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HomeMy WebLinkAbout0067 ! t i I ~ ~ ~ - ~ ; ~ ' ~:.NAN~I~iG SiAi;Mz~.T. :s ~.~-ienred ro o f~i.na o•f ,er i~- ~:g p~rs.~an; to the U~i(~,rm ;omm.e+C+ol Code: ~ 3. Wtorify dote i~4 myy: - e . , _ - - fo` P~~~ny Offcer iDate. Tirt». Nwnber, and Filinp Off~cs) ~ _~,c'x~s; ,.ost Na~~s F~r;:! a^c1 o~.iroas;.~s~ 2- Secured Pa•tytiesj ar~d oddressies) ` ~~:^~le, Ch-~r?es Provi~:ent Fin3nce Co^~?~~r.v ~ ~ ~ ~"07 oi.era+.or. ~lvd. 7~?_ '~r:~r_ge Avem.z~ 1 i11E6 ~tt~ IIECWl~EO ; iT.~YCiE COtlMTY fu. € i~rt Pi^rce. ~ or~ ~=a i ort Pi~~rce , Fio~ioa ItOCEf~ P01TMS ~ ~ ~ 334~ 334~ - ~tERI~ Ct~CWT COU~T ~ ~ _ REl:dItO YEP.IFIEO~ ~ _ _ _ _ _ _ . _ _ - - - - ~ - - ~ . -e.s t:oar.~.w storrment co.-rs the 4c11-~w.no Naes (or ~:cvna; of proprrry:-~-~-~ ' ~ ~ ~ ~ ~T~ ~ ~ W ~ . t ~ ~ Ail of m~ houseF.cld ~y:cds ~,w ~r hereaf•e. bc~ted at oeb'a"s res~drnce oOdrrs~ xi forth oGc~e. ~ I ~ ~ S. Ass~yneeCs) of $ecwed Party and Add.e~s(es) ~ ~r.-:« F-~D..-~y o~sc: o~.~a t - ~iiem) i ~ _ ~ i ;~i - - l ' - - _ _ - _ _ - ~ .]C ~PS iequ~red bY ChoPter ~01, f.5. h.:ve oren plx.ed c~ me prw*.~sx++y .ns'r„menls sec~red ~ ..rcck ~f t:,:e Tne star.. ~ - ~~~ereby, end w:il be pio<ed c.r. ony add:t~.vnal o~d Lr.:~ur ;ns!rur*:Mi tho~ e:ay or w aecured. ~ ,i _ _ . . _ - - - - - ~ ~.i s:a•>~.~nf ~s t.icd w rn,,.,t !ne deb~e.'s s.yno;.,:e 'o pe tee~ o sec~r~ty .ntarest ~n cwioreraL (Check ~f so1 ~ AkrudY svb;ec' to a secv.+ty :o!e.est ~n ar.o:Acr ;i,r~sd..t~on wiien it was io~ovCht :nto this state. wR~O~ ~s pr•.,creds c1 •^~e on9:n-71 :olla'e:ol cxscr.oed obma in whid~ a zec~rny misrest wos pe~tected: _ _ ~ _ ~ ,,j t; ~t cn-.ered: $j Prcieeds cf ;.o:ca•era~ ar• oiso co1ered. ~ Prcd..ctz of Co~btero~ are olao cove~ed. No. 01 odd~t~crwt $heefs psaen:ed: - - - - - - ~ F~kd w•M: .~t. i,U"'?.C vQ !'t*;`7 l.OUT'±~':O?i.S@ - - - ~ ~ ~ :,:_#u.a1~___lius~ :%hRrl: s__~ R P r~ c~ C'm sa ~ ~ - ? ~ Br:_ ~ _ ~ $.qrwtwo~s) of D~otor(a} S,ynotv:sls) of $enK~d ies) r ~ :`j n± i;l:ng Of1:c.• CoGY - AIpFoF.. ~,_zi STANDARD FORM - FO UCG-1 Apprured br TOM ADI,M~. _«~e. ; ~ . -