HomeMy WebLinkAbout0947 INSTRUCTIONS 1~EASE TYPE ALl INFOi1MAT10N, and spn wdD Wu po~~1 pan Sqn~turss mufl Ds ~p~Ob on F~Imp O~~~CH Copwa A
t f~tl m or~p~na~ F~nanc~np StNKnsnl ~umDN ~n0 O~la I~NO Gn Nem J. bebrl 1~ i/ ~ ~ +
7 Cont~cl F~imp Ot~KS~ la Isa scAedub a adddans~ mto~mslwn .L
~ STATE OF FLORIDA semtnote For~n ucc-3
UNIFORlN COMMERCIAI CODE - STATEMENT OF CHANQE -.FORM UCC•3 REV. 1981 ~ 7`
• THIS FIkANCIN(i STATEMENT Is pns~nlW lo ~ tilinp olfieN lor tllinp pwswnt to tM UMlorn+ Comm~rciN Codr ,
Information 1n itsm3 1 ~n6 2 mufl sprls l:atlty wiM th! w~qintl hlmQ mlormaGOn a THIS SPACE FOR USE OF FILING OFFICER
as prerwus~y amsnded _ Oate. i~me. Numper d F~~mq OIIKe
NAME RCLIJR~ArlLiJ, r r ~r I
8'71021
~A a Florida oorporation .
MAILING ADDRESS C/O tTOlul nR3X11cllt
211-215 North Elizabeth Street
GTY 111InC~ STATE ~0 45801 ~
x - - . - - ~ - ~Q
m MUITIPLE DEBTOR OF ANIf~ Ilist Nam! FuSt d a PerSpn~ ~QO ~N P 3•`1'T
W NAME '
v ~
W ~
Z B MAIIING ADDpESS Fn - .
Z ~1:~'~:
~ ~ t . ,
~ CITV STATE
z
- -
~ MUITIPIE DEBTOp ~IF ANY~ IUSI Nxne Frts1 d a Ptrsoel
NAME V
~C
MAILING ADORESS
M
•
CITY STATE -
$ECUHED PARTY ILast Nama F~rst +1 ~ PNSOnI U?DATE ~
NAME ,,T. L[JC.IE COUNI~Y~ FIARIDA
2A
MAILING AODRE55 2300 Virginia Avenue ,~Up~T
c~~ Fort Pierce STATE Florida 34982-565
~
' - _ _ _
~'~~~I~~ pFANV~ IUltNameFretdaPersonl VAUOATIONINFORMATION
NAME ~I~j ~ ~
2B as T~ustee
f~AA1LING AOORESS ~~rate Trust Departrnent
424 Church Street
c~T" Nashville STA~E Tennessee 37244 _
3. Tn~s s~atsmant retero ~o onp~nai F~nanc~nq Statement uearmp F~ie Number ---------7~p ]S ano i~~ea w~tn
- L
CZP.rjC Of ClY'Cillt ~1.1L~~ .5~. I,ucie Gounty, ~'l. Tneonq~na~«sslits0o~ ~j,(~~ 2~ i9 p
4. ^ Ca+tmuat~o~ Tne onq~nai f~nanc~op state~*+em between tAe faeyo~nq peDtalfl an0 Slc~reC Partyi~esl bear~np fde numper sl+own aiDOre. ~s st~~~ ellech.e
5. X ie~m~naeo~ Sccu~eC Gany no ~o~qe~ us:ms a secunty mlerost u~Aer tne ~~~anuny St~tement Deannq f~le numDer ~nown aDOre
6. Pan~a~ SOmC OI $lGUraQ D~~ty'S h9flIS undlr Ih! Fm~nCmO StatQmtnt ~~vt W!n ~~6~ynlC t0 IhE i3!'QnlB w~Oi~ nam! inC i06rlSS ~r! S!1 lort~ ~n
Ass+g~ment Item t ~ A descr.puon ot tne co~~aters! suDiect to trte ass~p~me~t ~s aiso set fch~ Rem t i
Fu~~ Au ot Secu~ed ~ury s npMS unde< <ne Finan.:~n9 S~ateme~t na.e Deen ass~9ned to tne ass~anee wrwse ~ame a~A a0dress sre se~ tortn
Ass~q~menl m 11em i t
a. , A~*~entlme~~ F~nanuny Sutement oeannq lae numper snown aoore ~s amenaM as se~ iortn ~o ~~em ~ t Spnalure ol DeDtor re4~ueC at Item u uniess
; ame~dment cnanyes o~~v ~ame o~ aOdress of e~~ne~ party #
9. Reiease SxureC party reteases omv ~ne ca~ate~a~ descnoea ~n Item 1 t~rom tne finanung siatement beanng hie numDd sAOwn abo•e
. C~ec? ~I ~rue A!i tlocumentary stamp ta¦es Oue an0 DayaDle a to oecome Oue and D~Y~D~e Durswnf to C~aDter ~Ot 22, f S hare Deen pa~d
~ ~I mae space ~s reqwred, a~racn aae~nona~ sneets e~n . 11
E~o~ 573 ~a~.r 9~$~
~ 2. No ot AOO~t~anal Sheets ~4. SK3NATUREI$) OF DEBTOWSI Neccssary On1Y Fw
presenteA AmlrWmint. S!! Item 8
O ? ra~111:a[47~ 11Y1^..
13. Retum coor ~o L - - ~ . - -
NAME I~XIIS ~K~TRU~ ++~SL• i •~ilUttS ~ ~11 ~
ADDRESS ~ BUl ljl~ ~1. ~~fJ• 51GNATURE(S~ OF SECUREO PARTY(IESy OR ASSIGNEE
in P aza . ..~r.~ - _NP?TIC[~1~1L IN _
Cirr ju~~u ~ ~ ~
SMTE Florida z'°COD~ 33131 • ' ~ ~ ~ _
. _ ` _ - - . c-- - - - - - - -
- - _ . . _ - - - - - - - - ~
_ _ _ - - - - -
STANOARD FORM = FORM UCC'~ ApprorsODy ralaryofSbte.Stat~otFkKt~a
FiUNG OFFICEft COFY `