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INSTRUCTIONS: 1. PLEASE TYPE AL4 INFORMATION, ~nd ~1pn wltn ball poinl pM. Sipn~tur~ muil W Np~bN oe~ FMlnp ONkN Copl~~- ~
Y. COntati Filinp OtficN IOt tN 1tMCu1~ q~ditlOMi infOrm~llOn • o~~n°ew i"ioJ~i-i~iiiw.~i°~iaiw ~
STATE OF FLORIDA ~ ~ '
UNIFORM COMMERCIAL CODE - FINANCIN~i ST/1TEMENT - FORM UCC•1 REV. 1881
THIS FINANCING STATEMENT (s pressnted to s tiHnp offlcer la iillnp purauant to tAS Unltorm Commercial Code:
UEBTOR (l.ast N~m~ Flrst 11 ~ Psrson) THI$ SPACE FOfl USf Of FIUM(3 OFFlCER
~ A~~AN ~ STEPHEN M• Oat~. Tirrw, NumbK 8 FYInp Oflk~
RETURN TO:
~~~066 RIVERSIDE NATIONAL
~~~~~g~ F~R~?~DRIVE BANK OF FLORIDA
~~~ORT PIERCE sT~TE FL BOX 92
x
~ MULTIPIE DEBTOR (IF ANY) Qast H~me Fks111 a Peraonl
w NAME
n ~
~ 9B 8'7~~fi~i
z l+IAILIH(i ADDRESS
w
O GTY STATE DO rCD ~ V I'1~O
z
~ MULTIPLE OEBTOR Of ANY? Qast Nam~ FWSt i1 a P~rsa+) a
NAME FILE~~ ~j ~ ~
1C D~UG~ u. ` ~ '
MAtUNGADDRESS ST. LllC?~ " . . ' ,
i
; CITY SUTE a
i
SECUREO PARTY ~l.sat Name F1~s1 +i ~ PNSO.~) `
NA~AE
2ARIVERSIDE NATIDNAL BANK OF FLORIDA
MAILINO ADORESS
2211 OKEEC~iOBEE RD.
CITY ~ • PI~~+ STATE ~
MUITIPIE SECURED PARTY QF AHIry (lut Hdm~ Fiat if a PMOn)
NAME
26
MAIIING ADDRESS AUDIT UP~ATE
CITY STATE
ASSIGNEE OF SECURED PARTY pF AN1~ (last Harrw Fi~st +f a Peraa+) VAUpATiON tNfQRMATION
~ NAME
~ 3
t MAItING ADDRESS
!
i
~ CITY STATE
~
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C 4. T~IS FIHANCINC3 STATEMEHT co•~n IM ~Wlowinp ly~s w ~t~s of prop~rir ~in~luG~ dnc~:ptron o1 rst~ proprrfy on wA.cA loca~W
en0 or.nH o! r~cord r?n~n rpuirM~ 11 morr apacs is rpuh~0. Nl~eA additb~u ~AS~fs aK' ,c 11'
1968 FORD F500 BUCKET TRUCK ID N0. F50BOC89213
~ NEW INGERSOL RAND AIR CO["iPRESSOR ID N0. TP6Q9253
ENGINE ID h0. 683F60906AA ¢
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g ~ r~-~ PH~a
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5. Vroce~de of cW~ateral ue coror~d as p~o»ded tn Sections 87920J arW 879.306. F.5 7. No. of Wditio~al SASets prss~rt.~d:
6. F~~ea w~~l~:LF~RK OF ST. LUCIF, C.`OUNTY ~ ' o Q W N
~Chsck AN docum~nwy sWrq tues dw ~nd pay~bN a b Gecu~a d~x and ~syaWe punwM to Sation 20122. F.S.. nwe De~n paid i z
. < O
~ ~ ? Fbtlda Ootumsntary Stamp Tu It not rpuksd. w W r.
~ Q c+1 O E+
9. Tnis sLl~nt is IiNd vnlAout tM MDtWa slpnatu~ to p~Axt a securit~ iMSnst in cduteral (Ct~cic ~ soi ~Q. (CMtk 0 fl so) Z H ~1'1 H
O a~r.aay •u~t.c~ w a s.cu.~er in~.ni~ ~n anoin« wr+.ckiwn wne~ n r.as wo~,pn~ :~ro m~s s~s~. a aw~ors O O~ota ts ~ transmi~uny utuity ~ O s~
Iocatla+ chanpW to tnb st~t~. W W c+1
? a~ocuei: o~ caia~«.i u. cow~w y
? wnkn ts proe~eda or tr~ o~fytnd eoAatsa~ o~scrfw0 ~bov+ ~n wnlcn ~ s~curftr in?N~~t wa. pM~ct~o. ~ a~`~,,
? te to w~k~ tA~ lilinp IW IapfM. Q O~ ~1~F+ ~C
~ S10MATUAE(8) OF DEBTOp(S)
v U V ~
?~cQUUW aftK ~ cMnqe o1 nart~, M~ntity, a corpont~ suuctun of IM
~ ? dwt« a O s~wrW partr•
~ 13. c~tum coor to.
NAME
AODRESS ~ Z. SI(iNATUii~ OF BECUR
PARTYpES1 OR A8EKiNEE
RIVERSIDE NATIONAL BANK OF FL
CITY
$TA7E 21P CODE
STANDARD FORM - FORM UCC•1 ApWov~dbyS~tr~taryo~S4t~.34l~ofFbrWa
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