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F i ' ~ I i t a€ 3 3 ~ ~ TNIS fINANClti~3 STAiE/NENT is pr~s~nNd ee o~iliny eFf}c~r Fx filirq vwwwt a tM IMiferw~ Cowrwwcid Coda 3- qiy OHiew t. D~stor(s) (lest Noiw~ F'vs~I ond oddresa(~s) 2. S~wnd ?«tptiMi awd oddr~ss(s1 • R~'ER FOIT~IA.~ WIIsLIA~`'S, Priscilla "gE~ Lp~~ ~~QPn~~-~~~ p~E;~~ CLERtCtaCtl~iC01lAT 516 h` 22nd Street REC9A~J vEA1F~f0 • • , ' ~ . ~ , n., . Gi~Lit~ t ~s -:~-~5~rangePhone?4o2~e?~`1 ~ 6 ~Q ~1 M1'73 F't. Pierce, Fl~rida Fort P;rrce. ~~orja~ ~ n~a r~aftin~ :~ulneNM cov... Ih. lells,.irp ~!P~+ ilw.l of o.w«+,,: . ~ ~11 of the househ~ld g~3s now or hereafter lncated ~69~~ ~ s. b.l.~..c.) .r s.a..+ r.Af .d A++i...t..t at the debtnr's residence address set forth above. ~ e. e6«t if .rw 00 n~. .aso. ~.wb~d M th.w« 2~t. i.s. ha.. ?.w Ol.c.e .e /h. p...r....r ie.tev~w+. s.cve.+ 2~aJ~i~~ 1w~~M, and ~ritl b~ oloc~d on awr ed~tiewd and sfsilor insenrwww/ Md awr w s~ar~d. ~"i g Tl+is s~M~w»nt is fiMd vrisAwf N» d~b~er's sionslw~ ~o arl~ct o wcwitp iM~n+t in c~1leNrd. (Clrck ~ N s~) ~ p wb.eer wbi~d a e s«w~+r MM.«~ in awoNr. iwriaditr{ew ~rMa i1 v~.. b.o~A+ iwa ~Ms .rd.. Q~rhich is orec~~ 01 Nr erioind calleMra~ dNCrib~d obe.~ in ~rAich o s~cwitr inNnst wa Mrf~cNd: ~ CMc4 ~ if covw~d: ~/rx~~ds e( Col{eNrel a~ alw cov~r~d. ? hodvsM et Ce11aN~ot en alw uwr~d_ Ne. ef ~dditiowd SMNs p~Mw»d: ~ F~~ w~: Clerk f, . P T,, LIB~RTY AN ~ A N ~ ~ ' (~t/ sr•~ ~ ~r' ~.,w.a s.a..e ?«+r~~«~ = s~o,,,ti,N.~ o~ aw«c.~ ~ } eooK 221 PAGf ~72~ ^r;y FORM 2,3 FL? 12-00 ~ 24~-00-00 G6 4371371 -c._... _ . . . - . _ _ .