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f i V ~ 0 TMIS FINAlKIHG STATEMEl1T b Pr~a«~Md b o FSnp offia? for fd'wq PwwraM b 11~ Uwifo?~' Co~w~e~~+°~ ~°d~' Mb1~^h dste (N m'pl: 1. D~bar(s) (last Now~ Frst) awd addrrss(~sl /o~ y 2. S~ar~d ~arfyC»s) wd adb+~a(~s) ior F6wq OffioM (Do1e. Tiwr. N~+wib~?. awd f~w~ Offio~) .:u~~s, Leo:.:.;rt~ ::°r.e. ~ ~`-.=•.:nce ~or.. ar~~-c:. FIlEO AMD RECpROE , - ST. WCIE COUNTY FL~ " ~ : l.('..E3: t..i ' ve:::;tT' luC6 ~J Iv • "1LC:"a.y A~~iEti r~~l~y' ~ ~ai ' ~ ~ : : ierce ; lc= id~. 3;1.%0 CLERK C~:iCU1T COURT _ . . ce, : ~oric.~ :~4~ ~ RFCORJ YEF.IFIED lhis fieanciwy atoNiw~wt co~s Mr fdlowirw hv~s (w i~ws) a prapwh: ~ ~ ~ All ef th• coew~~r yoeds now locm~d in or ebout the pr«~is~s consti~utiny th~ d~bto~s' r~sid~nc~ at their addr~sa obo~~ sN forth or at onr oth~? address b whicfi tM sa~~ soy b~ nwo•~d md mr ProPKh listed b~bv. 3. Auiyw~~(s) of S~ar?ad ?vb awd Addr~ss(~s) J Th~ iolb~riny p~opertp: 2 ~3'1521 . 2~3'~ S~1 ; 6. r~. ror.e od+rt~7. •w. .y..r..c,l .owRS edo.. aor. ww ra.o. ~.~+.d M P~aow io~, wo.eo s~s~w.~ H a. Ir~+ - pbc~d m tlr wars+nt rurwr+~ secvnd M~b?. eed ~ b Oba~d ow eM adi~od awd r~il~ iwMrv~ Nw ~s/ b~ n ncw~d. . This siaNwwM is f~d w~ithovr Nr d~bwr's ~ip~oh~n b PKfM e ra^h iitl~nst in coRoterol. (Chadc ~ if w) ~ Alreody wbjed ro o secwiy inNrest in a~r jurisdiction ~rMe it wos broupAl iwb tlws sbw. r MAicb is proueds of Nw oriqieol calbterol d~scnbed obw~ iw vrhid o a~aK~M w~Mrest ws p~rhded: CMc# ,'ffi :f cownd: ~ IrocMds d Cdbkrel an olw wr~~~d. ? Irodrets of CoRo1~~o1 dso oov~r~d. No. of odditiawl Sheets pnwwNd: ~ f~bd..~N~: C~ur~ C=.S'C;:.1.. CG~~=' i vF:: Gr:~. ~ 1::::.T1C6 LO"; Ui ..L~Cr ~ ~ Sipww~Ss) of (s (s) of o?h(iss) . STAIiDARD FORM - fORM 1lC~-1 (3 F'..:;~ r.:~apy - A4phabei..,,. ~,o..a b, e~eb.e c~~ sa~., s.~..w., os sw,., sfa,~ ri~~e~ ~ ~l~.-.. nfc~,,~., +,r"'' ~ ~ . _ ~