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FORbI NUNBER :f~~~ ~~L~ w,.
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307FL
INSTRUCTIONS: 1. PLEASE TYPE AlL INFORMATION, and tinn with ball point psn. Signstura must be bgible on Filing Officer Copies.
~ 2. Contact Filing OHios? for fa~ sehsduM or addtio~l iniarrntion. , •
STATE OF FLORIDA ~ FlNA~iCING STATEMENT UNIFORM COMMERCIAL COOE - Form UCC-1, Rev. 1981
THIS FINANCING STATEMENT ~s presented to a tiling olfice? for tilin,y pursuant to the Uniform Commercial Code:
OEBTQR (last Nama FKSt if a Person! THIS SPACE FOR USE OF FILlN(i OFPICER
NAME Sh~ith, Ben~amin T. .Tr. ~at~, Tim~, Number, and Filing Oftice
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MAILINGA~DRESS 6401 Peacack ~td.
~ c~rir Port St. Lucie STATE FI, 33452 ~a~ ~fLEO Ali,
x MULTIPI.E DEB70R (lf Any) (Last N~rrt~ Fint if s Person) ~
sr. LuciE couur~~. F
~ NAME Smith E~Christine
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~ MAIIING AOQRESS 6401 Peacock Rd.
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~ cinr Port St. Lucie STATE FL 33452
MULTIP~E DEBTOR ilf Any) (Last Name First if a Person)
~ NAME
O 1C
I MAILING ADDRESS ri~8
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CITY STATE
SECUREO PARTY (Last Natne Fkst if a Petson)
NAME
H~xbor E'edera~ ~ .
MAtUNG ADDRESS ti" ~ ~p
FORT PIERC+E.fLORlOM 33450
CITY STATE ~
MULTIPIE S£CURED PARTY (lf Any) (Last Naroe First if a Person)
NAME
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MAILING AODRESS IlI8 AUDIT UPDATE
CITY STATE
ASSIGNEE OF SECURED PARTY (1t Any) (Last Name F irst if a Pe?son) VALIDATION INFORMATION
NAME
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MAILING ADDRESS II~8
CITY STATE
~ This F INANCING STATEMENT covers the following types or items of property (include description of real p~operty on ysrhich
/ocated and owner of record when requiredl. If more spece is required, attach addit+onal sheets 8K" x 11". ~
1987 UNITED Fully automatic dual side entry Wheel chair lift, t~odel SCC 201, Q d o
~ Serial No. 8 6123 3 locat e
d on 1 9 8 5 Do dge Maxi Van, Ser ia l No. 2 B 7 A B 2 3TO F
K 244 14 1 W~ ~
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5 Proceeds of eotlatsral are covered as provided in Sections 679.203 and 679.306, F.S. 7 No. of additional SF+eets ~ ~ v~
prtsented: .
6 Fikd with: Cl I1~8
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S(~~ 0) ~ All d co urtfentary stamp taxesdue snd payabla or ta bemme due and peyable pursuant to Section 201.22, F.S., a y ~ v
have been Peid. Z_tw a,? H
~ Flarida Documenta~y Stamp Tsx u not required. ~ a?
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Copy To: NAME HBrbOr FP~BYSZ ~2 SI(3NATURE(S) OF SECUREQPARTYUESI t~
AOClRESS lOO SOUtIl S~COAt3 St. OR ASSIGNEE
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ciTV I+t. Pierce ~ D~niel, A. Abraba~ LO
STATE j7j, ZIP CODE 33l~ ~
STANDARD FORM UCG1 ~iowdBySeadarvotStrn
SEi~I 0/ F/D/if~
~.,~F«Tsri~.,• Form FF307F1. to~~a2~ (1) Fling Officer Copy To e.~c~r~?t Nq. -
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