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IN w1TNESS ~HEREOF. the soid matgagoc has heceunto set his hand and se~l th~ d~y o~d ~e1it first afae-
said.
SI ed~ seal . deliv in the presence of-
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a
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BelAA I+OAf1q • ~
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[SEAL]
STATE OF FLORIDA
ss:
COUNTY OF $'1'. Ia1C~
Before me pe~onally appeared ~s J~'~ ~~~s and ~ia
his aife. to me ~rell kaoava and kno~n to me to be the individuQls described in and ~vbo executed the faegoing
instrumeat. and,ckaa~vledged before me that tLey executed the saa~e Ea the purpases therein expre e~~~~"'
wITNESS my hand aad official seal this ' 31 d d ~I~'C~l :~`'y~",~ ~i.~~~~''
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Notary Pu6 i and (or tl~e conntr ``~t~t1~
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My canmissioa expires 16~ _
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'~?S'!1t-
STATE OF - ,,~~i~ii~~,~~l~ii~~~'•
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COUNTY OF ~ =
Befoce me persanally appeared , to me vvell knawa and kaawa ~o me to
be the it~dividnal described in and who executed the faegoing instrneaent. and acksowledged befae ~oe that hr
e:ecuted the sa~oe for the purpoaes thecein e:pcessed. ~
~?iTNESS my haad end official seal this day of . 19
Notory Public in and jor the countr ond State aforesoid
My commission eYpires
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- - - B-'AN~~R~CDR6~~i
; , Q~` ST. l.UCIE COUNTY. RI.A~'
~ ~ RECQRQ VERIFIED
. , ~
1`~ . 1~1685
TO M~4R 3! P~1 3: S8 /
/
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7bis torm map be aaed as the secariq ~ j C~R GE+~ POiTR~~
~ insuument in connection with mongases K CtRCU)
to Se insared aader Sectioas203 aod 222, T COURT~
and in conaection with "individoal mort-
gagee" to be insured nnder Sectiona 213.
220. 221. 233. 809 and 810 oi t6e Natioa-
d Hooain6 Act.
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