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INSTRUCTIONS 1. PIEASE TVPE AlL INFORMATION, ~tW 3~n vril~ D~II pqnl pfn. SpM1urOS mufl 0! ~ly~Dl! on Fdiny Olfitl~ COpiRS ss~ ~It~ct sr.
2 ful in orpinal F~nanNny Stat~ntol numpN an0 dtl~ hlad (in ~t~m 3. W~ow)
J. Conlact fllinp 0111ta fOr IN st~OduN a~ddiiipna~ inlormalion. ~aq ui-u~a
STATE OF FLORIDA
989908 UNIFOlRM~ AOMM gRCEME C~~~,«+~bso
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MMrmatla~ In it~ma ~ and t muet aprN ~tiacpy witA tM or?pinal lilioq informatan a THIS SPACE FOR USE OF FILIN(i OfFICER
~ a~~ur ~M~ Dats. TirtN, kumbsr 8 Filinp OIHcs
pfBTOR (Ua1 N~ms ilrsl i1 a Person) Q(~~~~
r+~Me Ft. Pierce Radi~tor Ca. vU
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MAILING ADORESS 2906 Okee~hobee Rd.
c~rr ~t. Pierce STATE Fl 33450
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MULTIPLf DEBTOA (IF ANY) (lsst Name First il a Person)
W HAME
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Z MAtLING /1DORESS
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Z
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CITV STATE
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MULTIPLE DEBTOR (IF AN1ry (last Name firSl i/ a Perwn!
NAME
~C
AU11lING ADDiiESS
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GTY STATE
---SECUREO PARTY lL~st Nsme FbSt if ~ Plrson) - - - - UppATE " ~ ~ ~ :34
NAME J I Case Co, or J I Case Credit Corp.
2A As their interests may appesr ICED;•;
YlAIUNG ADDflESS P . U. $QX S ~.3 AUOi7 " ~ ' s + ~
' s ~ LUCIE COU.yT•r'i r` ;
un Norcrass STATE Ga. 30091
- - - - - - - . - - - _ -
AlULTIVLE SECURfD PARTY (IF ANY? llast Nsme First it s Pason) VA~fDAt10H INFORMATIOni
NAME
ZB
MAILIN(3 AOURfSS
CITY STATE
Thia stalsm~nt r~lers to wlQin~l Flnanclnp Slatement Wannp File Humb~r snd~lladwft~
. U C 8 UIl y t~s wipinai waa 1ii W on ~9
4. O Conunuat~on Tne aip~nil ?i~anciny atetement betwesn tne /a~poinq DeDtoh~) ~nC S~cured Puty~i~~) D~vinp file numper shown abore. ~s sutl e~~eelire.
S. C~} term~nat~on SetureO party no bnpsr claims s s~tudry intxes! undx 1ne !+nananp suts~nent Wuinp t~~e numoer snown above
6. ? Partist Some o1 Secured party's r~ants undar tne Financtnp Statement nare, Detn ass~pned to tha assipnee wnose name ano adarees are aet ~atn ~n
Aupnment Item i 1. ~ aeu~iDtion ot the cotta~e~al suqtcl to tne aas~ynment is aieo sat fortn ~n 1lsm w1.
7. Cl Fuf~ All of Secure0 Party's ngMS urWer ~Ae Financmy St~ter*~.e~~ nave been asspned to tAe asspnee wAOSe oame and adOress are set l~rtn
i Assiflnment ~n Ilem 11.
S. ? Amendmem Financmq Statament Dearioy fde numDar shown aDOVe is ament9ed as set fortn in Item 11 SqnaWre of pe6tor roduired at Item 14 unkss
* amendment cl~anyes onty nams p address ol e~tMr pahy *
9. L~ Release SecureC party rokases ontp Me cW+ate~a~ dexnpeC in llem tt Irom tne hnancinp sutemem peannq f~~e numDer sAown a0ove ~ ~
~ Ch~ck el irue Afl tlocumentary sUmp tares Oue arW DaYaC~e a lo beCOme due and payaAle pursuant 1o Chapter 20L2Y, f S. hare been pai0.
11. it more spxe is requ~ree. suscn Wtf~twna~ sneets 8vr : i~ ~
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~ 2. No. of Ad011ion~1 Sheets ~ 4. SfGNATURE~S) OF DEBiOq~S) Necessary Ontr Fw OC ~
presented: Amendmsnl. Ss! Ilem dtll ,
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13. p.m.n cocv -
MA41E
ApDRESS ~ FJ. S~(3aAn1pE(S) OF SECURED PARTYpES) OR ASSIGNEE
J I Case Co./ J I Case Credit Corp.
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SiATE ZIP CODE
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` ` STANDARD FORM - FORM UCC•3 App~owd by Secrstary o15Uts. Stale ol Fb~fd~ ,
FILING OFFlCER COPY
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