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1142
4 1 I t f ~ € ! B i i f a ~ e s 3 ~ ~ ~ - ; ~ =.NPti~ItVCi STAT:MENT ~s ~rezrrred to a r~~ ~ c~ :..r For f~i n9 Wrs.r.~n+ re tiw ~n~furm Co~r~r.v+c.al Caie: I 3. AAaturity date (if ony): ; ~ . - ~ - - ._°OI~S: il.~3i ~`h1TA FirstJ and ocwreas,es, 2. Sec~<nd Part~riiasi ond adoress(es) ~ Fw fii~np Offic.er lWte. Tirtw. Nvmber, and fil~np Offip) ~ ~ - ~ ~ ~ ,atts, :~ar^ret .~~Ik~r ?rovi::er_t ~~inance i%or~o=_ny f ~ ~ ; Nort~ 1-•*h .712 Ur~r~e ~:1~1@ ~ tE~ ~ ~ . - ,,t y; ,.ry , ; la..; ,:a r'ort Pi rce . r'lorida ~CEii PQiT . ~ ~ ' EIE~IK CiRLt1 IIEC01~0 YERtr~~~ ~ ~ ~ . ; t:ncnarg statetncni coren tne fo'.~owlrg tYpes lv ~!ansl of WoQs~tY= ~ t~ ` . ~ ~ AI: of the M~ vseno~a poods ncw ar hrreaher bcoted ot debfo~ s res.dence o~dreu sst for:M ~bo.e. . t ~ i (icner propc.fy dew ~ixd as j S. Ass~pn~s(s) of $~cw~d Party and AddressCss) ~ (ite.nj ~ ~ - 221.2~1 ~ ~ i`a - _~--ci ~f rr~.e7[; ine stanin •e4~ir~d bY C}+aR'er 201. F.S. hcve been P~oced c~ tM prom~uory ~rs:rwnants sacured r _-~eoY, and w:il be pfuced on on~ adC:t,_v~ai nnd a.m~l~r in~trument rnot r.Ny be w secwed. 3~ . _ . . - . ?zi n~ sta~e~.ent ~s i~;ed w:rcw.,~t sne dcoror't s,pnor~.e !o prl~a o sccv.ity ~nterest in cdbt~ral. ((}~eck ~ if ao} Alreoa~ a~b,rct to o sec~r~ry ~nte.es+ in orwrner „x~sC,v:c~n whe.~ it wos b.oupnf in:o tA~i stat~. - wn~ch is ~:,ceeds of :ns o+.y,no! wilarerai oexr~bed obws KR:C}I o sect..~ty imerest wos perfeetd: ~ if co~e+ed: Prucsedi d Gollatc.ol ors olso wver~d. Q Prod~cis of Collareral are alw o~rered. No. d odd~iuwl Sheets pr~sented, ~ ~ ied wd'n: ~ ~ ?j(`:P j'' ~ ' 'iC?l12"1?~U=~@ ; - - _ ~ ~`n~ .~T ~T/ f ~?C~z' L7~•.tC O i r17~~2~~Prit . ~nance :%omr_any ~ - - - - 9~~1141 ~ 3 ' ' _ - G ( i~ _ rt ~ O S~Wwt~+retsi of Debruis) of $ew~ed Porty(iss) ~ ~ i i~ f:1~• p ~ff.et• CepY' Ain6eb~tieai STANDARD fORM y~,~w~ ~ Approv~d by TOM ADAM.i. .S~cr e c:. - y . _ . - ' ' . . - , , . _ . _ .