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This FINANCIN6 STAIEMENi is presented to a filing officer (or filing purwat~t to'th: Uniform Commeraal Code: 3. M3turity date (iE arry):
1. DeDtor(s) {~ast Name First) and address(es) 2. Secured Party(ies) and addras(es) i For Fling Offiar (Date, Time, Number,
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4. This finanang statement covers the following tYpes and/or items. of propert~r: ~ 29 ~11 f~~1~ ~
(a) If dauibed, Motor Vehide as tollows: ~ r~ 9 ~
- •[A11 r-- YAII[ ~OO~I - T~/[ MODEI NO. •[AIAL NUY~EI! YOiOIt NVY~[R Mo. 5. Assignee(s) ot Secured Parry and .
~ ~ Address(es)
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~ To he ith all Tires, Batteries, Radios, Heaters, EquipmeM and Aaessaies now or herwRer attached thereto; .
(b) cfiecked at leit, all household goods, furniture, appliances, and consumer goods of every kind and
~ descnption owned at the time of the loan secured hereby, or at the time oi any refinance or renewal there- _
of, or cash advanced under the loan agreement secured hereby, and located abait the prem~ses at the ~
~ Debtor's residence (uMess otherwise statedl or at any othe~ Iceation to which the goods may be moved.
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~ This statemeM is filed without the debtots signature to perfat a seauitp interest in collatual. (check ~x H so) ~
? alread~r wbject to a sewriry interest in another jurisdiction when it was brougM into this state. <
~ Q which is proueds of the original coltateral dauibed aDarc in which a seariry iMerest Mu perfeded: i
Check ~ if covered: Q Proteeds of CoUateral are also covered. p Produds of Collateral are also co~ered. No additional Sheets presented:
FUTURE ADYANCES ARE ALSO COYERED_ filed with:
~ THE S~CURITY INTEREST WILL SECURE FUTURE OR OTHER INDEBTEDNESS. -
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