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HomeMy WebLinkAbout5100 I •'`~5 SfATfM.fNT ~s u~cse^teA +o o f~tirg nifi.r~ ,~.:~y pv+s.,ant ~o +he Un~iorm Cemmsrc~al Code i 3. Mcr„r,ry do+e ony y~ ~ ~ . _ _ _ _ . . _ _ . . . ~ F ^ebr~r c tos! No.ne f~.sr c,~:i addres. es ~ 2 Securod Po~fy ~es ond uctdrsss es . . 1 t~. f.~~..-.~ Ue.:~n D~,. i.~.,e. ~.,,-ce. ::-.e f.: pa~,_.--^--' - i "IcIVER, LARRY L. & V.ANGE S;. The Equitable Life Assurar~ce ~p~p;f~R~Ep ` :~icIVER, JERRY W. &JAMAINE I~. Society of the United Sta~es st «c+E C~uMir F« ~ ~ Route #3 Box 493 ~ 1285 Avenue of the Americ~s ~'~~'R~?s + CLERK C".CUIT COURT Fort Pierce , Florida New York 19 , N. Y. R~~oR~ vF~:rira ; , ; _ ~ = - - - - 1._- - - ~ - . - , _ . ~ 3 ko PM '13 ` : +e~n~ t refer r~ ~nol fin cin 5•otem. t ~eor~n3 F~le No. -----~y.QQ . j C~er~C o~ ~i~rcui~ ~our~, _ _ _ ' i~45Q4iZ ; ~ ~ ri w~~n S~.L11C],e-_CQllllt~i--El~.~o,~ F~i~d__ _M~.~ _ 9 i._ ~~~7 _ is ~ - - _ _ _ _ _ . - _ _ - ~ ~ Confin~ct~on Tr~ ~~.~~.nu! uec~ny s•u•e:~,en! btewee~ r~e fcreyc~ Gebrcr Se:~.~eo Par~y, beu ~nq 4~1. num.ber snn..n obove, ~t st~ll eflect~ve. y Terminatio~. kc~red oa•! no ~}{J( Y !o^,)er :.~.ms o sec~nty ;ntuetr w~de~ ~~^r f~^onnng s•u•e:~~ent bear~~q fi'e n;,mber s~ow~ obore ~ ' Ass~~.gnrrenr The aec~red pa••~ an• .,~.:ir. ~~e •!nar.i.~~~~ u<!ement ben~:~g !~.'e r.,,^~br~ s~o»~ obc.~e ~o ~~~r c•cuerty descrlbed in Item 11 has beert a~5~yned i ro~Fe asvqnee ..i~;e ,.c~ne a~.d oddress npv'~' Iiem i! - Amendmer,t_ F~.+~•,c,»q S~;•e~ne~f :;ea~~~~ !~'e ~~~mber ihown obo.~ ~a ome~drd a+ cet~or•^ :n I~em 11 ! ~ R!I¢OSP. Sr<~~red Por~y .eleowa rhe ;c~iia~erpl deio~ned ~!em 71 fr;,m tre 4h~on;.ry s!otemeM beor~.^.q f~!t n~mber shown obare. , f Check i{ trut A?( .ioc.,mer.~ory ,•o.ea due ond ~::~able c. r~ be<cr,e ci~~~ u•.d paronle p~nuom to Ctiopter ~01 F. 5 nove oeeo po~A "s ; ;~~5042 ~ No. of odd.e;onol shsels preunHd~ . - ~ - ~ - ~ - - ~ THE EQUITAHLE LIFE ASSUR~INCE _ - - _ - - ~ - - - - - ~IICIETY_ - - _~I^ ' . - ` . n n r~ g~. BUl~K ~7' PRCF~U~s? By - - - _ _ _ - - _ _ _ - ' Syra`~•e t of Debro. s neceisacy ~~.I~ {•c~~ 8~s aPPl~couie . ~g t~re s of Stcvred Vart~ ies~~ STANDARD fORM - FORM UC -3 ' - , - . ~ ~ Appro.ed by TOM ADAenS. Seur, ~ . . < ~ . • - ~ ~ r~ Y W '~''~'~'~~t_~x'yz'~_.~ _ _ - . , ~ y' ~ . . _ .,;;,r'~~'~~