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HomeMy WebLinkAbout0854 { ' ~ ~ ~ . s t - - ~ - - - - - - - - - - - - - - - _ . _ _ , - ~iN~NCiNG SiATf/MENT is p~a«~rsd ro a fil~~p of/ic~r fo~ fil:np pwsvan~ ee fM Uniloran Coiws~rciol ~od~~ ~ 3. MMvrihr dot~ (:f ony1= ~ Der,rm;s: ttesf Non» Fin~) ond oddi+sa(~s) 2. S~cw~d /aetp(i~s) aed oddrn~(~s) I« F;iq dtKw ~o~w. t.r. ~~~W~nl V !`II,TJN~ ~rOISS P~RSONAL '14i~LFT PLAN INC. p~ ~ ~20 B Kea¢~s CAnrt P•~• ~47 4uClE C4UNTy~ ~ Ft. PierCe~ Fla. 112 ~outh US~1 ROCER P8ITIIAS ~ 33b5~ Ft. Pierce, Fla. 33450 ~LERR CIRCUiT COYR1 ~ Rf CORO YER!Ftf 0.~.~••w , •^:s ~~noM~nq arah~~ co.~rs th~ tolbr.wq bP~+ (w i~~ws) of O?epM1o 12~ e ~ i ~.L OF AHOQi's D~H'I'OR~ S HOUSEiiO~.D ~OODS~ F[JN'IgTBI's AND P$R~l+1AL - s. n..~...~.) ~ s.~.+a ra.e„ .~s ~ea~...i«) P~Pr~Y'• ; T ~ ~ ~ ~ . _ ~ ~-•:c~ ~f trw ~ TM s~amps rpvir~d bp CI~oWM 201, i.S. M+~ b~~w P~«~d on tM p~awissxl imtrvwNwM s~nrcad s~ -~•eby, ond wilt b~ ploe~d en anr edditiond ond siieibr insl~wMnt tha~ inal b~ w s~t~rsd. i~ ~ star~n»nt is lil~d wirlavt tM d~b~or's ipnoh+r~ b p~riM e s~cvritp ~n~ens~ iw cdlot«d. (Ch«k ~ if so) ~ d ~ A!.~ody svbj~et ro o s~ev~i1~ ie~»nst in onwlwe jvrisdietim wMn :t wos bouqR~ iMO this sfoN. «h;ch is pec~~ds d el~e xq~ne~ edloNrol discriMd obu~~ iw r+hich o a~cvritr inNns/ ares P~KMd: ~ ~ co.e?ed: C trocwds of Coltoarol on elw co~r~r~d. Q?red~cls of Co1lat~rel on olso covor~d. No. ef edd'M~ono~ Sh~~s W+N^~d' { 3. F:'ed with: ' ~ - Y • i4N ~ _ / 'i / ~ - 5 ~ . _ ar` ?oAlcits) ~ f _ Si9nplvr~~i~ of Dlbtwlst - ~ STANDAIlD fORM ~~VRfA V\r~r~~ ~ x~ z ~ ~ . _ , . . . , , ~ ~ A~owd br Tan Adoms. SwNO~r of Stete. S~af• c~ v - _ ~ . . _ , w"C`' .Y. F y ,~4; " : . ~ ~ `.'.Y ~a" u'.°ro 3 s . 9. , . ...1.~ :.~z . _ _ . : ~ . ,