HomeMy WebLinkAbout0994 !
, APPEHSON BUSINESS FORMS, INC- • P.O. BO% 16J63. CHARIOiTE. N.C- 28216. PHONE 17W1 399 2571 ~/~~~,A„ _ L~
~c~ W ~a~~.
. . : - ? r ~ ~ • i ~
v ~ V. s i~ L? V ~r V ~.r +.n r. v
INSTRUCT!ONS 1 PLEASE TYPE ALL INPORMATION. arW ssq~ w+t~ Datt q~mt pen S~gnature must pe ~eg~b~e on f~;~rg OR~cer Cop~es
2 Gontact fd~ng Oftrcer for tee 5cne0u~e o~ a~d~~~ona~ ~nforma~~on
STATE BF FLORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC•t REV. 1981
TNIS FINANClNG STATEMENT ~S presenl8d lo a litinp offiCer for tllinp purswM t0 the Unilorm COmmerCial Code:
J DEBTOR ~Last Name F~rs1 ~f a Person~ TNIS SPACE FOR USE OF FILING OFFICER
NAME ~V~'~ Cl~ C~r~ratj~~ a Florida DaRe.Time.Numperafd~nqQlf~ce
~ A corporat ion 10 z 7~ s
MAILtNG ADDRESS
8630 ~o. U.S. 1
C1TY port St. Lucie STATE FL 34952 Rec Fce DOUGI.AB Dfl~ON
~ y MUITIPIE DEBTOR ~1F ANV~ ~Last Name Fvst ~f a Pe~soni A~d y' ~~~,,.BR Lnrie CcLr.ty
o NAME ~ attached signature page for additi 1 p~ Taz:.~.,-._.._ G7erk of Circuit Conr!
Q i B debtor s. ~ 1at 1~ i~.-~-- By ~
z MARiNG ADDFESS
~ C~~
z
~ ~ ~`Otd~ s V
CITY STATE !
Z 4
MULi1PlE DEBTOR UF ANY~ ~Last Name F~rst ~1 a Person~ I
NAME ~
~C {
MAILING ADORESS
* C~Tr ST~TE #
~ SECURED PARTY ~last Nart't Frs~ a Versonl ~
NAME First Nationwide Bank I
2A i
MAI~ING ADDpESS ~
700 Market Street i
ciTr Sai1 FLii11CiSCO sr~rE CA 94102 I
1 i
_ - - -
~ ~ MULTIP~E SECUREO PARTV ~~F ANV~ ~Laet Name Fvst ~1 a Psrso~r
, ;
NAME ;
k` 2B ~
I MAiLING ADDRESS ; AUDiT UPDATE
4
~
I ~
~ C1T~ STATE i
t
ASSiGNEE OF SECURED PARTY pF ANVI ILas~ Name F~rst a Person~ VAUCATiON INFORMATiON
NAME
k 3 ~
~ MAIUNG ADDRESS .
~E CITY STATE
F 4. Tn;s FINANCING STATEMEMT torers t~p louow~np types o~ ~tCm! O~ D~optrty I~nduOe desGnDlion o~ rN/ p~opl~fy O~ wrtr~n ~outea
b antl owner ot rlCO/tl whln ilQui/!d1 11 mOr! SD~CC ~s re4uneC. attacn a0d~t~o~ai ~neets B'~~ ¦ 11'
See: 1) Additional signature page attached hereto and made part hereof by ~
this reference. W
~
< *
2) Exhibit "A' attached hereto and made a part hereof by this reference, a
~~A LL
e O
~ N
N
S. Proceeas ot co~iaterai a~e corereA as pro.~ded in $earor.s 679 203 artd 6T9 306 F S 7. No o~ aCC~t•on~i Sheets orexnted
¢
F). F;ieA w~!~ O
~ Clerk of the Circuit Court for St. Lucie County, FL 2 ~
, 8. ~Gneck An aoc~me~~ary stamp iues due a~+0 Gayab~e or to De~,ome due an0 Da~ao:e D~rsua~t to Secho~ 207 22. F 5 ~are Dee~ pa~d , Z
~ F~or~Oa Oocumentary S:amp Ta¦ ~s not ~eQw~eO
y
~
9. Tn,s stateme~! ~s ~~'etl «~tr.put the deDtors s~flnature to pe~!sa a secu~~ty ~rteres! .n caiate~r ~Cnetw ~f sci i (Cneck ~f so) ; Z
a.ea0y sun~ec! ro s secunty ~nte~es~ +n ano~ner funsa~ct~o~ »ne~ «as bro,pnt ,nco ~rn state o~ oeDrors ~ Deotor ~s a cr~nsm~tt:r,p utnny ~
~oca~~on cnanpe0 to ~r~s sta;e
P~oCuUS o+ co~~ate~a~ are cove~eQ
,
; wn~cn ~s ,.roceeds o~ t~e o<<p~~a~ co~~ate.a~ desc ~be0 aDO+e ~ w'~~c~ a secu ~ry ~~te.est wa~ DerfecleC ~
€ ~ ~
as to wn::r. tne t.i~n~ naa ~aPSlC
~ ~ SiGNAtURE(51 OF pEBTORiS)
~ acaw~ea ahe~ a cnartqe name. ~de~nty. cr cwpo~ate struc!e.~e ot tne
OeDto~o~ - securotlputy ~~V Club Corp.
~ _ _ _ _ _
13. Ra:~~~ ~5vr to ~y y~}~~ Q
~~c ~NAME B~U11~~~ fAYC ~V~ ~~i
~ [7~ nri.e. ' .i..w4 ! -.l.4 ...~.L....7
Sandra J. Zrnic ~-~~T~-
~OdRE55 ~ ~Z. SiGNAtUAE151 OF SECUREO [7t1A ~7pt
- First Nationwide Banlc ~ ~ VARTYpESI OR ASS1GNEf `S17"`„ture ~7`r /
~ 700 Market Street !
i ~~'~r $ail Frat1C1SC0 ~ ~F1LSt N3t10[IWld(.' BdC1~C ~
~S1ATE ~11fOlllia Z~PCODf 94102 ' I
_ - ~ ~.:.~^5c~-
STANOARD FORM - FORM UCC-1 ~~oro.eo ~y Set~eia~v c~ s~ue Sra~e o~ ~ o~~aa
E Fifing Oflicer Copy
_ ~ <*r,~.'.p,ui -,~-v;~,..~ ~ ~,y~ ~ :.e-€-*„r -
. -.,x„ _ .+~T -
~i _