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APCERSON BUSINESS FORMS, ~NC. • V.O. BOl( 16363 • CHARLOTTE. N.C. 28216 • PHONE 17d11 399 2571 ' O~~~
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INSTRUCTtONS. 1. PLEASE TYPE ALl IHFORMATION, inC sepn w~t~ ball pant pen. S~fl~ature musl De 1eQ~bte oo F~Gnq Ofhcer Cqp+es.
2 Contxl Fd~ng Oftecer fo~ fBe scntduie o~ add~llonal mlamaGO~
STATE OF FLORIDA
; ~ UNIFORM COMMERCIAI CODE - FINANCINti STATEMENT - FORM UCC•1 REV. 1981
' THIS FINANCING STATEMENT is presented to a lilinq olficer for fiHnp pursuant to.tAe Unilorm Commercial Code:
i , DEBTOR ~LSSt N~ms Fusl d a Psrson)
TMIS SPACE FOR USE OF FILIkG OfFICER
i NAME SAVANNA CLUB CORPORATION ~ A FLORIDA Dats. T~me. Numbe+ 3 Fdmp Othce
' t A CORPORATION 1 Q 2 0 9 9
; MAIUNGADDRESS g630 S. U.S. ~1
i RPC Rce it - d~
~ CtTY STATE '~,.U r'~ ~t~C•LA.S' I1~ON
Port St. Lucie FL 34952 ~
' x S~.
~ ~ MULTIPLE DEBTOR - ~ LL'C:~ (;C~~~y
i ~ pF ANY~ ~Last Nsme Fust d a Pe~son~ T
~ See attached si ture Iat Ta~ ~erk ~f C:; ~,;t ~.o
: a NAME g~ page for addit' 1 i urt
~ Q ~ e debtors. By
i ~ MAI~ING ADDRESS Tvioy = I=~ p~:ty Clerk
~
~i ~
~ ' CITV STATE
I i
j MULTIPLE DEBTOR (IF ANY~ (USl N~me FrtSI d g Ptrson)
NAME
~ Ci
MAiuNG ~DDRESS
* CITV STATE ~
' - _ _ - - . . .
SECURED PARTY ~Laet Name Fns~ ~1 a Peiso~)
""""E First Nationwide Bank
2A
MAILINGApORESS 700 Market St. ~
c'T" San Francisco STATE CA 94102
" - - - -
I', MUITrp~E SECUpED PARTV ~IF ANY~ ~laa1 Nams Fu~t d a Person)
f~ NAME
2B
~ ~ MAILING ADDFiE55 AUD1T UPOATE
ft'
!
~ GTY SUTE
~ ASSIGNEE OF SECUREO PARTY ~tF ANY1 (last Name F~rsl if s Pe~sonl VALIOATION INFOpMAT10N ~ ~
NAME
3
~ I
~ MAIIING ADORESS
9g
F ~
~ GTY SUTE
4. Tl:is FINANCING STATEMENT crnlrS I~E foilowmp typls w rtems ot Droplrty UncfuOe tlRicnpbon ol rt~l proper~~ on w~~t~ loufed
i
tntl ownei o/ recortl w~M repwr~ It mOre SDxe ~3 rpwrpC. ittaG~ id0~bon~1 !~lels 8'~h' Y 11' .
~ SEE: 1) ADDITIONAL SIGNATURE PAGE ATTACHED HERETO AND MADE PART HEREOF
BY THIS REFERENCE. W
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~ 2) EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF BY THIS n
a REFERENCE. o
~ ~ - - N
~ rj. Proceetls oi co~iateni are co.ereA as prc,r~deG ~n S~hons 679 203 anG 679 306. F S 7. No of a0drt~cnai Sheets D~esente0. Q
6. F~i~a *~tn CLERK OF THE CIRGUIT COURT FOR ST. LUCIE COUNTY, 2 ~
! S. IC~r.k . ~.X Aii documeMary stamp taxes due an0 PayaDb a lo Detome Oue arW payaDle purswnf fo Sett~on 2p1 22. F S. ~ave Deen pa~d o
2
FbnOa Oocumenbry Stamp Tai ~s not ~eqwred
9. T~~s statement ~s hied Mrtnout tne OeGtw's Spnature !o Ce~txl a secu*~ty .ntercst ~n cWiate~ai (C~ack . ~1 so; 1 ~0. (C~eck ~t sol ~ Z
~ . t~ A ~
O y S u D ~ s U t 0 i S l C U n t y m l t r 6 3 1 ~ n i n O l R e t ~ ~ n S O~ C h O n w R l n ~ t w i 3 G r O U q 1! t ~ n t a t n~ s s u f e o+ o s D i o r 3 I . D Q b t O~ i] i t r i n S mi t ti n p u tudy ,
' iocat~on cnanpeA to ~n~s ~tat•
s _ Pr~;,cts ot couatar~i are cors~ed
~ ~~~Cn ro D'«~d! OI 1Re Onp~n~t COItilEr~l tl?SCntr6C ~DOr! m w~Kh a l9CUrrty mterest waa pe.tecteC
~ ~ . aa to wn~cn tn~ hi~np nas ~apss0 - - . . . - - - ~
+ ~ S~GNATURE~S~ OF DEBTOR(51
~ acawreC ai~er a cny,pe o~ narr.e. ~osnt~fy. m corpo,aie suuct~re or ~ne
~ Savanna Club Corp.
~ _ . OeDtoi o~ , . sscursC Da!tY
~ - - - ~ - 5?:
~ 3. Relurn CODY ~o Sandra J. Zrnic g
- ~ _ __.__.._i
NAME
~ ADDQESS First NationWide Bank ~Z. SIGNATUREISIOF SECURED signature page)
~ P~RTrpES~ OR ASS~GKEE
700 Market St.
` c+T~ San Francisco = First Nationwide Bank
~STATE California Z~PCODE 94102 ~ By' . `
~
STANDARD FORM - FORM UCC-1 Approrad py S~cr~la.ry of State. State of Fior~Oa
Fiting Officer Copy
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