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INSTRUCTIONS: 1. PIEASE TYPE AlL INFORMATIpN, an0 apn r~tn bal~ polnt p~n Spi+atun muf~ W ~W~OM on R~~^9 Olf~c~r Cop~e~
2- Cont~c~ Fn+np 011icK la tN uMGui~ or add~tWrw Mlormatbn
STATE,OF FLORIDA ~
UNIFORM COMMERCIAL CODE - FINANCIN(i STATEMENT FORM UCC•1 REV. 1981 ~
tHIS FINANCING STATEMENT is pre~ented lo a filinq otlicer Iw filinfl pwsuant to IAe Un{form Commercial Code:
OEBTOR (Ual Nam~ Firsl if a Penon) THIS SPACE FOR USE OF fILIN(i OFfICER
NAME Oate, T~ma, NumOSr a Fd~nQ O?I~c•
1A Runte' , James H. S'7~QSZ
MAIIINGADORESS 1307 A. Peppertree Terr.
x ~'n' Ft . Pierce sr"TE FL , _
~ M~JITIPIE DEBTOR pP AHY~ (Las~ Name Fust d a Pt~son)
u~i NAYE
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~ ~B
i YAILIN6 ADDRE55 ~i ~~0~2
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0
~ GTy STATE
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MUITIPLE DEBTOR (If ANY?~ ~Lasl Name Fust J s OerSO~)
NAYE
~c FI~ ~
MJUItNG AODAESS ~
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sr. ~uc{: #
* CITY STATE
- - _ - - - -
SECUREO PARTY (tut Nsme fvst a Perso~)
NAME garnett Bank of St. Lucie County
~
MAILINUAOORESS 900 E. Prima Vista Blvd. ,
~'TY Port St . Lucie STATE
RIULTIP~E SECUfiEO PARTY pf ANV) ^(La~t Nams Fust d a Pe~son)
I NAME
ZB
MAILING AODRE55 ~ AUDIT UPOATE
CITV STATE
_ _ - - - - - - - - - - - - - - - - - - -
ASS~GHEE OF SECURED PARTY (~F ANY~ (USt Name F~rst ~f a Psrson~ ~VAUDATION iNFORMATION
NAME
• 3
MAttING ADDRESS
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CITT STATE f
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4. Tms FlNANCING STATEMENT corers Me fotlow~np ~ypes or ~I~ms ol prppart~ ~~nNuOe descnRnon o~ re~~ p~oper?y o~ wnrcA-loc~le0 ~
~n0 o~n~r ol reco~d wnen naw~eAl 1~ rtv'.,re sDxe ~s repu~~e0. aUUD a6Jd~o~al an~ets 8'h' a t~'
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1980 HOLIDAY BOAT ~HMH00401M80I W I
* AND ALL ATTACHMENT EQUIPMENT 4 ~
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~j. VrocNd; ol cdiatsral are cwsrs0 ss D~or~dsd ~n SscUOns 679 20] sM 679 J06. F S 7. No ol add~bonai Shpla D~~~nted: ~
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6. F~w w~cn. C1er1~Q£_Cnur S~__~t1C~e
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B. ICMtk O) ~j AM doturtMntary ltamp lu~i du! ~n0 psYaW! ot to 0ltwne due and payaOle PurSwnt to Sett~on ~01 22. F S. hir~ bM~ pi~4 ~
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~ Fbn6a Uocum~ntary StamD TlY b nol rsQu~rsd w
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9. T~n stat~nt ~s f:~W rrthout tM tleGtWs spnatw~ to peAxt s sau~~ly mteresl m cW~alas~ 1CMck ~~1 w? 1~. (C~~ck d eo) ~
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~ ~ItNOr iuD~~Ct ~O ~ s~tutily ini~tyt m ~nOtDl~ ~UnlOitliOn wMn w~3 DroUQ~I m~o tnu ~ul~ or dsDtcr'a r' 06btOr ~ Vin3m~~Gnp utility
IOt~tiOn C~~nyfd 10 iDif !l~l~.
f7 ProOucls ol tol~at~n1 sre tov~r~
0 whicn i~ DrotNds ol IM aiylnal ca~~tsr~l 0~xnb~d sDov~ in wnitn a s~turrty int~r~st waa p~r1~t1 W
o ..,o.~Kh,~.,,,,~~ ~u eoa~ 575 ,,.,~E 945
~ SIGNATURE(S) Of OEBT0~1(S)
O acvu~no ~~t~r a cnurp~ ot „aam~. w~notr. a corpaat~ ~tructura oi tn~ JAMES H. TE
~ u dwtor w ~ s~curW party. _
13. ~tum top~r to: .F='~~.r9
NAME e Co nt ~
AODRESS qOQ F Prj~ V~ RtA R~ Vd - 12• SIGNATUREISIOF SECViiEO
B PARTYpEB OR E~T . LUCIE COUNTY
A1VLC
GTY
sr~Te Florida Z1PCOpE 34952
. ev r - Vice President
FILING OFFICER COPY STANDARD FOHM - FORM UCC•1 ~owo+roaors~cmwotsuu.su~~oiFanaa
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