HomeMy WebLinkAbout2083 -~'-ti~ NUM~ER 75~!6 TO F~arder Ca1 I OV
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INSTRUCTIONS: 1. PLEASE TYPE ALL ~NFORMATION, and s's$n with ball point pen. S~gnature must be legible on F iling Officer Copies. `
2. Contact Filing Officer tor fee uhedule or additional information. _
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ilat c :J~ rlvntvFi iiiii~i~vttvv r i is i ~iF~~i~ i ::~ti'~ ..;~,iiii :..:.~;7::'.';~..:..:: :L . ~ ~ * . . - - ~
THIS FINANCING STATEMENT is ~~iese~led to ~ihn~~ Oftit-er tor tiline~ ?~uisut~nl to !he UnifOrm CO~nrncrrc~al Coclcr:
DESTOR (Last Name First if a Person) ~ O~~ ~ THIS SPACE FOR USE OF FILING OFFICER
'l Date, Time, Number, and Filing Office 4
NAME f~,~Cl ~~1-C ~ F'~ F?~ I~1 ~?l L
tA
MAI LING ADDRESS E X~ Y- C~ , ~
~ P~~ e~ TiCU^LAS D*`CQN ~
~ CITY ~ Lu ( Q. STAT ~t 1C ~ LL•C~3 COL`^:V r
MULTIPLE QEBTOR (ii Any) (l.ast Name First if a Person)
o L` Cter;s nf Czr^~ ~i ~'~;:rt <
~ NAME li:t ;i ~y
~ 16 C U~pL.y Cirrk
~ MAiLING AODRESS Tot.t~ j ~
Q
2
;:r CITY STATE ,A~ ,
hiUITIPLE CE8TQR !If Any) (Last Name First if a Person) ~1/U~ 3
~ 1 P 2 :57 ~ i'
NAME ~ Oz~s2 V gN
, 0 1c ~ f 1Lt ~~NC RF ~~.t~: ~
~ Mla1lING ADDRESS QOUGL A~ ~!XOt~ : .
~ S1. LGC;~ ~:(';fN ~ y. ~ .
CiTY STATE
SECURED PARTY (Last Name First if a Perwnl `
~
F'
I, NAME j~~~~,.~ i , ~ ,
'i 2A `
~ h1A1LINGADDRESS'3_j SL f'~ C.-.~••:1'~- ~~`AiN ,
~
~ CITY ~C• ~-s.~~C\E'_ STATE~' 4 • ~ "
~ MULTIPLE SECURED PARTY (lf Any) (Last Narne First if a Person) k
~ F
f NAME
~
~ ~Bh1AILiNG AODRESS AUDIT UPDATE ~
~
~
~ CITY STATE
~ ASSIGNEE OF SECURED PARTY (lf Any) (Last Name F irst if a Person) VALIDATION INFflRMATION
~ NAME ~,L~t- " ~ ~ (
r 3 h'IAILING ADDRESS ~C~ C~~ ~ =~C•«-~i'2~ fY? f J I~~ d
S ~L-# r ~ C'~. ,
~ CtTY~ 'f.y"'r m ~ 4e~~ STATE ~ ~ .~"S3`~ ~
~ ~ This F INANCING STATEMENT tovers the follow~ng types or ~tems of property f~nclude descript~on of real properry on which
~ iocated and owner of record when requiredl. It more space is required, attacfi additional sheets 8'h" x t t". ~,0 ~
~ i
~ ' _ ~ ~ ~ ~ S m •
i ~ ~ ~ ~ rC~~ ~ t~~r!- c. ~ ~ 1, ~_j ~~~?.rr~ . d ~ m ~ ~
~ W V
~ ` ~ ~ ~ ~ i~
a ~ ~
~ ~ Proceeds of ;;ollateral are covered as prowded m Secuons 9.20 and 679.30 , F.S. 7 No. of addtt~anal Sheets ¢ ~ a ~
- presented: ~ ~ a ~ ^
~ 6 Filedwith: ~ ~i:.,.; S -
$ i~.:heck ~ Alldocumentarystamptaxesdueandpayabfeor tobecomedueandpayab pursuantioSection201.22.F.S., Q W`~ a
have been paid. ~ ~ ~
? Florida Documentary Stamp Tax is not required. Q ~
9?r,~s su[rmem ~s ~ded w~ttwvi tAt debtoi s iqretu~e to perfec! a secu.~tv ~~teryt ~n co~ia~e.at. ICneck ..1 so.~ ~Q ~CheCk ? if SO) W ~
r alr~dV wb~tct to a secuMy mterest in sno2~r ~unsd~c[;on wl+e~ rt.qs brou9ht ~nto t~n stste ~
ir
~Jt o. debtor's ~ocat~on changed ~o tni~ state. Q
~ wh~ch n poceeds of t~e a~9~^~~ ~o~~au•a~ dtsa~bed aDeoe m wh~c!+ a xcu~~[y mtHtSf wBi p[~~lCtld. ~~btw n a cransm~mnq ut~ncy. Z
~
as to whcT th! f,ling Aas bDSed. ~ ~rodutts OI collater~l ~n ccrered.
SIGNATU (S?OF DEBTORI
~ r-t
~ aCqu~r~d aftlr a chtng~ Of nartte, ~dlnt~tY. O~ co~oo~ace sc~u.cure of cne
~ Q dlbta. a a k~~,b ~Y.
~ 13 Return
d Copy To: NAME ~ ct.,~- jr' 12 SIGNAT (S) RED PARTYIIES)
~ ADDRESS OR AS
` ~ o c-,-n ~ ~ ~ .-..t ~ u-n 5 ~,.Z~..`%~- , ~-/~c .
CITY ~ ~ ) ~
STATE ZIP CODE C~_ f3,.,G/~ ~
STANDARD FORM UCC-1 ApprovedBySec~etaryo/Srate
Srate o~ Flor~da
. . . . c,,T:. . . F~rm F f 3C)f L (07.87) . . . . _ . - . . - .
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