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Fill and Sign the State of Florida Ucc Financing Statement Form Additional

Fill and Sign the State of Florida Ucc Financing Statement Form Additional

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STATE OF FLORIDA UNIFORM COMMERCIAL CODE FINANCING STATEMENT FORM – ADDITIONAL PARTY18. NAME OF FIRST DEBTOR (1aOR 1b) ON RELATED FINANCING STATEMENT18a. ORGANIZATION’S NAME18b. INDIVIDUAL’S SURNAMEFIRST PERSONAL NAMEADDITIONAL NAME(S)/INITIAL(S)SUFFIX THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY19. MISCELLANEOUS:20. ADDITIONAL DEBTOR’S EXACT FULL LEGAL NAME – INSERT ONLY ONE DEBTOR NAME (20a OR 20b) – Do Not Abbreviate or Combine Names20.a ORGANIZATION’S NAME20.b INDIVIDUAL’S SURNAMEFIRST PERSONAL NAMEADDITIONAL NAME(S)/INITIAL(S)SUFFIX20.c MAILING ADDRESS Line One This space not available. MAILING ADDRESS Line Two CITYSTATEPOSTAL CODECOUNTRY21. ADDITIONAL DEBTOR’S EXACT FULL LEGAL NAME – INSERT ONLY ONE DEBTOR NAME (21a OR 21b) – Do Not Abbreviate or Combine Names21.a ORGANIZATION’S NAME21.b INDIVIDUAL’S SURNAMEFIRST PERSONAL NAMEADDITIONAL NAME(S)/INITIAL(S)SUFFIX21.c MAILING ADDRESS Line One This space not available. MAILING ADDRESS Line Two CITYSTATEPOSTAL CODECOUNTRY22. ADDITIONAL DEBTOR’S EXACT FULL LEGAL NAME – INSERT ONLY ONE DEBTOR NAME (22a OR 22b) – Do Not Abbreviate or Combine Names22.a ORGANIZATION’S NAME22.b INDIVIDUAL’S SURNAMEFIRST PERSONAL NAMEADDITIONAL NAME(S)/INITIAL(S)SUFFIX22.c MAILING ADDRESS Line One This space not available. MAILING ADDRESS Line Two CITYSTATEPOSTAL CODECOUNTRY23. ADDITIONAL SECURED PARTY’S NAME or ASSIGNOR SECURED PARTY’S NAME – INSERT ONLY ONE SECURED PARTY ( 23a OR 23b) 23.a ORGANIZATION’S NAME23.b INDIVIDUAL’S SURNAMEFIRST PERSONAL NAMEADDITIONAL NAME(S)/INITIAL(S)SUFFIX23.c MAILING ADDRESS Line One This space not available. MAILING ADDRESS Line Two CITYSTATEPOSTAL CODECOUNTRY24. ADDITIONAL SECURED PARTY’S NAME or ASSIGNOR SECURED PARTY’S NAME) – INSERT ONLY ONE SECURED PARTY (24a OR 24b) 24.a ORGANIZATION’S NAME24.b INDIVIDUAL’S SURNAME FIRST PERSONAL NAMEADDITIONAL NAME(S)/INITIAL(S)SUFFIX24.c MAILING ADDRESS Line One This space not available. MAILING ADDRESS Line Two CITYSTATEPOSTAL CODECOUNTRYSTANDARD FORM - FORM UCC-1 ADDITIONAL PARTY (REV.05/2013) Filing Office CopyApproved by the Secretary of State, State of Florida

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