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This STATE~IA@IT is ~ns~nt~d te ~ klin~ efficM fw Nlin~ prwmt te tM Unifwiw Cerwei~l Cod~: 3.M~v~iy ~t~ (ii eMr):
i. D~ter(s) (Last Na~~ First) ond eddr~ss(~s) Z. S~cw~d Party(i~s) and oddr~ss(~s) For Filiny Offie~r (De», Ti~w~ ond Filin9
Offi c~)
Fort Pierce Associates The Chase Manhattan Bank,N.A., ;
\950 Clifton Avenue as ~ustee etc. fi~ED : z.t~;,RUEO
~ st. ~uc= _ . ~~N11r FU.
Clifton, Nev Jerse,y 1 Chase Manhattan P1aza k~~:: ~•!'~~S
ct_. ~ x _ ; i C~URT ~
NeW York, New York 10015 0~,,,.:
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4. This stm ori ~ i ~ s~~«~.~+ b.o.~~ Fil~ No. ~ 54539 ~ Z j ~ 56 ~M'r~
~~~~t*co~~E ~re°~k~ ° April 4 ~9 67 23.S8~Z2
Fil~dwith int Luc e Coun 9~Fla. oot. F~i.d
± 5. ~H~N~alion. Tfn~ o~ipinel finonciny stot~m~nt b~tw~~n th~ fonyoiny D~btor ond S~cur~d Portp, b~orin~ fil~ nuiwMr shown abov~,is still ~H~etiv~.
- 6. Q TMminafion. S~cuhd porly no IonyN e{aims o s~cvriryr int~r~st und~r th~ finonci~y stot~nMt Moriny fil~ nu+sb~r sl~own obo~~.
7,~AssiyirMn~ Th~ s~cund per~y's riqht und~r th~ finonciny stot~~nt bwriny fil~ pu~nber shown obev~ to fh~ Prop~rty d~scribed in It~ 10 hov
b~~n assi9n~d ro th~ ossipo~e whose nani~ a~d oddr~ss app~ors in It~m 10.
8.0 AiMn~nenf. Finmciny Stot«w~nt b~orinp (il~ numb~r sFawn otro~~ is aw~nded os sM forN~ in It«e 10.
9, ~~I~oss. S~cur~d Partp r~lws~s tF~~ ullot~~al d~scrib~d in Ifnn 10 from th~ finonciny stat~an~nt b~arinp fil~ ~wmb~r sbor+n obov~.
~o• B 10919
All pereonal ~roperty
}+;signor: The NeW York Bank for Savings eecured by oriqinal
280 Park Avenue South filitig Bt~temel'~t. ~
NeW York~ New York 10010
L#575~ No, oF odditidheF'~~~fs pr~senf~d:
_ e ase n ~as s ee~ e c.
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Siyndur~(s) ol D~bbr(s)(n~c~ssory onlr i! Itsw~ 8 is aqpiieable). Siyrwlur~(s) of S~evr~d Pvtr(i~s
(1~ Fille9 Officer Copy-Alphob~tical STANDAR~ FORM - FOR UCG3 JameB T. IiCMahoI1
/laeiatant. .rea~.r~r f. .
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