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s -~V..N~.WG $~hi:M.NT ~s p:rsenred t~ c i~i~ng c•i;.rr ta :•~,ng ~,-awn'--•ne ur: i;~m Tmerc.~'_Ccd~= { 3. AMturi+y Oate_f ~y): i
~ .-:~;.tx~s; iLav tvarie F~rst: and adh:ess~cs) 2. Secureo Party(~eai and .wdressiesi- ; ror F.i~np Otf~cer iDate. Time, Nuinbw. ard Filiny Offics) i
~ "~;1 ~ert, ::~:rtha Irene ; Proi•ident iirar:ce ~o~-pa• y ; `
~ iv~rth l~tr ~~treet 72~ Gr~nrF Avenue ~ ftLEB~ND~ifCp~~ •
i . fT. WGF C~Y F'li.
..--t. K Fort r~ier~e, ~?or~~.a ~ R4CEaPOt~t C~
~ =ort i'ierce, :lo:i~a ! CLER~C~T~t~ ,
~ ~ RECORO ~E~~••.•
_ -^.~s finarx~np staternent cavurs tix tollowinq rypes iv itmea'r of propertY: 1 ~ 8 ~
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~F; x AII of tie heu~ehcld p;:ods now or here~fte. bcoted o' drbtor's ras:dence adc'ess ser tortti obove. i i
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Oin.~. D-o~_-•r cea_•~o=u u~ 5. Au~qnee(s) of Seu,.ed PartY and Aodrass(es) E
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'~;~i . _~.:.cic ~f true ~'ne stomps requir~o bY UoAt~r ~1. F.S. have oea~ ploued on me prom~ssory insrruments xcwed ~ ~ }
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_ ~<-eby, ond w~il ne p7aced on ony odd~t~onal ar'd sim,iar If\41~JTM} t1.at r..oy be w secured. ~ .
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T~~~s st~tnr~ens u f~~ed wim~t the c~ebror's a~pnaturo to pertea a securiry intsrest m cdwte~al. (C.heck if ao}
_ Atro~ suD~ect to a sec~nry ~nrerest m nno:txr ryrisd~u•vn when i! wos broupi~t mto Mu sr~te.
~ wh~~ is proceeds ct :ne or~q~na~ cnltote*al wsu~txtl atswe ~n wn~d~ o secur:ty ~ntmest wos perfecred:
ii .o.c etl~ ~ P:cxeed~ of Coliatera: ors oiw co.r:sd. Q Prodris of Colioserol oro olso wvered. No. cf oddir~onal Sneefa prmon»d: ~
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Approv~d by TOIiA AD/1hA5. .`~ecre^c-y . _ . - ~