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1N ~1TNESS ~NEREOF, the said mortgagor 1~as hereunto set his hand and sea~ tli~ day and, pe~~ ,f,~rst afore-
said.
Si , sealed, and deliveced in the presence o[-
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S~s ay J H D vis ~
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[SEAL]
_ [SEAL]
STATE OF FLORIDA
COUNTY OF St. LuCie ss:
Before me pe:sonally appeared Je2`1"Y H. DaYis and Suaan 1~C. Dlivi8 ~
his wife, to me well known and kaown to me to be the individpals described in and who executed the foregoing ~
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instrument. and acknowledged before me that they executed the satne for the purposes therein expressed. :
~ITNESS my hand and officiel seal this 2~• - day of Ap2`il , 1g ?1 ~
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• Notar~- u61ic in ond ~or tlte ounlr and tate a~o esaid
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Gs~ i,= My commission expires Ap2'il lEi~ l~
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$T\ . . 1=~ ss:
COUl1TY' OF~,~.'~
Befoee! me persoaally appeared , to me weil known and known to me to
be the individual described in end who executed the foregoing instrument, and acknowledged before me that he
executed the same for the purposes therein expcessed.
~ITNESS my hand and official seal this day of , 19 ?
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Notary Pu6lic in ond ~or the county and StocP a foresaid '
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~ My commission expices - , -
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This torm may be used as the security
` iostrument in coanection with mortgages :
~ to be insured uader Sections 203 aad 222. ;
~ and in connection with "individual mort- `
~ gages" to be insured uader Sections 213. '
~
220, 221, 233. 809 aad 810 0( the '.~iation-
~
al HousinR Act.
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