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l I f ~ ~ ~@ ° t ~ ~ .:"vA^1Cf1G S Tc~:!E ~s o•eee ~teo to a ~:v~~ u+!~..e• to: f~.:,~4 au s ar: *o tne Un.torm Cammerud Code i3. ~lat~rih aate.lif sny)__ V7~G---_,--- _ _ _ _ . _ _ f Ge:.rre^J Pa tY~~es'. and adMeuies) _ _ _ T co. F.:.`f',On•r iG+Ye. ~-.e ti~mt~e~ c.~.yriNn: ~ ~.lto~;s1 ',~asc ~Jarra ~+•s.~ a^d sAd•etsies~ ~ ` _ i ; Personal ''hrift Plan ~nc. F~~EO ~hG ~ECO~oEO ~ ..eroy and ~:atherine :.obley ~ s SLLUC~E ~oUMT1r f~A. ~ ` I~ ly ;:ortn 16 St. li2 ~outh r'ourth St• ROG~R r'.~s~R~tS ` CIERR i~i~i,~~i COURT ~ ~ :'t. Pierce, r1a. ~:1tS~ . i Ft. Pierc:, r7a.33~~0 - RFr^p^y~:;~~~Ep..~ - 1-------- ' + - ~ . 'h~i tina~ciny staten:ent co.ers ~fa lalloning tyors lor itemil of P~overt~' ~/O ~e s ~ Jr'~i:U. :~._:.~0; :'S ~~~t~:I`: it~:~ HUi;S:~-I~:.ii sOvD5 ~i:~i Pr:.=tSO:i..L 5. Ass~sneeisl o! Secvred Ps+tV snd Addr~sslesl ~ :'.t~P~::~TY ~ - ~ - - - - - - Z$~8Q1 : • eecu•ad 0+^~ifl. ..~wse . q~ s~ ww~a w. a~arn rr>t .ey'W+ ~a~:, rn1 br ~r~+ea 2qt c,o~.Aa J<stu~es. .t r~. Ra.~ Lie., 1 ~ ~ ~.:~.M o^ tne t~o~+sso« •~atr,~-.e^•~ y~,. •M n.+stn ~^*f w~.~ De o~xM r sr'~v ?.Y~•t.o-a~ ana a~m.a~ ~:x!.~e~.~ tM1 ~e~ t.e io v":w+d : ~ . . . _ _ . ~ -niy sist~rrynt is f~led w~thout tM debtor's si9naturt to pNf~ct s s~currty int~r~st m collater~l. (Check~jif sp) ' ' AUfsdY subject io~~ sKUrity intNest ir. anpth~r jw~SdittiDn whM it wn brouyht int0 tAif S4t~. ' w~ich rs prxNds ot th~ wiQ~na~ co~~n~ra~ tlescnbed abore in whlch s s~cu~ity i~t~rest w~s pMfoct~O. _ i ~ ~ .~~f cov~red~. QProc~~ds ot Col~at~r~t sro aaso cov~rsO_~Products of ColUterN u~ ah0 cOVHtd. N0-0f sdd~tiOnal $hNii D~lSlntld. ~ =~isdwith. r .~T. L'JCT- ' `~~n~-- - - ~ ---~+~~-~~-~~s:~-C~-- ~ ~ r -P~"' i~: ; T~IfiIr i - -q~ - - - _ _ _ _ ~ _ - - - - _ . ~~_Q~-~,~r~--_ e~~ - _ - - - - - - - - - S~gr.ature(sl Of r~io•isS yn~tu~e(sl ot SoeurW Party(~esl ; _3'~:> ~Q ~ STANDARD FORM - FORM UCC- S(1(3~~irV t F~i.r•~ - Alphabetical APO~OVeO~YS~ret~ryotSUU,StDtAOf c~.,. - - - - - - . _ - - ; . ~ 5 _ ~ ~ x . ~ _ M ~ . .