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TAis flNAlKIIfC STATE.11EIfi is D~+~ to s filis[ office~ tor fi6K V~ to ths Uaitorm Coaae~d~l ~ode: 3_ M~turfi date (if anp): {
1. DabtoKs~ (Lut Na~e Fusi) a~d sddras(e~ 2 S~.."~d P+ditie~ s~ iddrass(~ ~ot we .
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~?ts ~rl L. and ~a ~ ~'ON ~~fn+c c,~;,u~r couat
P~O~ ~ ~ ~ ~1~~~1' RECOR9 VEpSltE'J
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~ 4. This fiasacia~ statamnt aarea tbe follonief tlPes aM/or iteo~s ot propeAy: ~ _
(s) H desuibed. Motor Yd~idt as taYoNS: ~ -
rwai ~oot - rv?c roe« wo. ~au~ w~wa~ rorow wvMwt Me_ era. S. ~!S) S!W[!d Puty illd
~ Toe~ ~rith sN Tira. Bsltvias. R+dios. lkatas~. EVwVwad ~ad Aoas~o~iG now a laeaftet slEsdad tMereEo: - -
: (b1 If d~ccked at lett, all hanehold goods. fumiturq applisnoes, and canwmer yoods of every ki~d and
descripaon owned ai t~e time of the loan seared herebfl, or at the tims of any refinanoe or recuwal d~ere-
of, or caah advanaed under the loan ayre~ment ssa~~ed hereby. and located abait the pre~nises at the
Debto~s residenoe (unle~ od~erwise sWmd) or at anY ott~e~ locatia^ to which ihe yoods n?aY be nwred- ~ ~ l
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Tlas statetaeat is fikd witlio~t tM debEa's ai6oriure b V~~d ~ s~1 ~brat is acll~brd. (diedit ~ N!o) ~
~ sUadp subjat to s searity iataest in ~otbe~ ~':oo wAeo ~ was OrouZAt u~to t!~ stste.
p whicb is proaeds of tMe orip~l coltstenl daaibecf s6one in wlrcM a~xurit~ ~ ~ns pafa~dsd:
c~ea~ ~ ff os+raed: [7 ~s ot calstwsl an abo oor«ee. t3 Proai,ds a ootlaca~t sr. s!~ oor~r.a. q~, ~e~ibon+~ saeds vraeabd:
FUTURE AaYANCES ANE Al.SO CO'YEiiED. Fae/ w~M:
THE SEWRi1Y INTERE9T 11iLL SEI~lAf FUTURE OR O~fFIER {MOEBiE~•
TERMI ENT.' Ttis Ststana~t of Taa~iradoa d Finsnwe~ is prefsntad to s F~ Off'KU ta f~ina purswnt to tbe Unitorm Cdna~erdsl Code.
the Secw64 Puty no IoKer tlauws ~ secwits ~tuest uader fi~ncin~ st3te~eat beana[ tbe fi nwnbet sha~u sbore.
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(3) RIiNG QFFlCER- RCKNOWLED~MENT ~QQ~~ ~',E ~ cs' ?,~q~ «rw:v» N« v.w u.!.z. s~i~.a.~
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