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'HIS fINANC11iG SSAiEMENT is presen~sd b o Lliap ol~cer 10~ hLeq pYrsuont ro ~hc Un~iorm Co.nineraol Code- 3. Maw.~h a^Y~~
Debbr?s? ilost Ncine F~rsr ond odd~ts~(ss! 2. Secured Pn~ryE~es~ ond oddresa~.~s! For id~np Oflicer ~Ool~, Taae, Nua~ber, c+d Filiep ONicsi
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Dawsey~ Tealma & Georgia Family ~onsiuner Finance Service, F~~EO k?+~ RECOq0E0
21d.t Avenue E Inc. of Ft. Pierce St. ~uc~r couNtr F~~. `
ROCf P. FO~TRAS
Ft. Pierce~ ~'1 33450 ~ 2506 South Fec3eral Highwa~y CLERI( C~R~UIT COURT
Ft, Pierce, Fl 33450 RFCORt~ V~r F~Eo
a 16is f~nonunp sbltment co.en d+e ldlo+~nq nrPts !o• ~~emi: d v~aD~~h~ ~~5 9 06 AN'T3 ~
~ Al1 Household Goods and Applances in and around debtors property ~sL~~O t
~ S. Assqnee~s; 01 Sec~red Vorlp ond Addressies~
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" 5 C6ed d tr~~ ~ iAe ~romps rp~hed by Chapl~r 201. F.S. hsre be~n vloced oe Me v~o~n~ssory ~ns~r~m~nA secured
~ h~rebY. ond .dl b~ Dbced on ony odd~honol ond sim:lor ~rtslrument ~hot enor ~e so secYr~o.
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1~~ s sbNmeM is Id~d ~i~Aw~ Me d~b~ors s~pnobre ro pe~fec~ a aecv~~M lnlerefl M colhterol. (CAed~ il so~
~ ~'Alrtody sub~ed b o aewrify iMeresl in onollrer jurndKtion rhsn it ros brouqAl ~ero 11us sV~e
~h~cA if D~«eeds d rhe orp~nol cdbterol desubed obo.e in ~A~`A o securlly ~ntcres~ roi pedeUed:
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~ ~.-.~ed ~ N co.~red: Q Proceed~ ol Co1loNrol are also cwered. Q Prod~cn d Cdlo~erol ore obo corered. No. d odd~~~om1 Sheeb D~e:en~ed.
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~ . Family Consumer r inance Service, Inc. ~
~ ~.P4~~~~ ~ .-dG~~/ of Ft. Pierce ~
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~ STAfV~ARD FORM - FORM UCC--1
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