HomeMy WebLinkAbout2999 ' INSTRl1CT10N5. 1 GIEASE T1/PE ALL iNFpAYAT1pN. ~n0 s~qn rNn WN ppnt p~n SqnMwa n~w~ p~ tp~pN un frinp OH~ CopNS. ~ U~.t f
2- Conl~tt FUMp OfNt« !or IN seMduN p~O~Oitlarl Mlonn~twn. 1 V
STATE OF FLORIDA 8'm'"°'.'°'a' u°°''
UNIFORM COMMERCIAL CODE - FINANCIN(i STATEMENT - FORM UCC-i REV.1~81
THtS FtNAHCIN(i STATEI~AENT Is praMt~d to a ffli olfic~r fp HI punu~nt to tM UrMfpm C~onr~ci~l CodK
OEBTOR ~lstt Ntm~ Fht 11 ~ PM~dy TMIS SPACE FOR USE OF FKMO OFF1Cf11
NAYE
DNs, TYr», MwnpM i FilYq Oflfp~
i A II~IDIAN RIVER HC~LTIIDERS , INC . _ ` P DOLR3I.A8 DQ~
MAILIN(3 ApORE$3 ~
136 Ancho~r Drive 10 216 3 Add Fw St I.ncie Cona~
~ Vero BeaCh STATE tloc'11ts Clerk of pe~p~tit G1o1~
S MUITIPLE OEBTOR pF AN1~ (Last N~rry Fr~t if a Prrfon~ ~ 1~ = By
a NAME ~
~ te i . SZ
~ 2 MAILING ADDRESS
W
Z
~
-'l G7Y STATE
z
~ 61UlTIPLE DEBTOR (IF AN1/) (la~t Nams FKSt il a Pe~son~
NAME
i ~C
4AAIUNG AppRESS
~ CITY STATE •
I
~ SECURE~ PARTV Ilast Nu++~ F~rs~ d a P~rsonl - -
i
E NAME
~ 2A BAI~fIEZT BANK OF ST. LUCIE OOiJI~TI'Y
I MAI~ING ADDRESS
900 E. Prim3 Vista Blvd.
Port St. Iucie STATE 34952
MUITIPIE SECUiiEO PARTY (IF ANt~ (LU! Nam~ F~rs~ ~i a P~rsa+)
~ NAME
~ 28
~ MAILING ApDiiE55 AUD1T UPOATE
t
~
S C~T~ STATE
!
- - _ _ _ _ - -
ASSIGHEE OF SECURED VARTV pF ANY~ ILast Name Fn~c ~f a Psrson~ VAUDATION INFORMATION
NAME
~ 3
E
t MAILING ADDRESS
g
~ CITY $TATE
f 4. T~~S fINANCING STATEMENT cowrs tM Ipl~Ow~~+p trpfs p it~m! ol prpppty (~nt1uW O~tcnpt.on o/ re~l prpppry pn wMC~ /ot~leO
`r ~n0 owner O~ rlcor0 wl+~n rpuu~ tt mor~ spac~ rpu~rW, attaC~ ~Od~tpMl fhNts 8!1' : 11' ~
~
; See Rider t~o Financing State~nent attachE,.~d hereto and made a part hereof . W
.
< ~
W ~S
a
0
~
- - - - - O
~ ~J. Prot~Wa ol cullat*ral sre corerW u prorWW ~n $Kt~Ons 679 203 an0 679 308, F S 7, NO ol a0drtwnal SnNb pttNnt~O' ~ ~
-
- - - - - - -
' 6. F~~~a w,~~ Clerk of Circuit C.ourt, St. Iucie Co~ty, Flori 3 o cn ~ a`
- - - - - - - < M.
_ - -
8. lCnsck 1~ Au aocum~+wy a4rnp ~ua dw ana D+raDN or to b~come due ana D+rsds Dwswm ~o Sec~~on 1a~ 22. F S.+w~ bMn p~0 0
. ~
' ~ FbnG~ potunt~ntary S~amp Tu ~s not rpu~~W Q~~~' •t ~
_ ~1
- - - - - - - ,
[f - - ~,y
a. Thy 7~ltirtM~~~ ~s I~kO whnou~ tra O~Dtor'a sqnatun w pKt~ct a s~cuntY ~msr~sr ~n cdiatsra~ IGwdc ;;~t sq j0. ICn~ck it so? _ • ~S^['- ~~r,^•
ak~adr suD~cf to a s~cunryr inlK~fr anotAx Iur~sdKtwn wnM was DroupM ~nto Ims stats w daDtcr'• ? p~ptor n~ vanumtlinp utll~ty • ~ ~ ~
bcatan cMnp~O to tn~s aaa y :"Y -:i
L: ProGucts Of collataal ars towr
wt1~cA ~s p~OGMO~ O! iM MIQM~1 cdl~ilr~l d~1CnpW ~Dpvf ~n wn~cn a s~tunir ~nlN~al was pMKtaO.
~ as to wh~c~ tM fiNnp Nu 4pM0 'r~ - ,
~ ~cpwr~d aftr a c~anp~ ol nam~. W~r~at a ca ~ ~'NA 1 OF DESTOp(S) '~;1
r. poql~ sVUCture o~ tna ~j I~*.
6 ? OWtaa C s~cundpartr
~ 13. ~c~m cooY to_~~~ti Navaretta _ E. ~e$l~t
~ NAAt ATI~ORNF+YS ~
s
~oor+ess ~2. SI(3NATt1RE(S1 OF SECUREO
PARTrpE81 OA ASSiOkEE
P.O. Drawer 6 0 p Q~ gp~r pF ~
cirv ~7
STATE Z1o~ 34995
President
FIUNG OFFICER COPY STANOARO FORM - FORM UCC•1
~ - - -