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TMIS HNANCIN(i SiATEMENT is pes~nf~d to o filinp oHiur fa (ilug prrwaiN /o fM UwiFonn Cac~w.rcial todr. Anowr:r~r da~. iif my): ~
1. D~b1or(s) (Lnst Na~nt Fint) and oddr~ss(~s) 2. S~cw~d ?arh(i~s) and oddr~ss(~s) Wiis
. ~UCIE COUNTY. FLA.
FAf~SAN DAVIS R~:CORD vERI~l~O
1219 AVE M APT . B 1"~~rcJ
- FORT Pl~tt~~ FLORIDA
~ ~sa oEC is a~ io : 3s
1. This fiiwncino s~oN~M sov~et IM folbwin0 ryp~s (w iNnn) of propwry: ~
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US~ CR~STLIr~',R BO~AT ID 164398D106339 ~ ROGE 'OITRAS
~ 25 $p JOHN30N MOTQR SN 123029? LERK ClRCUIT COURT
s. w.~cqn..c.) of s«ur.a rwer oea Aeer.s.c«)
' 6. Ch~ck iF trw ~ TM a~asOs rpuind h~ Cl~eph~ 201, F.S. haw b~~ ploc~d en IM orawissonr ins/M+~nb s~cw~d
Mr~bq, end will 6~ plaad ow wy odditiaw! and siiuiler imkww~wl tla/ wwr b~ w Nan~d.
- This sbhwNnt is fibd withort Nw d~bwrs si~nohin to pK/w a ucwifp ist~nst in cellapeol. (CMdc ~ if wy
? Altiodr sub~ct lo s s~cvrifr 4~MnsT ie anelhw ~nisdicfien wMn it wo b~wohf inb Nus s1oN.
? whicA b prou~ds of ti~ oriyi~wl oelloM?ot d~riMd alow iw whid~ o s~swiry ~hnst ww prf~cNd:
" cMck ~ if co....a: p ~r««a, or toUoa..al a.. d,o oo....e. p?.oauc» ol toUo+..d ar. d.e cowr.a. No. of oaamono~ s6.Ns pn.«H.a:
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i $DGK ~E STANDARD PORM - FORM UCC-1
~ (1) f~ 01fiw~ te/r • Alpbe~NlOr Approwd br Tow~ Adown. S~c.Mo.r of Seah. StaM of Ft«ida