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IN ~ITNESS ~HEREOF. the said matgago~ hes hereunto set his hand and seal the day and year first afae-
said. ^
Sign , sealed. and deliv in the presence of- ~ ~
~i? ~ ~1~_ i'!h.. [SERL~
~4Y ~ •
~ ~ i [SEAL]
[SEAL]
[SBAL]
STATE OF FLORIDA
COUNTY OFST. I~1CIS ss:
Befoce me pesonally appeared d0~1t1 B. 8i'a7u~e3i,u ~a '~tOiII~ttC $'t>>~~* ,
his wife. to me well knaavn and knawn to me to be the individuals described in and who execute~,t~'~~~oing
instrument. and acknowledged before me that they executed the same fa the purposes therein e~pt.'e~;,......,.
~1TNESS my hand and official seal this l0~ aE Feb~'I~Rty a~ . i~}'1~'_
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:~'1s'~1~-`~t,
'~~-'ti~~:?r .
Y- 4~
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Notary Publ~ in and ~o~ the coru~ ai~~. ~°ti ~
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My commission expires ~il 16~ 1~$,~ '::1iy~,,c;
STATE OF ss:
COUNTY OF
Before me personelly appeared , to me weii known and known ~o me to
be the iadividual described in and who executed the foregoing instrument, end acknowledged befae me that he
executed the same for the purposes therein expcessed.
~ITNESS my hand and official seal this day of , 19
Notary Public in and ~or the countr and State a foresaid
My commission espires
~ F~LEp p~p RECORDEO
tt;CtiE COU'~jY FL'
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18J`711 ~
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'Ibis form ma be used as the secarit
r r o
instroment in connection with mottgages „~C
to be insared mder Sections 203 aad 222, 'G+
and in connection with "individnai mort- (
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gagea" to be insured nnder Sectious 213, ~
220, 221, 233, 809 and S10 of the Nstioo- ~ ~
~ al Hoaaing Act.
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