HomeMy WebLinkAbout2521 ~ i ~ i t ~ ~ ! 1 • ! • ! ~ ~ i i
IkSTRUCTIONS 1. GLEASE TYPE ALL INFOAMATqN, arW f~pn rfM DMt panl p~n Spr+atuns must D~ Ipep1~ on fdinp Oll~cw Cop1t~ ~ 1 l Q j
2 f1U 1n pqinal i~nanunp SIN~m~nl numDp an0 Oat~ fHW (m It~m 3, pNOw). i`f CJ ~
1 COnqtl Fil~M Ott~CM Iq IN ~CIf~Qyl~ p~QQ1tiOnN MIOrtn~tlOn. wr ~o.a~~.a s~cvw~rv Co~v
"1 . a wunll~rAw-r~rr..I.n~~
STATE OF FLORIDA
UNIFORM COMMERCIAL CODE - STATEMENT OF CHAN~iE - FORM UCC•3 iiEV. 1981
TMtS FIMANCIMO STATEMENT Is pn~bd ro a fNMp olAur br INYq punwM b dw UNlo~w~ Cone~elN Codr.
InfwmNlpn M ~bms ~~nd 2 must aprM ~a~coy Wim ~M orlpinal fUinp ~nlormat+on w THIS SPACE FOR USE OF f1UN(i OFFICER
p WFrausly am~nOW. DaN. T~. NumD~r i FJinp Offk~ 1 O~~ A~ O
OEBTOR (~aat N~rr» First if s PMSOn) j. a!
w~?~+E Ward, Clifford R.
SA
MAILIHGADDRESS 420 LaBuona Vita Drive
Rrc r^ce ! G.~.- DGT-':;LA3 DIRON
~'TM Port St. LUCZ~TATE FL 33452 ~
x l~~:d Fee 3~------ ~c. Luci~ County
~ MULTIPLE DEBTOR ~IF ANY) (VSt Nam~ firsl ~1 a Csr~on)
n NAME Ward, Millie ~T~~-`~^~~~~~~~
~ 1 B l~nt T:s 5~~..- 8y
C~} ' •
Z MAIUNGADORESS 420 LaBuona Vita Drive
i ~aTi ~
~ c~n Port St. Luciesr~re FL 33452 1 Q21 ~ 1 Q
l~1ULTiPLE DEBTOR pF ANY) (Last Name Rrst d a Paroon~
~ - - '90 JAN Z3 PI2 :2~
NAME
r
1C MAIIINGADDRESS FILF~ .
# t:OUG± . XGk : #
S1 I.'~t';:= ~:'t;;N~c Y.
CITY STATE
--SECUREO PARTY IWt Nam~ fKSt il ~ Perton) UPDATE
NAME Commonwealth S&L Association
2A
MAILING ADDRESS P, O. BOX 41310 AUOfT
i
~~n St. PetersburgST~TE FL 33743-1310
! - - - -
- - - - -
E MULTIV~E SECURED PARTY ~IF ANV~ (Last Name Firs~ if a Psrsonl VALiDAT1pN ~NfORMAT~ON
NAME
28
MAI~ING ADDRESS
e
CITY S7ATE
3. TMS aqtarrHnt r~}~n to w~pinal Finanelnp St~t~nt D~lnnp Fil~ NumW~ 8 3 4 0 81 uW t11~0 witD
St. Lucie County, FL TMaipinalwasMWOn lst day of July t987
4~. ^ Continwtion. TM aipinL financinq staNm~nt D~twMn tM Iapanp D~Dta(si ~n0 S~curb Prt~i~s) p~ariny h~~ numpr. ~nown ~bov~. fs stiR ~ff~cliv~. -
~J. i~TNm~nahon Setured partY rq Ionqp claKns a l~curity ~nt~~st unOM tM fiMneMy st~t~mMt D~~rMp fil~ numDN slqwn appr~.
6. r' Pan~a~ Sane ot S~cund party's nph~s ura~r tM Finanan9 Stat~nt Mv~ W~n ass+pn~d to tM wqn~e rtase nams sn0 baresa are set fonn in
Ass~pnment ttem 1 t. A dsacnOtwn ot tM cdtatarai subj~c~ to tM aa~pnrr~nt is a~w aH fortA in I~~m 11.
Fult All ol $ecureC Vutr's riqnts untlsr tM Fenanciny Statemsnt M» b~sn us~ynW to tMe aaspnss wrwse narrw anA aOCross ue xt I~tn
ASSpnmaM in Ilem tt.
8. Amendment F~nanunfl Statemsnt bNnnQ hl~ numDer sfwwn sDpvs is ~msnde0 sa s~t forth in Item 11 Sqnatur~ of DeOtor required ai Itlm t{ urtbss
4 imerxirn~nt tAanQs! onlr namp d ~ddreas OI s~ther partr. t~
~ 9. ? Rpb~Sl. $lCU~W pYtr rClli~l3 On1y IA! COIt01lr~t QlSCnbaQ in Item 11 Irom iM I~ninc~np sbtement beannp hb numWr st+own aDove.
~ ~ ? Cnsck ~f true Ai~ documentary atamp ta~~s dw an0 psyaDN a to Dscar.a due and papabb purswnt ~o C
napter pt22. F.S. have been pa~d
~ 1 i~ mae spacs ee reQuKeC, attacn add~trona~ sneets 8~i x 1 t
E
Sp
P
~ Z. No. ot AOOitwnal SASeIS ~4. SIGNATURE~S) OF DEBTOWS) Nxessary Onir Fa
~ r,On~~~~ ~~r~252~ WesentW. ArMndrMnt.Ss~lteme.
U
6 ~ u
13. fiNum Cop~r lo:
HAME Commonwealth S&L Association
~ P. B~X 41310 ~~J. SIGNATURE($) Of SECUREO PARTYpES? OH ASSIGHEE
~ ommonwealth S&L Association
~ - ~'T' St_ Peter~bLrq ~
sT"~'lorida Z1°CO°E 33743-1310 '~f~y
STANDARO FORM FORM UCC•3 ~vww~weys.c..u~,asua.suuaFw.rw
~ 11~ i ~U`~G C~FFICER CfiPY
°S` ~'~?4^~ h ~`ii-T ~h
~ ' 'a^3fis`a~~~
~~~~v..v.bs^a~Y"83+m~~"~~~~'~ -