HomeMy WebLinkAbout1162 JqM NUMBER ~ ~ . . . ' . ~ , ~ V OE
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INSTRUCTIONS~ 1. PLEASE 1 YPE ALL iNFOHMATION, and sign w~th ban point pen. S~g~atures must De ttgible o;i F~I~nq Otf~ccr Copiei
2, Fi11 in origmat F~nanung Stattment numbor and date f11ed (~n Itam 3, beiow).
3. Contstt Fil~ng ONicer /or tee schedub or addit~onal intormatlon.
STATE OF FLORIDA STATEMENT Of tHANGE UNIFORM COMMERCIAL CODE - Form UCC-3, REV. 1988
THIS FINANCING STATEMENT ~s i>rese~~ted to a 1J~ny otf~cer ter i~hny pursuant to the Uniform Commerc~al Code:
~ntermat~on ~n Items 1 a~tl 2 must agree exacUY w~tn the or~gmal tiling THIS SPACE FOR USE OF FILING OFFICER
~ntormation or as previouily amended. D0t8, Time, Numbe~ and FiSing Office
- DEBTOR (Last 1Vame First if s Person) 26_1016500
NAME
,A ~t~~-, ~o E. 1022229 G-~
' MiAILING ADDRESS 4020 Oliver St Rec rce DCU3I.AS n*~ON
J r~:a r~ s~ ~e ~L.
~ CITY j(~~g~ C1t STATE j($ (7E)ZO6 np~'j`~ =!~._CIer~C of ~ li COt1TL
~ NIULTIPLE DEBTOR (lf Any) IiLast Name First if a Person) y ~
lnt Tax S B
NAME gutler, Jenny L. DepL Clert
z 1 B Total i-------
w MAIIING ADDiiESS 402Q Oliver St
z
O ~y~ 'A~
} CITY • STATE •7t! ~NU~ 3Q A~~ :59 ~
J
z MULTIPLE DEBTOR Ilf Any) (Last Name First if a Personl 1 p 2 z 2 2 g ~j
O
NAME r~L~~~ ,^e.; ~
I~r I~n~)~! 1 1~ N_,
,yMAILINGADDRESS S~ ~J., :"t, •
~
C I TY STATE
; SECURED PARTY (Last Name First if a Person) UPDATE
~
~ NAME ~rif irst Eanlc
, 2A
~ MAILING ADORESS P O BOX 162639 AUDIT
CITY Florida S7ATE 33116-2639
~ MULTIPLE SECURED PARTY (lf Any) (Last Name First if a Person? VALIDATION INFORMATlON
~ NAME
E 2B
MAII.ING ADDRESS
i
` CITY STATE
E This statement refers to original Finsncing Statement b~ring File Number 903735 and filed with
j 3 $t LllCl@ COllIlty . The original vras filed on u~s ~ .~9
~
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~ Q O Continu~tion. TM aiQiirl t~nntinp statement Wtwe~n t1r fapanp D~btalsl and SsevW psrtY(i~sl bsrirg f~i~ nurrib~r fhow~ ~bo», is still df~ctiv~.
~ ~j ~ Trm:ntion. SsnrW VKtY ~ b++p~r cdims a r~cuitv inta~st unda tlr finncirq sa4wrrnt ~rinp fiN nurM~w d~own abcv~.
~ 6 ~ Partrl Aapnrrrnc 5~ ~~s riqhu und~r tM F inanar+y Sonrt~snc trv~ b~sn ~ssqnW 2o tM anipnN wl+ow nrtw and addras re r~ faN ~n I[~m 11.
A dswipvon of tM cd4i~n! s~jict to tM asiqrvr~nt is abo fn fatA in ItKn 11.
7 ~ FuN Assiprxrrnt All of S~cvb Partys rqha urda tM F insncinp Snwr ~nt Irv~ b~~ aulpr~d to tM anpr+M whow nerrn ~nd addrns ara »c fatA in lam 11.
t
f 8 ~ Artrndrtwnt Fe~er~pnp Stebrnsr~ baarvp fib numbec shown abo~e ~s amsrdsd as sst lo~ in ttsm t t. SiqnMrs oE DeDta(a? requred st Item t1. PurwarN to Section 679 t02(1~.
FtoMa' Statutes.
i ~ 9 O RNMS~. S~cund p~rtY r~INtet only tM toli~tsol dssa~Wd m Itsm 11 fram tht fftintirq fLUrrw~t brrinp fiN mMt~r tAown aboM. ~
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a CMdc if trw. Af 1 docunx~bry ttsmp uxa dut and prYsbN a to b~cortw due ~nd pribM prs~wnt to ChWm 201.22. F.S. tvv~ bMn paid.
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~ 11 If more spece is required, attach additional sheets 8'~ x 11.
1988 Palm Harbor 26'X44" Serial ~ PH092120A & PH092120B including;
together with all in~rovernents thereto.
12 No. of Additional 14 SIGNATUREIS) OF DEBTORlS) - Necessary Only
Sheets presented: For Amendment. See Item 8.
i
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d 'i 3 Return Copy to:
? Lee Lingo 15 SIGNATURElS) OF SECURED PARTYiIES) OR ASSIGNEE
~ NAME ~11T1eY'1 1L'St BdTl}C
s ADDRESS O X J r
s ~ R ~~,%~~u
CITY I11j:c'y«1
V STATE F Or1 ZIP CODE -
STANDARD FORM UCG3 Apv~oved Etr rery of Stsa,
Stare of f/wida
~ :f,pyryht t985 Fr~anual FormSys;cw' Fam FF3pgFL (f tr88; -
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