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YTHIS STATEMENT is pres~nfed lo o filing olficer fo~ f~~ing r I if ony :
I Debtu~sJ ~last Nome First; ond oddress;es, TMt~~~~ s~^" °"e ~.i.+~ a~k~
Wa 1 ker, Dave N'~?'T=D~L BANX
~.oz~e.~e'r ~s~~ AND ~ECORDED
Rt. # 2 3006 Pensacola Roa CIE C~U': ~ Y, F! A.
Ft. Pierce, Florida 1 68Q1 11 -5th Street .~EORD "=f~.__[~
Winter Hoven, florida 33880 ~~~Rai
- 161039 OR 168 pg 2 ~ 0 g' S l
~ a. This s~ct~menl reFers to w:g~nol Finmdng Statemcnf bcoring Filt No. ~ t~
~ Clk of Cir Ct St. Lucie Ct~y 9 . ~~a-..i
F~led «ith__ UoM Jed_ 19
~ t ConfinvatiOn. The origina) financi~q stafemenf belween tF~e fo~tgoing Debror ond $ecured PortY, beoring fil~ 'wmba~sl~W~{ _ iF~ci e.
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!'X~Cxerminotion. Secured poAy no longer doims o aec~ntr fotefn~ vnder ~Ae financiny stotement beoring Iils eJi*~eCeC}1x+~R URT
~ , Assignment. TF.e secured porty's right under Ihe finoncing stottmtnt beoriny filt number slwwn above lo tM prope~ty d~urib~d in has been asi~gned
~4` to 1M assigne~ whos~ nam~ and oddrns oppwr in Ifem 11.
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~ H~~~ Amendmenl. finoncinfl Stofement bwring file number siwwn obore :s omeed~d as sN forth :e Ilem 11.
9-' Release. Secvred Ia~fp r~teoses tM colloMrol dtsc.~bed in Item 11 hom tM fiewncinq stotement beorinq lilt rwmber slw~vn obove.
~ tU. ~_Chetk if frue. -Atl docvmentory sfomp !axes dve ond poYOble-u lo Mcome due aed payobl~ pursvw+t fo Cl+opt~r _I01, F. S. har~ be~n poid- -
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No. of odditionol sh~els pt~s~n»d:
~ The American Na ional Bank and Trust Company
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'4 ar~ , d~~ s;9~aw. ) of s.cY.ed ?e.rrc~.s)
S~gnan+re;s) of Oebta;st '.~Kessary only if Ite~n ! is oppluobk,.
~ STANDARD FORM - FORM C-3
(1) 'Fi~ing ~f{its~ ~opy ~ A~phobli~t0~ Appror~d br TOM AOAMS, S~ae'ory oi S~a'e, S~oV of Fio.ido
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