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~ f{NAN~ING $TATEM.ENT is presmied to o fU,rg officcr for Ri;ng p„rs.~vni to the l,o;fo~.: Go+nrne.Gal Code: ~ 3. AAct~rity date (if any); ~O/~/r~
~ ~-btais) (lost Nm~e Firstj o~d Qddress(es) ' 2. Sec~rrd Porty(ies~ ond address(es) ~ i Fx F;Gnq Otficer (Dore, Time, Number, ond Filinp Oifite)
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- 'n.s f:ncnc~np sta~ertiznt wvers the foilow~ng rypes ~or ~xrna) of pop>rty, Mt' ~ ~O ~,~3
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~ ~ All cf tne F.a~senold gcads r.ow or hrreofter {xated ut deb'x's res~drrxe ccidress xt forth ~o:,ra ~
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, ; Om=r prvpr.+y descrlb..-d as _ ~ S. Ass~gnreis) of $ec~red Porty end Address(es)
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' _ ~:hecic if tr~,e L Tne starnps req~ir~ by Giopter 201, f.$. n3ve cecn placed cn tno prc,rr~;ssory ~nstr rnents x:~red ~ r'~~`~Q~
~ ?rreby, and will be p{aced o~ any add,t~onal on~ s~m~tar ~(15'/JT:H1i thot rna~ be so srcor~rd. ~ ~ V ~
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in:s stote+nent (s filcd witho~~t the dettor's si9nare,ro to perieo_Q secv~i:y inserest in colkitero4_ (Check ~ if w) ~
~ Atreooy sub~ect to o secunty inrrrest En cnotner j~nsdict,on when it was broeqhi inso rhis stote.
' wh~d~ is procezds af the o:iq~~al ccllateral descr~bed abore in which a sec~r~ty interest was perfectcd:
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f =K if wvercd: Praeeds of Colfotcval are olw wvered. ? Products of Colloterol a.e olw to+ered. No. of oddit:enol $neets presented^----L--
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; GE.~1L FI2~n`C:~ COP.P OF FIA~iIJA
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S~9~tureisi of Deb S:yrwt~reis) ~<~r~ Partyiics)
; ~ f.~ orr.«, c~~.,. er~;~~Q?t~or STANDARD FORM - FORM UCC-1
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' Apprwed by TODR /1GAM5, Sec: e•
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