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~ This FINANCIN6 STATEIiENT is presented to a filing officer for filing purwant ta th~ Uniform Commercial Code: 3. M3turity date (if any): ~
1. Dzbtor(s) Ilast Name First) and address(es) 2. Secured Party(ies) and addras(es) ' For Fi6ng Officer (Date, Time, Number,
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:'IC:_:3 O~' and Fitjng OH6ce)
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~ ~1. -:^~~r: Dy~ ~*e ; or+ Pierce, ~'i„ri:ia RECOPL K ~Rp~f~T `
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4. This financing statement cwers the tollowing types and/or items of propertp:
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(a) If desuibed. Motor Vehicle as follows:
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Yf~1R T T •[RIAL NVM~[Il ~ MOTOq NJY~ER NO. CtL. 5. ~~gIICE~S~ Of SCCU~N Pa~y a~Id
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Address(es)
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~ Toget r with aIl Tues. Batteries, Radios, Heaters. Equipment and Acceswries now or hereaRer attached thereto;
" (b ( checked at ieft, ati household good;, turmture, apphances, and consumer goods o( every kmd and .
i; scnpUOn ovmed at the ume oi the loar~ secured hereby, or at the t~me of any refmance Or renewal there- v
'~'i+ of, or cash aKivanced under the loan agreemem secured hereby, and IocatNd about the premises at the ~/V ~
~ Debtor's res~dence (untess otherw~se stated) or at any other ~ocation to which the goods may be mowd.
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a~ This statemeM +s fi{ed without the debtors rgnature to pertect a security mterest m oo a etaL (check G ii so)
? already wbject to a securitp interest in another junsdidion when it rras brougM iMo this state.
C which is praeeds oi ihe original col~ateral desuibed above in wh~ch a securitp interest was perfected:
Check ~ if covered: ? Proceeds of Collateral are also-covered. p Prodads ot Coltateral are also covered. No additional Sheets preseMed:
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FUTURE ADVANCES ARE ALSO COVFREO. Filed with:
~a THE S~CURITI/ INTEREST WILL SECURE FUTURE OR OTHER INQEBTEDNESS.
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B •ION4TUOE1f1 OFDElT Rifl r ~ '~'f~.~NATURE~I PARfr.lES1 .
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