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; This FINANCIN6 STATEI~IENT is preunled to a fil:ng otfice~ tor filing pursuant to th~ Uniiorm Com erc:al Codt: 3. U1~tuntY date (if airy):
1. Debtorls) (last Name First) ~nd address(es) 2. Sewred Part~r(ies) and addras(es) For fding Off~/~~ayr (Date, Time, Number.
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4. This financing statement carers ihe tollow~~g types and/or items o( propeAp:
(a) If describsd. Motor Vehicle as tolla+rs: _ _
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1EAR ' MAR[ :~OOr - TT~E : YOD[L NO. • •LNtAI MYY~E~1 YOTOR NYY~(R ' No. ~ 5. Assignce(s) of Secured Parry a
Address(es)
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ToQelhet w~th ali Tires. BaNeria, Radios. Heaters. EQuipment and Acuswries now or hereafter attached therdo;
ib?~If cha~ked at lett, a!1 h~~sehold gooels, fum~tare, app~iances, and consurr~er goods of every kir,d and ~Q~C98
clescr~pUOn owcied at the Urtv of the loan se~urecl her°by, or ai the time of any refinance or renewal there- ~ V
~`q of, or cash advanced uncter the loa~ agreement sewred hereby, and 1~ated about the p:em~ses at the
Oe~tor's residence (unless otherw~se stated! or at an pther jce Uon. ta ~k1~jG1t'f~ 8Qn¢s.?naY be mo~d.
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This statemart is fikd wdhout the debtor's signature to pe~fecl a secunt~r i:tterest in coflateral. (check :x~ il so) ;
~ aiready wbjtct to a se~ritp ioterest in another juris9idion ~hen it was brougM ~nto this state.
E, which is pr:~cetds o[ the orig:nal oollaterat desuiDed abwe in whicA r sewrity interest was perfected:--- _
Check ~v il covered: ~ Proceeds ot Collateral are also cavered_ ~ Produds of Collateral are alsa corered_ No additianal S"eets ~resented:
fUTURE ADVANCES ARE ALSO COYERED. Filed M?dh: - "
TNE S~CURIIY iNTEREST Ydlll SECURE FUTiiRE OR OTNER INDEBTEONESS.
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