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Home My WebLink About1945 i i i ! ~ ~ ~ ~ d ~ ~ ~ ~ - =~.NAN_i~!~, STA'EMEtiT ~a prese-~•cc t~ c i:!~np o+T.cer for i.~.n.~ p~,ravont !o rne 'vniixm wrnr*roruol Code_ ~ 3. Matvr~rY dota {if any)~ ~ i - _ _ . . . - - - ~ - - ~ - - - 5'~r;s: ilost t1~me ?~rs:; ~no ~od•rs~es: 2. SeC~red Portyi~sa) and oddress(es) + For F~I~np .7ffic-•r (~te. 7irra. Nwnbet, ond Fif,rg Offic~) ~ ~ , ' rm~~~^e^- Fi^~r.ce Co^~p~~;r ~ ) ~p ANO p Q[ ~ Z '7?2 :;rar_~-P ,•.~I@*:t.iB `~~i1C~E QO~~TYR`l~ ~ r:^~-~ ou ~ ~0~ R POf~R~: ~ l:.~x ?~n2 r:~si ~-z~^ yo-:- "o~± rce, ilcri~a E O~tRK~lRC~~TCOU~IT ~ ~ - ~.,,i•,..,,r ~ ~~..1-:~ ~ 11lOORDYEt,=FIEO..~...~.~ ~ . , ~ • - s f:nonursq sta:ernen: cevars tM foiiow~~^G hD~ (a ~rerrui ~ v~aPertY~ , ~~O ' 1 . 2~~~f~~ _ ( ~ ~ Ail 01 t±,e i,o,scr ~id p«,ds n~w o~ ~ereaftr bcated ar debror's res~dence oddr~ss s~t forth abvve. i d. ~v" :7 T' OtRr~ p~~x+TY descr~bed as- ~ S. A~s+pe+e~{s~ of Seca~d Party and Address(ss) :.•3 ` (~tem) I . ,^y ~a ; = _ _.^.~Jc ~f tr~r Tn~ starnps raqu~:red bY C)wPter 201, F.S. hav~ beu+ P~oted ~ the pom~uory instrrrr~erNS secured ~ ~ e~eby, ond ~w~il us pioc~d on or:+ odd~t.o.r~l a.d s~m~br ~nururr~ent tnat mvy he w sscured. 'n s sfo+eT~en* is f~led w:tho~rt ens oeoter"a a~pmtve to paff~ct o securiry :roerest in cdbferal. ;C]~1c if ao) ~ ~ hireooy subeK* so o un~~~tr :nterest :n onoet~u i.w~sd~v~on w~en it wos bro~pht into ihis stats. ~ - wn~di ~s P~oceeds of tha or~y~rwi coibteral cbw,~ed obov~ in wn~d~ o sec~r~ty ~nter~st ww Pafectedi , - _-~~c if w.ered_ Q Proceedi Of COIqlKOI or~ otao cow~red. ? P.od~cts of Co{lar~ral we olao co.ered. No. of oddit~orwi SMets prea«+t~d: - i ~ ":kdw~tb: t . iP ..7~i."`~.' ~.!1'lj•til~' '@ . S a.: - ~ - ~ ~ o ~ ~e i-~T~• Fr~v; -:er_t _ ^ar_ce CoTn~ :y ~ - - - - = ~ - - vrsCs d DeDwr(s) ~ tw~Is) of S~c~r~d Porty(iss) _ c:t'~v ~N.crr Cp~ P~ticM"-~`~~ ~~`D/V{Y f1/~VR ~ fV/~M {/~.V~~ . ~ - /1QQfOY'~ ~ Tal~ ~II~S. SMJ ci...' y ` _ _ . . . _ . . .