STATE OF FLORIDA UNIFORM COMMERCIAL CODE

FINANCING STATEMENT FORM – ADDITIONAL INFORMATION

25. NAME OF FIRST DEBTOR (1a OR 1b) ON RELATED FINANCING STATEMENT
25a. ORGANIZATION’S NAME
THOMAS WILLIAM HEALAN JR,© TRUST

25b.INDIVIDUAL’S FIRST PERSONAL ADDITIONAL SUFFIX

SURNAME NAME NAME(S)/INITIAL(S)
HEALAN THOMAS WILLIAM JR’
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY

26. ADDITIONAL COLLATERAL DESCRIPTION:

HOLD HARMLESS AND INDEMNITY AGREEMENT

THOMAS WILLIAM HEALAN JR.©TRUST Trustee- Thomas-William: Healan Jr.

198 ETHERIDGE ROAD Healan Province 194 Etheridge Road
AUBURN GA [30011] Auburn Georgia Republic
And all variations, and derivatives in the spelling united States of America Republic Near. [30011-9998

TRUSTS IDENTIFYING PROPERTY AND DOCUMENT NUMBERS: 257-21-6439, D93092875, B2511740 C.O.L.B. 73214 GEORGIA, Driver’s License, Identification
Card, GEORGIA 051936858, Pay-Pal MasterCard-Business-Debit-xxxx-xxxx-xxxx-1382, $100,000,000.00 Bond NO:7017 1070 0000 6662 7437
This Hold Harmless and Indemnity Agreement is mutually agreed upon and entered into this Day Dated below between the juristic person: THOMAS WILLIAM
HEALAN JR.© TRUST and, any and all derivatives and variations in the spelling of said name Hereinafter jointly and severally “TRUST” except Thomas-William:
Healan Jr, the living, breathing, flesh, and blood, Man. Known by the distinctive appellation Thomas-William: Healan Jr. hereinafter Trustee
For valuable consideration TRUST hereby expressively agrees and covenants without benefit of discussion, and without division, that TRUST holds harmless and
undertakes the indemnification of Trustees from and against any and all claims, legal actions, orders, warrants, judgements, demands, liabilities, losses, depositions,
summonses, lawsuits, costs, fines, liens, levies, penalties, damages, interests, and expenses whatsoever both absolute and contingent as are due and as might become due,
now existing, and as might arise hereafter and as might be suffered/incurred by, as well as imposed on, TRUST for any reason, purpose, and cause whatsoever. TRUST
does hereby and herewith expressly covenant and agree that Trustees shall not under any circumstance, nor in any manner whatsoever, be considered an
accommodation party, nor a surety, for TRUST. Executed in Common-Law on the soil of Georgia one of the States of the union of the De Jure united States of America
Republic. WITHOUT THE UNITED STATES CORP.
DEFINED GLOSSARY OF TERMS
All of the STANDARD TERMS AND CONDITIONS as set forth in “Attachments “A” – Definitions” found on Document Number NOI 092109636439 contained within
this contract.
When the context so requires, the masculine gender includes the feminine and/or neuter, and the singular numbers include the plural. Trustee accepts TRUST’S
signature in accord with U.C.C. § 1-201(39), 3-401(b), 3-419.

_____________________________________________ By: ___________________________________________________

THOMAS WILLIAM HEALAN JR,© TRUST Trustee -Thomas-William: Healan Jr,- Signature
TRUST’S SIGNATURE Trustee/Secured Party Creditor/Authorized Representative
COMMON LAW COPYRIGHT 1981© Without Prejudice/ Without Recourse U.C.C. 1-308

JURAT

County of Barrow )
) Scilicet
Georgia State )

Subscribed and Sworn to before me this 1 day of March, 2018 A.D.

_______________________________________________ seal
Notary Public Signature

My Commission Expires___________________________

STANDARD FORM - FORM UCC-1 ADDITIONAL INFORMATION (REV.05/2013) Filing Office Copy Approved by the Secretary of State, State of Florida