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ihis FINANCIN6 STATEMENT is presented to a filing otficer for filing pursuant to ih~ Un~(orm Commercial Code: '3. M3turiry date (if any):
1. DeDtor(s) (Last Name hrst) and address(es) 2. Secured Partp(ies) and addras(es) For Filing Officer (Date, Time, Number,
i r: c~ ' and i~ling Otfice)
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' 4. TA~s tmanan statement covers the foNowin t t r~ '
. B g ypes and/or items of propert~r: ~c r; 7~~
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f (a) If described, Motor Vehide as foflows: Q?~
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?[nR ^ Y~RE ~ •OD~~- T~?E ~I YOOEL NO. ~ ~~ER111L NYY~[R YOTOR MUM~[R ,
NO. 5 Ign of $ecured PartY and
- --r---_--_ Address(es)
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Tog her ~th all Tires. Batteries, Radios, Neaters, Equipment and Aocessorits now or hereaRer attached ihereto;
Ib) f checked at left, all household goods, furniture, appliances, and consumer goods of every kind and
c1e ~ption owned at the ume of the loan secured hereby, or at the t~me of any retinance or renewal there-
ot, or cash acivanced unc}er ihe loan agreen:ent secured hereby, and located about the premises at the
Debror's residance (unless otherwise stated) or at any other locat~on to which the goais may be mo~2d.
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This statemeM is filed without the debtors signature to perfect a security interest in collateral. (check i? it so) ,
~ alreadr sub{ed to a sew+ity interest in anolhei jwisdiciion when it was DrougM into this state. ~
~ which is proceeds of the original collateral described abo~e in which a security interest was perfected:
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~ Check it covereG: ~ Proceeds ot Co!lateral are also covered. ? Produds of Collateral are also covered. No additional $heets presented:
j FUTURE ADVAMCES ARE ACSO COYERED. Filed with:
r THE S~CURt IMTEREST WILL SECURE FUTURF OR OTHER INDEBTEONESS_
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By {IONATUNEil1 OF DEBTOp~l1 O~ 6 - ~
n r • SIGN ~ 3! O SECUIIED PAR?II~ IEf
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