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STATE OF FLORLDA X
. : KNOW ALL MEN BY THESE PRESENTS; THAT
_ COUNTY OF ST_ LUCIS X - r
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SERT V_ ADAMS and TsLIZABTTH KITsSSTL ~ _
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on this day personally appeared before me and being duly sworp,
on oath, depose and say : i
That EXXON CORPORATION, Houston, Texas, `
is extending credit to affiant(s) for the purchase of real pro- ;
- ;
~
perty at Indian Hills Drive & U.S. #1 ,
Ft. Pierce , St. Lucie County , Florida ,
and retaining a security interest therein, and
That (H$ (we) do not presently intend to use this land
as (~),(our) principal place of residence or for agricultural ;
;
purposes, and
That this affidavit is made to reflect that the subject
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transaction is an exempted transaction under Title I of the ~
Consumer Credit Protection Act of 1968, knowing that the said
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'i EXXON CORPORATION, Houston, Texas
relies upon ttie truth of the statements herein contained,
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- BffitT V . ADAMS
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LIZABBTH IBSSBL
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, ~,~.u.u.~~~, :
Subscribed and Sworn To, Before bie, this the-~''~~y~3xd
- ~ . .
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day of January , 19 74 ' n 17
.
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L
o ry Pu 1 i ' n an qr "
St . Lucie County, Florida~ ~ ~ ,
~ My Commission Expires
1.;iAsty _ t,. o E of FL,ri~ilDA a: ::+r~~
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-:1:(iJ::D ;siit~t ^~;HtFA! :'~SURAt~GE ~'ND[RWP.,,,~
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