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flISTRUC110NS: 1. PI.EASE TYPE ALL INFOFiIiAATiON, uW ~ipn witA Dall pdnt pM. Sp~+atun musl W Ip~bl~ on Fflinp OHkK CopN~.
2. CoMacl Ffllnp Otllea Iw le~ ~CMOuI~ a~dAftbnal intornutbn ~ o
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STATE OF FIORIDA ~ J
UNIFORM COMMERCIAL CODE - FINANCIN~ STATEMENT - FORM UGC•1 REV. 1981
7HIS FINANCINO STATEMENT ie presentsd to a fllin9 otficer for filinp pursuant to Ihs Uniform Commerclal Code:
OEBiOR (last N~me Firit It ~ PKSOn) TH1S SPACE FOR USE Of FILINf3 OFFICER
"~2AIG ~ LEROY a~s, Tu~., NumDs. a fuinp Otlke R~T U R N TO:
~A ~~~~s~ RIVERSIDE NATIONAL:
"'"'~~S°~~L PLACE BANK OF FLORIDA
FORT PIERCE FL BOX 92
- CRy STATE
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m MULTiPLE DEBTOFi pF ANY) (LSa1 Nams fUS1 if a Pason)
u~i NAME
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Z MAILINGADDRESS B~L~a6L~
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= C~Ty STATE ~ ~B 16 1110
~ I~AUlT1OlE DEBTOR pF AN1~ (Last Nams f'ust 11 a Psrwn)
1C NAME FIL`l~ ~1 '
MAiIING ADDRESS DOUGL ' '
ST. LUC~~ •
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' # C11Y STATE
S~GUREO PARTY (~as1 Nam~ fkal ll a Psrba+l
"~17ERSIDE NATSONAL BANK OF FLORIDA
2A
M~~Y~.~~~~CHOBEE RD.
FT. PIERCE STATE FL
I.IULTIPIE SECUREO PARTY (IF ANY) (LUt NuM Firsl il ~ ~NSOn)
~ HAME
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MAILING ADORESS AUDIT UPOATE
CITY STATE
ASSIGNEE OF SECUREO PARTY (IF ANY) tUSI Nams First if ~ PMSOn) YALIDATION INFORMATION
, NAME
3
MAILING AOORESS
C~n/ STATE
4. Tnis FINANCING STATEMENT cowr~ t~~ Io1lowlnQ frp~s a ~t~ms ol propsriy (enclud~ tllfCNpflon of rNl prop~rtr on wArcA fouf~d
t~~~~~~°`~ `~~'~°f.~e ~~,~~~E'R„BACECHOE~SERIAL~~NO. C766055 WITH
RAKE LR 2129-1-986
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5. PracMds ol cW1a~a~1 an corsrW aa D~o¦+~ in Sxtion~ 679.203 and 679 306. P.S--- 7. Ho. ol WdiUOnai SM~ts D~~s~ntW: ~
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a. (Chetk ? Ap dOCUrtNntary sWr.p ta~cltAut Y~d WYaWr Ot l0 0lcart~e due ard pnr~DN D~nWtH lo SeclWn 201~2. i.S. htq DMn Wfd. o
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L~ Fbr~Ga Docurrwnt~ry Stamp T~ it not rpufrW. ~
9. TAb s4tsme~t is hbd wlthout lM OWtofs sipnatun to psAxl ~ sscunry int~rsf~ fn cdlat~ra~ (CMCk ? il W) ~ (CMCk 0 il ~O~ t
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?~IrNdr subNtl to a setudty Intsnst In inotDlt ~urisdktlOn wtkn N rrsa btoupAt into trtis sUt~ a 6~Dtors ? D~OIOr I~ ~ lrinsmittlny utiNty
location cAanqeA 1o thl~ st~t~.
? PrOdutts ot coll~ttral ar~ cov~rW
? w~kA 1~ procNds ol !M orlpina~ cdlat~nl d~sC~DeO aDOS~ in whicA ~ Ncuitty iMM~~t was pHt~ctsd.
C~s to vr~kh tM fitinp Aq IapfW. !^u~ PAGE V~ ~ SNiNATURE(S) OF OEBTOR~8)
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? scc~uft~0 ~fl~r ~ chanp~ ol nam~. fd~+titr. a capa~t~ atruclun of tM
~ aota a O Na+no partr.
1$. ~tum copy to: ~ ~
NAIAE RIVERSIDE NATIONAL BANK OF FLOR 12, y~pNATURE( f 8fCURED
21 OKEECHOBFE RD• PARTYpE510RA88KiNEE
,~iv i National Bank of F1
ciTr . IE E
STATE FL z'vco°E 33454 ~
STANDAHD FORM - FORM UCG1 /?pvrorworSscnt.~Yastat•.sut•o~Fwrwa
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