098 Laet Joy Lane ~?8~~~
+ MAtiJN(i ADDRESS
~ . ~
~Y • Ft, Pterce S~~ FL 3345Q -
~ OCT -2 P 3 ~33
h4ULTiPLE DESTOR (M Arry) (Last Name Firsi 'rf a P~erson) ~
~ ~
t
~ 9~ P.iAliJNG ADDRESS R06E:iz i;.t~7t:~ C_E RtK ~
o ST. LUCIE COUtr"'f. F L.
.}r CfTY STATE ~
8 MULTIF'LE D~B70~i {tf Arr~) (Last Name Frst if a PeYSOn)
~ ,~,~,E - '7$~~23 ~
,c ~
MAIIING ADDRESS ~
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CITY STATE
SECUREO RARTY (Last Name Frst i1 a Per3onj UPDATE
~~iun Bank/Treasure Coast,Nariona~ Associat on
y~ Formerely Known as Sun Bank of St. Lucie Co ty ~
AppR~~ PO BOX8 AUDrr ~
GTY Ft. Pierce STATE FL 33454
MULTIPLE SECUFtED P~1RTY (if My) (l.ast Name Frst H a Person) VALIDATiUN IFtFURMATtOt+!
NAME
2~
n~u~vG A~ESs
CfFY STAT[
This statement reters b ori~nal Financitig Statement bearing F'i!e Number o and fifed with
'i~ 3 t. uc e ounty g . 7ne or~nai was rted on ugust ~ , ~s . ~
~
4 o ContiruaDOn The crigr~ f.~v,a,O :,t~r,e~ bc~er,lhe fae~9 ~tS~ ard Seaxed P~t~+es~ ~ tde r..~,be~ s?a~nr above. is st3~ QfRed~r~.
; 5 ~ Te.~,sort searea perty ro S~gsr cbrrs a seaid~ id~e~ unaer tne r
Sea narxep sta0cmenl be.yirg {ifa nn~ber st~own af»re.
i t
! ~ Sarn of 5earsd partys rigAM under the Fr~einy Statt+rnerx }Sr~: Ceen asai~ed b ihe assigr~e wtnse ~~r~e and ~dr~ess are sel fath in iem 1~. ~
4 8 ~ A description o! the ooEate~ suWe~.i b the assg~nl is afso sel lath in Nem 1 t. ~ ~
'I ~ Q Ftdl Assiry~ri~ertl M of Seqxed Partys ri~trLS ~rr10r Ue Frtatxirg Statement hae been ass+qrx3d b the assi~nee who•.,e name ard address are set brtli`m tt~n 11. y
i 8 Q M~erd~nt Firtancing Sta~l ~Rte rnnmber ainwn abo.e is anended as set brth in ttem 1 t. Signahre d Debla reQuired et Item 14 ud~s3 evro~drnert charyes t
a~?1 narr~a or addre5s d Ccuty. {
! 9~ ReSease. SeaxeA OartY reteases or0~r !he Coaateral desuibod "n Item 11 han the firencerg sta:emarY bearing t~a nn#v sho.wn abv.e •
0~ Ct~eck if hu?. M doar!+ertary startp taxes dua and R+i~ a b becane due and payab4e p~xanrd b ChaPter 2U 122. F.3 Fe~e bec+n paicf.
I~
11 tf more ~ace is required, attach additional sheets 8'h x 1 t.
12 No. of Ackiitio~a! 14 SIGNATURE(S) OF DEBTOR(S) - fJecessary Onty
. SF~eeta ptesen!ed: ~or Amendment. See Rem 8. -
; ~ 13 Return Copy to: . " _
NAM~ 46 StGNA7UREtS) OF SECURED PARTY(IfS) O!i ASSIGNEE
qppRE~ Sun Sank/Trea~ure Coset,National
A$sociati
CITY g~. Pierce
i sraT~ gy cc~o~ 33454
$TANDAFiD FURM tt~-3 . .4rp cretary of scate, .
Fam iF3osfl. (o7/e2) ' . . state oj Ftoridn
~ (1) Filing ~!€ict,~r .Copy .