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PULL- o~oE~AtoM ~~2~~ ~NaANA AVE ~
~_A-PART CMICAGO. n~. eoev
BUS~NESS FORMS
iNSTAl1CTiONS: 1. PLEASE TYPE ALl IH~ORMATqN, tn0 ~pn ~rctt~ WII ppnt psn. SqNfun mwt W Ipipi~ on fM~np Ofl~c« Cop~~f. PMONE N~ ~~66
2. Cont~ct Fdmy Oft~tM la ~s~ ~tMdul~ a WO~twnal intormalwn AREA CODE ~~t
STATE OF FLORID/s
UNIFORM COMMERCIAL CODE - FINANCINa STATEMENT - FORM UCC•i REV. 1981
THIS FINANCING STATEMENT is presented to a lilinp offiCer for filinp pwsuant to tAS Uniform Commerc+al Cods:
DEB~OR (lasl Name Fvst it ~ PaWn) THIS SPACE FOR USE OF FIIING OFfICER
NAAtE~ I 10 2 2 0 21 T~ms, NumDN 8 Fd~nq OfiKe
~ A MAIUNG AOD SS ~ ~
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~ - 1AULTIPLE OEBT R ~ ANY?,~ (LUt Na~ne first ~f a Person) LC: ' - . - _ . - C ~ : . ` '
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MULTIPLE DEBTO ~1f AN1~ Ilast Name Fv~~ d a Perso~l n/ P 2•24
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MAIIINGADORE55 FILE~~ '~~rtU (~C~f~'~.~
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SECURED PARTV ~Last N~~ ~t a
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ASSIGNEE OF SECURED PARTV pF AkY~ (L~St Nim! Fit~! if ~ Per30n~ VALIOATiON INFORMATION
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~ G~TY STATE
4. Tl+q FlNANC!NG STATEMENT cwen t~e ioliowmp types a~temf ol property ~~nc~ud~ deunpnon ol r~e~ propeny on .?NCA ~xersd ~ j i
~ ~n0 owner ol ncor0 wnan repu~red) R mo+e sD~e ~s reCu~rad, attacn atlCdronal sReats B'h" ~ I
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5. Proceeds of couste~si sre coverW aa Dron0e0 i uons 679 203 artd 679 306. F S 7. No of a60~bonai Sheets proxnted Q N W V~
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!G~eck _ A4 Cotumin4ry Sbmp tuse Aue and piyabb a to Decome tlue and D~Y~C~e purswn[ ro Sechon 2p722. F 5_ Mve Deer, pa~tl i V N
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9. TMS sptlment Is hIW witROUt tM 6WtOr'! seQrytWe to pM!~Ct a ilcu~~ty interest ~n cotlateral (ChlCk 11 soj i~~k _ ~t so) ~ Z
: i1HWr SuL~lCt t0 ~ S~CUnty intM~SI in inothM ~unsdKtlO~ whAn ~t wi! DrOUpht ini0 thi3 State or d~Ota's DWto+ ia a t~ansm~tt~r.y uUhty ,r
ioc~hon cn~r~qW to tnia stat• F_
. Products o~ col4te*ai aro corsrsd
wn~ch ~e DrocsWe of Ne aipiv~ co~i~ter~i aascnDeO aDOVe m wn~cn a sxunry ;nterset w~s pertectad
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5 ~ ~NATURE~S) OF DE T9
~ , acau~rea attar a c~+snpe ot n~me. ~aent~ty. o~ capo~ate strucwre o~ !ne f\~„~~
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~ NAME I ~
~ ADORESS ~Z. SIGNATURE(SI OF SECUREO /
PA E 681 ~,PARTY E$ OR ASSK4NEE ~
' CiTY
STATE z~P CODE
_ , { STANDARD FORM - FOFiM UCC•t ~VD~oreO Dy Secreury o~ State State ot F~or;oa
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