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1- D~bMsl (tost Na~~e f'+stl and oddiestfesl 4. Setu~ed Pbrh~iesl ond odtlressks) For Filinp Off'~r (Date. Tirne. Nunbtr. ~
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Bo~rnan, Mervin A. Sagle ~'inance ~orp of . T'. F~E~ ~Ke gECOROE~
' =T. ~UCIE Gt1UNTY FtA,
ipb 15tt~. St. 2~~57 S.Fed H~y ROCEF ?o~~A~5 -
' Ft. Pierce, ~la. ?345~ Ft. Pierce, Fla. ?345~ RErofln r~~iiiED
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All of debtor consumer ~oods listed at atove address to Z~~~~ ~j.-
~ ir.clu~e al I fi~ctures and i~rmrovements. S. p,,,,~,
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6_ ll+e seoiw~d portylsl. w~ws~ si~welsl oPP~s b~bvr, stot~s thot the s~omPs ~+4~i?ed by Chap~t+ 201.
~ Horido Sb*Aes, if any, ho.e bea~ plomd on 1he prwn~s+wY i~t~K t~nwed tK+ebY, a~d will be
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plocs~d m an~r oddtiorwl and sw~Nor iestrumaM N~ot may b~ as seawrd.
~ This stotan~era is filed wiMwur ~Ae debor's sipnohw~t b pw~ed a aeourAy irueresr in aolbeerol. (Chedc ~ if so) ~
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?~M~y x,bMd ~p a ~sarih i~ in ano~er jui~dKtion wlNn A wos brought "aao this stote. ~
? Whid~ 's piooe~ of the orqi+ol eolb~e+al described ubare in which o secw~tp intercst wos periected:
U~ed~ ~ if corere~ ? Proceeds d Cdbterd ors also eo+rerd. ? P?aluds of Cdloterol ore olso covered. No. of Additionol Shee~s p~esented:
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- STANDARD FORM - fORN~ lKC-1 er ~ . PAG~ •9 ~
~i~ F~I;r~ Q{jiCBt C4PY -{~~pF1866}iGa~ APP~~d ~ Ridwrd iO~tk) Seo~e. Secretary o! Stase. State oi F~oride
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j,G EXEC_ IDEAS NO 167V
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