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i i s ~ ~ € € ~ C ~ ~ ~ ~ ~ ~ ~ ~ iH15 FINAPICING SiATEMENT :s pr~s~nt~d ro o(ilinq officer fw fili~eq p~rs~ronl fo ?ht Unife~n~ Comn»rciol Cod~: MofGr~~~" y do1~ (~f on~): ~ ~ Debta;s) (los~ Nom~ firsef ond oddnss:esl 2. S~cur~d fwtp(ies) ond addr~as(~s) ~O' ~1"~` t~. r"~. i ~ ilLED Il+?~~ Rf~~3ttDE0 Y ~ sT.~UC1E ~~~yTY f~A. ? Gsrtrl:de You.~ Pers~nal 1~'hrift Plan, In . a~Gi r. =3~~q~S ~ ; ~ 1~07 :~e.rood Terr ~B 112 ~outh rourti~ St. C~FfK s~= villT C~iJRT ' Ci~r,~.~'.'r`• ~~Ef~.~.~~... ~ r t. Pierce, r1a. }3l~~y0 ~~`t. ~ierce~ Fla 331.~50 ~ a Thi~ /inoncieq stot~~nt cov~rs fM (ol{ow:np trp~s iw itMns) a4 propHfY= ~e ~1 ~ 4~ ~M'~~ ~ . ~4 ~ ° - AlI ot abo~:e deotor's flzrnitsre, househol-i ~oods and personal s_ AssiqnN(s) oF S~cw~d ?arfp o~d Addns~i„I r~ti propsrty ~ a~y ~ C CMck if hva Th~ seoinps r.~:..d by thap~« 201, f.S. hav~ b~e~ d«~ p+ ~ W~s?a1 i~str~~ts wcvr~d ~ Mr~br, and will M pla~d on on~ oddilionol ond simi{or instrv~nt ~Iwt ~nor be w secvred. '=a Th~s sbqnwnt i~ fil~d r.~thovt Nw d~b~o: s siy~wwr~ ro pK(M o s~cv~ity ~narnf i~ co1lo~~roL (CMck ~ ii so) ~ AlreodY subjM b o sKVrity intpN/ in Oi+oth~r jurisdicfion when it wof btaghl into this slatl. G"~ ~ whicl~ i• proc~eds of ~M oriy~nel cdto»rol d~scribd obon in wh:cl. a s~cvri~r innrest was p~rf~ct~d: . r~ r-+ - - C*eck ~j i1 co.ered: ?~ocKds o~ Cotlaferol on olw co.ered. ~ hodvNs ol Collot~rol m~ abo co.•r.d. No. of odd~tionol 51wrs w•s.n+.d: ~t • 1 ~ Filed with: ~ ~ :L _ ~ " _ _ ~ ! 1 ~L l-? P~rsonal hri ~ ' ~ Inc. , , ~ ~ _ ~r_ , ar:_ ~ . = S~ynorurr.i' ef Oebtor ~ s] of S~cvrd Iwly(i~s1 f: - STANDARD FORM utc-i Q~~~ ~ PAGE ~~.~i; 9 . • r~,.: