HomeMy WebLinkAbout1456 AEOMDEA FpOM
•iNSTqUCTiONS i PlEASE TYPE ALl IkFORMATION, ~nd Sr n w~ln O~U ~nt ~ S natu~e5 muSt De ie D~e on F~!~n Oll:ce~ C~ eS R~~~~tt~, IDC. ~
9 D~ De• 'fl G' fl 0~ »a ncacc sr.
2 f~i~ ~n onQ.nal Fm~nbn~ Stitemint numDM ~n0 d~t! hIRC l~n itRm J oe~oal wno~.=a~+°. esw~
. J Con~act F~:~np Olhtr for fee scnepu~e a uf6~~~onai ~nfo~mahon ui:~.n~i~ia
STATE OF FLORIDA ~
UNIFORM COMMERCIAL CODE - STATEMENT OF CHANGE FORM UCC•3 REV. 1961 ~
TNIS FINANCING STATEMENT Is pns~nf~d to a Nllnq otfieK far flllrq pw~wnt to tM Unltam Comm~rcial Codr
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inlormatro~ in ~tems t and 2 must apree e¦acny wrtn rhe onp~na! ~~~mQ ~nlamauon a TMIS SPACE fOR USE OF FILING OFFICER ~
as prev~ousiy amendad Date. T~me, Numper d Gd~n~ O~~~ce
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DEBTOR La t N e F~rst ~t I~
NAME wfl~'AM &~t~l~ NK7CARTEiY D/B/A ~ O ~
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t A B&B Z'ELEPFiONE A~LSWEIl~iG SIINI(~ ~ P1ce DCU^LA3 DIRON
MAIIIkG ADDR~SS ~O9 S. I lil Oii~i+?+1 ~
~ P..:d l~ee i-.~._ Si Lude County i
Doc Ta~t i ~,1. ~
K CITY~. p~. STATE 33450 ~ ,~i cra Qt ~ 1; {.,`Q~j{ l
~ MULTiPLE DEBTOR ~~F pNV~ ~l.as~ Na:Te F:rst ~f a Perscni i T~ S`.~~ B)?
# NAME ~ T0~8~ t ~ _ ~ L~L~., ~ .
~ ~ B + + I
a MAILING ADDRESS i
z io2z~7s
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~~T~ SUTE ; '90 JAN 30 P 3:36
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- MULT1PiE DEBTOR ~IF ANV~ ;last Name Fust a Pe~som l Q*
NAME ~ 4 ( v,l
~
I 1 ' ` ~ 4 j t ~ . ; ' .
~C ~CUGI A; i!;XOH ~ ;
~ 61A~l~NG ADDRESS I . .
~ I ~I. Ll3l,~ . "JN~ f
CITV STATE ~
' SECURED PARTV (Last Name Fust il ~ Pe~SON VP~E
NAME ~r l.~'
il Wi~Ci~u~tiilVl`I i
2a i
MA41NG ADDAESS 155 SOtTIH MAIN STREEr AUDIT
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cirrPR[7V3]~F~ICE, R.I. 02~9~ } :
MULTIP~E SECURED PARTY IIF ANV~ ;La~! Name F~~st a Perscr! i yAUOATION INfpiiMATIOh
NAME ~
~
28 ~
MAII WG AD~3PESS ~
~
CITV STATE I
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3. Tn~s s!arement reiers ro onpma~ F~na^cmq Sta;e~+ent Dea~,np F~!e N~mDer ~o~-J17 ana}~ieaM~in
- - - - _ - A _ _ . - - - - - -
I~~, - ThB onQ~r.a~ was I~IeO on ?9
4. Cone~n,;at~on 7he a~p.~ai hna~c ng s!ateme~t Detwaen !he torego+np pepsoiler and Secwetl Pa~tynee~ Deannp hie ~~mper s~own aeo+e. ~s st~~: e~~ec;~:e
5. Tem~natiOn Sec„~e~ Dany n~ ~o~9e~ ua~^~s a sec~~~ey ~nteresi unae~ tne hnanunp Statement pe~r~nq n~e numoe- srown a~ve
6. . Part~a' Some o} Secu~ed Carry s nqnts u~de~ tne Fnar.~~nQ Statem.enc ha.e Deen ass,qn~ !o tne ass+pnee wncse ~a^~e a^a aad~ess a~e set +c~;n ~n
Ass~g~me~7 ~tem ~t A CeSCrpho~ of tne couaterai sub~ect io tne ass~flnmen! ~5 a~SO set torth m Item
7. Fu!~ Ar•. c! Secure0 Party s~~g~ts u~Ce~ tne F~~3^c+~g S±ateme~t nare been ass~q~etl ~o tne ass~qnee v.hose naT~e an~ aOC~ess a~e se~ ~v!~
ASS~Q^mgnl .n 1t2m it
8, ~mP~~r,.e~t ~,~an~,ng 5!a!er*,en! pean~g ~~~e nu~~e~ s~o«n aeowe ~s amended as sec ro~~n ~n i~em S~yna~~re oi Deo+o~ re~u~~ea a! i!om i4 uniess
~ amer?Tert ._na~.ges oniy name cr ada,ess c~ e:rner panr *
9. , Retease Secu~ed party re'~eases only i~e co~iaterai ~esu~DeC ~n Rem t t trom tne ~~~anung statement pearmp Me numDer s~own aDc~e
~~rte~w t~ue Au documentary stamp ta+es O~e and payaD!e or to Decom? due and payaG.e vu~suaei ro Cnaofe~ 2G~ 22. F S ha~e Deen pa~~
~ II more sDate ~s reQu~retl. atUct+ aGtl~t~ona~ shee!s 8':
DQUIPi~T~ ADDRESS IS N04~1: Se~ired ~arty New Address Is
800 VI~iIA AVE. SUITE 7 E7~.T CR~IT t)ORPORATION
FT PIEFtCE, FL 34982 111 t SI'RE~'r
PACNIDII~IC~, R.I. 02903
AM# 10--0431601 _ _
~2. No o( AOd~fiOr3i Snee~s ~ ~4. SIGkA7URE~Sr OF Dc'BTOR~Si Necessarv O~!y For
C~esented ~ AmenOment See item 8
~3. Refum CoDY lo -
NAME ~Tr ~i
TT ~~~~I~
ADDRESS 111 WFSII~IINSI~F~ S~I~I+ ~ r'J. SIGNATUREtS; OP SECURED PARTYIIES~ OR ASSIGNEE
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c~rv PF~NIDEI3C~. b~+ ~
STATE R. I~ Zi~ CCGE 02903 I
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STANDAFiD fOiiM - FORM UCC•3 •p0~ovedOrSecre~aryo~Sta!e 51a~eofF~onOa
FILIP,:G (~FFiCER COPY
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