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STATE OF FLORIDA STATEMENT Of CNANGE UNiFORM COMMERCIAI CODE - Form UCC-3, Rev. 1981
THIS FINANCING STATEMENT is presented to a fitinq oHicer for hling pursuant to the Uniform Commercial Code:
~ntorrraation in Items 1 and 2 must agree exatt~y with the ori9inal tiling THIS SPACE FOR USE OF FiLIMG O~FICER
~ntormation or as previously amended. DatB, Time, Number and Filing Office
DEBTOR (Last Name First if a Person)
NAME Chancey, Adolphus J .
,A ~'72549
~ MAIIING ADDRESS Rt . 2 BOX ZOG~
X
O
CITY Ft . Pierce STATE FL 33450
W MUITIP~E DEBTOR (lf Any) (Last Name First if a Person) F~ p 3•L.~
a
~ NAME Chancey, Maria T. D
z1B , . •
w MAILINGADDRESS Rt. 2 BOX ZO62 FI~.Ea.,~~~-? ~
z p UGLA ~ L~X~~i 1~..
~ o
J CITY STATE s.~.UC~E ~•OU~ `Y• FL.
Z MULTIPLE DEBTOR (If Any) (Last Name First if a Person)
O n
! NAME ~`7~.,~+-t9
1C
~ MAILING ADDRESS •
1
CITY STATE ~
t
SECURED PARTY (Last Name First if a Person) UPDATE
NAME Sun Bank/Treasure Coast, National Assoc tion
Zp Formerly Sun Bank of St. Lucie County
MAILING ADDRESS P~ $OX H AUDIT .
CITY Ft . Pierce STATE ~ 33450
MULTIPLE SECURED PARTY Ilf Ar?Y) (Last Name First if a Person} VALIDATION INFORMATION
NAME
28 ~
MAILING ADDRESS ~
7
f
CITY STATE i
7his statement refers to original Financirtg Statement bea~ing File Number 470705 OR Book 322 Page 2339 and filed with ~
~ C erk of Circuit Court - St Lucie COUrity . The originat was filed on ~ ,~9 ~
- -
j
4 O Conti~ustion. TM aipie~sl tirrncinp stst~ment baiwsen tM (aeyoing Debtalt) and Seaxld Partylits) bqrinp IiM number sAOwn sbor~. is ttill a/tective.
~j ~ T~rmirytion. Secur~d P~rty no lorqa cla~ms s uc~ritY intaest urW~r tM linandny sqtement baeri~ lile mxnWr sAOwn above.
s o Psrtpl Auig~vron~ SOf^° ot Seqxsd perty's ri9hts undr the Fironcing Sbt~ment hsv~ bee+~ sssiprwd to tM aupnee wrhwe nertw and address are ut Io~1A in Itsm 11_
A GnQiD[ion o! the coUatast wbj~ct ~o cM assgnment is sho s~t lorth in Item 11.
7 a fuH Augnnxnt. All of Sscued Pxtys i iyhts under tlw Financirq Sn[emrnt heve been assi9ned to th~ assipne~ rvPwsb rame snd address ar~ sei fatM1 in Irem 11.
8 O A~~~c Firor.cing Soument besrin9 (AS numbsr sAown sbovs is ~rtwnded as tet ipM in Itsm 17. Sg~ature of Oebtw rsquirsd st Inrn 14 unlest am~ndrtrnt cheng~s
onlY reiM or ~dd~eu of either perty.
Sg ~ R~isak. 3ecured partY r~MSm on~y tM colWteral desai~A i~ Item 11 irom tM1e firanarg stattmertt bearirg !ib nurnber shown rbo~t- •
~ o CAeck it trw. All documenAry shmp tsaes dut snd paYabk o! to b~cort~e due snd peYsAk p~wswrtt to ChsP~ ~1.22, FS. have Wen pad.
1 ~ If more sR3ce is required, attach additional sheets SX x 11. ,
aoar, 57~ ~~ac~ 9~
12 No. of Additional 14 SIGNATURE(S) OF DEBTORIS) - Necessary Only
Sheeis presented: For Amendment. See Item 8.
73 Return copy co: Elaine Wharton
i 15 SIGNATURE(5) OF SECURED PARTYIIES) OR ASSIGNEE
~ NAM~ Sun Bank/Treasure Coast, N.A. Sun Bank/Treasure Coast,
ADDRESS ~0 Box 8 National Association
c?TV Ft . Pierce /
STRTE ZIP CODE
STANDARD FORM UCG3 ~ Approved 6y Secietary o/State,
Srete of Florida
Capyrgnt 1985, FrHrK~al FamSystems' Fo~m FF30$FL (10/ 85) To Readx. Ca/ GREAT UKES BUSINESS FpRMS INC
i) ~li~rce,~l'1+r~'f 4,"i`• 1-800•253~0209•lnwtt?rgs+~-900•359-28~3
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