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Home My WebLink About1206 ' IIE011D[N /110Y ' ' R~~latrf. Iae. - ,~NSTHUCTIpNS 1 PLEA$E TYPE All INfpRAiJ~TFpN, anA S~Qn witT WJI pWnt p~n Sp'4Wre must bs tsy~D~~ o~ F~i~np Otl~cer Cop~es !1~ hERCE ST. r.a wx:i~ 2 Contin F~unq Oll~ca fa 1» scMOui~ or adOstanM Mbrmatan w+o.~ti+~ ua~a • a~ ri ~a~a s~ a ~ i STATE OF FLORIDA • UNIFORM COMMERC1Al CODE - FINANCiNti STATEMENT - FORM UCC•t REV. 1981 i THIS FINANCING STATEMENT is preaenteC to a fili~q officer for filinp pu~suant to tAS Unitorm Commetcial Code: _ ~ ! DEBTOR (Last Nam~ fust ~I a PMSOn) TM15 SPACE FOA USE OF FlLING OFFIGER NAME ~p~~ riAt1~1~~ Oat~. Tun~, NumDer 6 F~onq Otfics ; ,A ~fA~ 11° 1AZ4824 5 c~ + MAILINGADORE55 I1JY ~ P~KN~ F.~c Fce: _ ~f'~~~iT_?~~ I1~ON ! ~OS~t11. 6eo~Yia 300r/6 r.:~ r•ee=..._. ccu:~ty C~TY STATE . ' o,_ Doc TAZ:~_ t'';-e: ^f C~:'c~:I COUtt i m MULTIPIE OEBTOR (tF AN`n ~Last Name First ~f s Person) t~ ! T. . u¢i NAME 1~i7t T8x + ~ W ' L`ep Clerk i ~ 1B Total= _f° -S~ E z MAILING ADDNESS E O ~ CITV STATE Z ~ v 1AULTIPLE OE9TOH pP AN1~ ILast Name P~roi if s Person) 4 NAI.IE ( ~C ~ MAIi1NG AODRESS t 1 * CITY STATE # ; i SECURED PARTY ~Laal Name F~rst it a Person~ ~ ' + NAME I~ i 2A MAIL~NG ADORES$ ~1~ ~iR Srrrot,a, Pl~i~ir 3~'!~3 CITV STATE MULYIPLE SECURED PARTY (IF ANV~ {Lant Name F~ru ~t a Pe~son~ . NAME ~ 28 ) MAILING ApDRESS AUDIT . UPDATE ~ ' C ` i ~ ' C1TV STATE ~ ! . . . . . - ~ - - _ - - ~ - . _ ASS~GNEE OF SECUREU PARTY (IF ANV~ (USt Name F~rst ~I a Pe~son~ V~IIDATION iHFORMATtON NAME ; 3 ~ ' MAILING ADDRESS I ~ I GTY STAT E 4. Tn~~ FINANC~NG STATEMENT covero fOllOwinp typlS O~ rtRm3 Of D~Oplrty (~~Uutlt OfttnpbOn Ol rtll prOpl~ly On wN~M fOC~fod ~ ~na owner o~ ~ecao wnen ~~ou~~eOf it mcre spxe •s rsau~reo, attacn ~yd~fronai sneets B~h" ¦ ti" ~ ~11 Mlrstatior oo.tai.i,~ ~ tei~}io.ecsl .~f,ctatie Y~ ~iiWi.t~y i~w ~ ~M~ M~4iM ~ i~wi~~ ~f~ W W ; * ~ ~~Y ~ ~ ~ ~ 2 ~ n LL _ ~ . 6 ~ ~j, Vrote~0e ot co~latsni aro [OrsrsQ~lro d ~s 679 203 an~ 67P.308 F.S T. No ot ad6~tw~a~ St~eeri prsasn2eC~ W e • _ - - a - - p~~~ - _ . o 6. c~~ee w~tn , n - - _ _ . . _ - - < ~ 8. IC~etk ..1 ~rJ~A !I doGU~ Wy s4mP Iiaa3 du! ~n0 D~Y~ a to Detome Aue ud paYaWe Du~lwn! eo S~chon 201 22. F 5.. Mv! 0lsn Di~tl = ~y ~ FbnOa Docume~t~ry St~mp Tu is nol repuvad. w - - - _ - - - - ~ y - - 9. T~i! a4~~~M~ o ~~~W w~tnout tM OeDrols apnaturo to psr~xt a secunty ~nte!est ~n co~~atxN fC~eck _ if So1 (Check ~f sol ~ 2 " a~rsWY suD~ltt lo ~ S~turitr intlr~lt in anotnsr ~unsdKLOn wl~t~ rt wss Goup~t into Inis ~late o~ ~sDtor's ~ OaDtor y~ trs:+smrttmp utd~ry Ip~~!~pn C~NQW 10 l~if !~ll~. ~ PrOCuCb ot CO~~aNql ~rs CGrerbO w~K~ ~s D~oceWa ol t~e onQ~nal co~latsral peecnpeG a0ova ~n wn~cn a sxun!y ~ntsrest waa p~rl~ds0 af to whKh tM !dinq MS UpNd ;3 ~ ~ SIGNATURE~S) Of DEBTOR~S! ~ _ aCawrsO ~!ts~ a C~inOe o1 name. ~dsntrty. or caoaaee structu~e cr ~ne ~ O~DtOr O~ ~ !lCUrlG p~rtr + ~3. RltutnCOpytO. ~ • ~ / - - ~ ~~/i . NAME ~ ADDRESS ~2. SIGNATUREtS)OF SECURED PARTYpE51 OH ASStGNEE E ~1'~ ~ ~C. i G~r ~n . STATE Z~PCQDE y ) ~ ~ ' STANDARD FORM - FORM UCC•t A;;Gw•e7 Gy S~~e~a~7 o'su~e s~a~e o~ F!~~ ~~a Flt~iN~~R COPY ~ ~--u=;{ , ~.~~~~~w.::~, ~ ~