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HomeMy WebLinkAbout0543 I ' 3 ~ ! _ . 9 ~ ~ ~ . ~ rMi3 fiNJWCItiC SiATEAAEHt is pnaenNd b o fiWq aE!'icx for filug Tr?woet b 11.~e Uw:ferw~ Conrwerool Cod~z 7. Matwiy dote (if mqr)c ~ t. D~M«(a) (lod Nome fi~st) end oddr~ss(~s)~lC~f~~ 2_ S~cw~i ~aAyCNa) ond oddr~ul~s) for fiG~q W£ar (Dote. Twne. N.:/wbes, oad FWq OFficel ~ ~ '1"~i" l FILEOt~_ ~ ~Q'~ PaiiJ,~II~ 4 ~~Z~Mt'1'~ ST. LUC~t ~ JL'NTY FLA. 313 Sout~h 13~ St~c~st 3~18 South ~idea~l Hi~ R^:~ -~-aas ` Ft. Piea~ae~ ~.s. 334So c~~"X ~ J,- cauRr ~i~ ~~'QA~ ~a. 3~ prri,F~ .If: i~"~. ~ ~Q S? ' 1. This £nanc~np swtrwe~nf tove~s IIw fdb~rirg t~Pes (or itnws) or prope~fp' ~N T~ ~ ~ Atl ol th• cons~w~r qoods now locoted in or obout th~ yrt~ais~s co~stifutinp th~ d~btors' r~s:denc~ ot thtir oddr~ss obor~ s~t (onl~ or at a~r oth~r oddr~as to wrf+ich th~ san~ wor b~ «mor~d ~d anr Orope.+y ~ list~d bslow. S. Assiqnes(s) oF Secwed Io~h end Addr~sa(es) S~-", _j Th~ (olbwfny prop~•ryr: ~~VV~ ~~~V~ ~ yT ~ 5 acud odN~.si. .b~ .p~sti.~;9 eVO~>r O~lo~, s~owa wa Mr Mo~.O~ ~p~rr~d 4? Q~M• 101. f6r.do SbaNS. a7, b.r b+~ ~ ~ o-~ced o~ eM Ra+~~so.? .nm~..w.~ts rc~r.~d MreOr, ud .np b dowd on enY edb~.od eM rwlv :w~tr~wieiv Ma w~el b O fKM~ ~ ~j= Th~s sbNwwn is fled wifl~wt tM debtw's sipnolvre b pe.fM o secwih n1e?~st in wllatrrol. (Check ~ if s~} ~ ~ A~reody wbject fo a sscwiy inter~sf in onother jur~~cfion when i! wos braryhf inlo Mis sM4. ~ v.hich is proc~eds of ?1~ wiy:nol cdbteral dewbed obar~ in vrhkl+ o s~cvrih inM~st wos p~rfechd: ~ ~ Cneck if crnred: /roceeds of Cdlohrol or~ olw cov~r~d. Products of CdbNrol o~~ alw cwrered. Nc of odditionol Sheets pr~seMed: ~ F ae ,~,ti ~ al~c]~ ot nirauit n~~ 5 ~ ~ ~ e~(j~ ~ ~iE ltara~l 1'inwnew~ (~i0~`DOl'ati~Cfi ~ ~ ~ _ !~1 -rLL ..L~_ ' ~ / bY~ Signolw~(s)~~s~ (sl of Secvr~d ?mhliasf ~ ~ STANDARD fORM - FORM UGC-L ~ ; ~ ' il r"~• , _ / , ~ ~J - r , . ~ ~ . ~?vwared bp Richwd (O1d1 Seorw. SecreM.y ol S~at~, S+aR o~ FIo~Sda , ~ , - ` _ , ~'y _ s = r s~4 a~._... _ . ~