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IN RITNESS. pHE th ai mortgagoe hes heceunto~~ ~ hand n~ apr~ the day and yea~ Eirst afore-
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Seid.
Sig . s al d de ~ ie e pcesence of-
[SEAL]
. ~/~I1d ~~pWl
~ [SEAL]
el N. Blount
[SEAL1
[SEAI.]
STATE OF FLORIDA
COUNTY QF 91'. LOCIB ss:
8efore me peesonally appeared 1tAyNpI~D L. gLp~1Nr and Hi18ffi. N. B~LpUi~
his, wift~~~~,~~w~Q.~awa aad knawn to me to be the individuals described in and Mrho e:ecuted the foregoing
ins~tyai~ kd~ed before me that they executed the same for the purposes rein ex
`,i~,aM~ofEicial seal this 14th aeY ~ . 19 71
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, : N y Public in and /or tlae co~ntY and State a~oresaid
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` ~ ' s~ My commission expires ~ ~
~ ~ 1~39~
w ~ .i~uul~!N`s,'" '
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STA't~', ~ : •
COUN~ ss:
Before me persanally appesced ~ to me aell known and known to mr to
be the individual described in end who executed the fo~egoing instrument, and acknowledged befae me that he
executed the same foc the pncposes therein expressed.
~ITNESS my hand and official seal this day oE , 19
Notary Pu6lic in and ~or tl~e countY and Sta~e a foresaid
My commission expires
FILEO AND RE~FL~ ~
at. ~.uc?~ ~au ~
ROCEa'0~ µ3
C~EAK CIRCUIt C01111t ~
iiECORO VERIFIED
! 1~?~ 19 a i~ PN'Z l
;
~
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~
€ 7Lis torm may be osed aa t6e secority
~ instroment in connection rvith mortgages
~ w be insnred ander Sectioos 203 and 222,
r and in connection ~+it6 "individaal mort-
~ ga6es" to be insared onder Sections 213.
; 220. 221. 233, 809 ~nd 810 of tbe Natioo-
~ a) Houaia6 Act.
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