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IN ~'ITNESS ~'NEREOF, the soid muttg~gor Iws hereunto set his hand •od seal the day aod ycar tirst atore-
sa~d.
S~ , aealed, and delivece~i ie th presence ot-
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[SEA L]
[SEAI.]
STATE OF FLORIDA
ss:
COUNTY OF gT~ I~1CIE
Before me pe:sonelly appeared Ja~ss B. Shar? - and Heatrice ^.~hatr
his aife. to n~e well knaara and known to me to be the individuals described in a~d who executed the foregoing
instrument. aod pcltnovvledged befoce me that they executed the same fa the purposes therein expressed.
w17'NfyS$~~ap;hitad ~nd official seal this Z2~d day af , 19 70.
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~ Notary Pu6lic in and jor ~lie cou ty and Stote ajoresoid
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; , . _ r : cn i Moan, A,erc. sr.te or Flor~aa .t
~ u . . • ; ` ~ Comm~ss,on .
~ r 11y commission expires ~'h' ExW~es Se~;. 1. 1973
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STA'PE.,~F' ` . ss: • .
COUNTX~? ~;~`~*x' . . . -
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Before me persanally appeaced ~ to me wetl known end known to me to
be the individual described in and who executed the foregoing instrument, and acknowledged befae me that he ~
executed the same fo~ the purposes thereio expressed. .
~1TNESS my hand and official seal this day of . 19
Notary Public in and ~or the county and S~ate ajoresaid
My commission expires
fILEO AND RECOR~l~
it: `YClE COUNtY ~
Il00ER PQITQAS
_ CLERR CiRCYtT C ~
IlECOItO YERIFIEO .
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~ This (orm may be used as t6e aec~ity
iastrument in connectiou with mottgages
~ to be insared nnder Seciions 203 .nd 222, • ,
~ and in connectioo with "iadividual mort- ~
€ gages" to be insured under Sections 213,
~ 220. 221, 233, 809 end 810 ot t6e Notioo-
~ al Hoasing Act. '
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