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i ~ s i ~ 7 8 ~ ~ a ~ r~A::=:'aG~~'4.T.:1~!~':T. ;s Y"evr:rc to a f~~ r,~ :~i4:er ior .ig P,rw-m o•rr ~n:f~.,rm C:vr.mc~:;ol C~de:--i-3 M°!urrty dofe ti1 o~y): nd F 1 f ~ !or.~; ~wst ho:oe F~•stj u.~d oau.ess:vs; - 2. Se~~+rrd Partyl~es) ond oddreu~es) Fw F~l:np O1f~ter (Date. Tirr~. Nomber, o i inp Of ice) ~ ~ j ~:,•:r. ~rovi ent -'z^=~r.ce ~-%c~^-:~r.'~ ~ ~M4 R~ ~ ..i ' '7~~ v!'.'1•';'f? ei~/°.^UP_ ~~r P~i~~~ ~ ~ - ""v~P _ ' ~~ER ~ ~ ~ . -=r.a ~ : o~~t _-i~r^~. ' 4l~RK ZiRCUIT COYI~ ~ " YER!F~EO ~ ~r `n ~ .•in n!`e ~ _ . . - REC~Ri~ ; _ - - a lf ~'Z~ ~ _ s t:nanc.nq srcrernent cwera tF.e foiiow:ng sypes ~or ~:err,si of p~~Ys q ^ Alt of ti,a ~~~.,seho7d poods now or nc+'raT:e~ focc?ed ot debta's res:dence cdaresa set forth above. ~~i~~~ ~ ~ 4 ~ ~ :~•r.~-. F„~,yc.ry desu~bed o: _ ~ S. Assiyne~(s) of Secwed Party and /kldress(es) E ~ {Itemj i } " I ~ _ ~ . .=~c :f~ t.ve ~ Ths itomps reyu•red bY C):op!er 201, F.S. !w`e tr_a~ P~at=d c~ the promiisory inatr~ne~is secured j ~ 1 -~'eb/. or.d w~tl b~ ptoc.ed cn ony ~.t.onal ar~ SiT.~Af ,nf!r~rnent tnoi rt-ay be so secwed. n~s ,rarc.~.rnt is f.icri w:!nc~:~t the Cetrv's s:~n~r„re to FxrfeC a see~r:ty :nierest ~n cellateraL (Check 4} i4 so) r~:s , l~,recdy wb~ect ro o secunty .~te*ai' ~n ~rt:,:=.cs ,..:~scf~c:cn wntn it wos ac:.~ht :~to ~his sta!e. ~ - w~n:ch n prxeeds cf tns crq,cul cat.a~r~al osxr~Ded eW.e ~o w!~~d~ a secvnty intereu wos perfecred: ,-.-_R ~~i cc.ered: j[; Procceda of :~i.ateral ore o~so cove:~d ? Producis of Collu:erol oro also covered. No. of o~~tic~wl Sheets present~d: ~ 'y; - - ~ ; ~:~~a w:~~: uci ~ v~~ar • v :;o,.;~~~:c: ,e F - - sfloK i98 P~ii35 = !;z T,~, n j' i ~':~.~+C: i~_s~•r Y ` CRt ='_i;". P_'O%, ?`lY i - ` - - - ~ i ,~~3 S~ynufweisi of De~~or(s} S~yrwh,r~(s) of ~~s { 1 't i.i~•.(7 ~ffter CepY -~!r,hnb~Kcn! STANDARD FORM f V~Vff ~C~~ ~ s Apprw~d bY 101d AD11MS. »c e::~; _ _ . . , _ p