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This FINANCIN6 STATEMENT is presented to a fling officer for filing pursuant to th~ Uniform Commercial Code: ' 3. M~tunt~r date (if any):
~ ; Debtor(s) (Last Name First) and address(es) 2. Secured Partp(ies) and addras(es} For Filing Offiter D te Time. Number.
i I ~ and Filing Offic~~~oa
; :.':C~ F'I".A::'C t1L S~i'IC~S OF Jr .
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Sr. G~N'Y F~A,
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~ ~~PlFv'.2e'CUe iv"'13 z=e? ~.^7CLI~i: ~°_C?C"~.? n~! v'T"A$ ~ O
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t ' v• 1 • ~ O~'t Pierce, ~lE~.• RFf,ifir ~/F~ ~ii~('j ~r+~
4. Tbis tinanang statemen! cavers tbe following types and/or items of pro~h~OO J Cf .~b 1 1 28 ~u t~~
(a) It destribed. Motor VeAicle as folfows: b f ~ fi
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YEAA YAI[E ~OO~ - Tr?[ ~YODEI NO- ~ ~[IIII~L NVM~[Il YOTOII NYM~ER ~ No. c.~. ~ 5. Assignee(s) of Secured Party and
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` , sC ~ ~CbC i ry Address(es)
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To~ w~th aIl Tires, Batteries, Radios. Heaters, Equipment and Accessories now w hereafta attached lhereto; ~
Ib) ~ checked at left, alt household goocis, furn~ture, app6ances, a~d consumer goods of every k~nd and
descnption owned at the t~me oF the loan securecf hereby, or at the ume of any refinance or renewal there-
i of, or cash advanced uncier rhe foan agreement secured hereby, and locatecl about the premises at the
Oebtor's res~dence (unless otherw~se stated) or at any other Ipcat~on to wh~ch the gQOds may be moved.
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This statemerrt is tited without the debtors signature to periect a security interest in eollateral. (check IhJ ii so)
? alreaQp wbjett to a securitr interest in another jurisdidion when it was brougM into this state.
; p which is proceeds of the original collateral deuribed abore in which a sewrity ir?terest was perteCted:
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Check :k if covered: ~ PraeeAs of Coltateral are also covered. ? Produds of Collateral are ~Iso covered. No additionaf Sheets presented:
ft1tURE ADYAMCES ARE ALSO COVFRFD. FiJed w~ih:
THE S~CURITY IMTERESI W!L! SECURE fU1URE OR OTHER IMDEBTEDNESS.
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By:
NONATURE/S/ OFDEOTOR~l1 ~~A~O ~GNA ~!1 OFSECUNEDP IfTY~lE31
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