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~ THIS FINANCINC~STATEMfNT is {+resented to o filinq office~ fot filing pvrsvaM lo th~ lJnifwm Commlrcial Code: Moturiry dote if ony
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DeAfu!s; ttosl Nam~ fine: and odd~ess~.es; 2. S~cured Porty~ie~) o.~d odd~eas'~al ?w r.~..q O~iK•r oo+. i,,,.. n...,oe._ o„d f=~.,y p~s~~•
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; George W. Weaver, J. Perr ~-rohn Hancock Mutual Life
; icnight, Richard D. FeZty Insurance Company, 114 S.
~ 2025 E. Commercial slvd. Main street, statesboro, 26~Q5'7
~ Fort Lauderdale, Florida Georgra,
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~ s Th~t (inoncinq slof~ment coven ths followinq types i.w ifems; of prope~~y:
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: See at~ached Schedule A. i
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S _A~iigne~.s, of Secvred Partr and Address M;
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_ 'y srcwed w~rlil. ~~vie ~q~a~~e;s~ oo~eo•a 6eb.. eaes ~++aa Me yomp, ,ev„~ed br Cnov~•, :0~ cb,da iey,~es. J o~ I
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a o~oced a~ *e v~a~.'uo.r wa.~.~e~ri sec„~r! he~eby. anc .s ce ploced o~ sr odoro.wt wd r.r+o• .+s+~~.rr+ rf~ mm be w+rc,.•ed
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ih;s stotement is filed w;thovl tM dtbta's signaturo to per/ect a secvrify lnter~sf in collaferol. ;CMck Z if soi
' AlrbdY subject ~o o s~c~.~t~ ~nterest ~n ono~her jvrisdiction when ~t was brough? info eh~s ~tat~. ~
whic#~ is prp~eeds o{ ih~ or:ginol colloteral desc.ibad obore in which o security im~r~sl wos p~r(ected:
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: - Yci g if covered: ~ Pru~eds o1 Colteterol ore otso cor~red. i:, ?rodvcis of Colloferol ar~ olso co.~r~d. No. of odd~tional SbNts preumed:
~ F;r~d W;,h~ k of th Circuit Court, St. Lucie County, Florida
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~ ~ 4 J~~I iIANOOCK Md'~AI, INS RANCE COMPANY
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iqnatureisi oF Deb i~ Sig ~vre;s; eF Srcv~~d ?a ~itst •
STANDARD FORM - FORM UCC-1
k ~~aK 218 PA~E 1t~3~
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