HomeMy WebLinkAbout0962 FORti1 M1UMBER ` ~~LVV
G~~eat Lakes Busu~ess f~rn~s, Inc -
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~ INSTRUCTIONS: t. PLEASE TYPE A~L INFORMATION, and sign with ball point pen. Signature must be legible on Filing Ofticer Copies.
Contact Filing Otf icer ta tee schedule or additional information.
STATE 01 f LORIO/L FINANCING STATEMENT UNIF~ORM COMMERCIAL CODE For~i~ UCC 1, Rcv 1 981
TfiiS F irinNCir~G STl1TF1,'IENT iti {x~rtir~nt~rrl lo hliny offi~ ~~r lu~ lihrn.~ ~~u~su~~nt t0 lhF~ Unilorm Con~nte~~:i.d Co~lt•
DEBTOR ILast Name First it a Personl THIS SPACE FOR USE QF FILING OFFICER
NAME Samuel J. Bailey Date, Time, Number, and Filing O(fice
1A $'78~`.~~3
MAILiNG ADDRESS
2025 Triumph Rd.
~ CITY Port St. Lucie, STATE Florida 34952
~ MULTIPLE DEBTOR (If Any) (Last Name Firs1 if a Person)
O
a NAMEEloise Bailey
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a~g
~ MAILING ADDRESS
Z 2025 Triumph Rd.
u+ CITY Port St. Lucie, STATE Florida 34952
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O MULTIPLE DEBTOR (lt Anyi (last Name First if a Perso~)
.,}j NAME
o na
~ MAILING ADDRESS I
O ~
CITY STATE ~i ~8~~`~,
SECURED PARTY (Last Name First if a Person) ~p A
NAME •OO I~AR 14 A9
2A : ~ Harbar Federa,l
MAILING ADDRESS ti' ~~TM ~~D STAEET FILEQ ~t'±LJ I•' • . ~
FORT PtERCE. FLORIDA 33450 OOUGI A~
CITY STATE CT - j~
MULTIPLE SECURED PARTY (It Any) (Last Name F irst ii a Personl
II NAME
k 2B na
MAI~ING ADDRESS AUDIT UPDATE
CITY STATE _
ASSIGNEE OF SECURED PARTY Ili Any) (Last Name F irst rf a Personl VALIDATION INFORMATION
NAME
3 na
MAIIING ADDRESS
CITY STATE
4 This F INANCING STATEMENT covers the following types or ~tems of property I~nclude desc~iplion of real pioperty on whith O N
/ocated and owner o/ ~eco•d when iequuedl. It more space is required, aitach ad~rtional sheets 8%i' x 11'". M~
T O~
.-~1 Ql ~7 ~
1984 Storm Bass Boat 20' Serial l~CWX010880184 p
1984 Evinrude Outboard Motor Serial 41J0427293, Model ~1E235TLCRC
~ 1984 Raml Trailer 750 jdt. Serial 4~RLIAJFU12E1000010 H ~
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ai 'd ~
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5 Proceeds o( collatefal are covereci as prov~decl in SecUOns 679.203 anci 679.3Q6, F.S. 7 No. of adclitional Sheets ~ u ~
presented: r-1 aJ ~ .
g F~icdw~~n: Clerk of the Circuit Courts of St.__Lucie Coun~___.._ H°~ ~
- - - - -----Y------------ -
~ r All docurnentar stamp tazes due and payable or to become due and payable pursuant to Section 201.22, F.S., ~'~3 ~ ~
' $ lCheck ~ ) v ~ r.]
: have been paid.
Flonda Documentary Stamp Taz is not required. • a~
' 9 ih;s sfate:rvnt n}ded wrthout tAe dMwr's s~9~vture to pe.~ect a secu•rtv ~~tunt m couate.a~ IC1xck ::~t so.t W~ ~
70 (Check so1 ~ ~ ~ Gm
i 1 a:~eadY subtec~ to a ucuntY ~ntere3~ ~n anuther ~u+~W~ct~on wf+en ~t was Mought ~nto th~s sate Q
' r deb~oi s ~ocaho~ changed to th~s state. ,a O L~
~ a DeDTO~ ~s a tra~sm~~t~ng wd~tv. f-1 O
t +r~,ch e1 proceectt of ihr or~~: al co~~ate~a~ desc%~t~7 a:x:.e ~n nh~ch a secw,ry mtreft was pe~fetted p
r~? ~P:oduc~sofcoliatera~a~emve~ed. .'ISN Q~
as to w~~.c~ che ht;ng has ~3psrd
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, SIGIVATURE 10~BTORIS)
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~ ariu~~ed>>te. a ch~rtgt of name, ~Jent~ty, o~ corou~a:e st~uctwe o~ ~ne
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O deG:or, a ~ secn+e.f pa~ty. ~
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13 Return _ ~
Copy To. NAME Harbor Federal Savin~s & Loan Association 2 SIGNATUREIS) OF SECURED YIIESI
ADDRESS P~ O. BOX L7SH OR ASSIGNEE
CITY Fort Pierce, _ ~
STATE ZIP CODE 34954 Thelma Kelly/Harbor deral ~
STANDARD FORM UCC-1 Approved By Secretary ol SWte i
State o! f/orida
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