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`~'f5 STA7iMFNT is presented b o filirp offiqr for filinp pvrsvont to the Uni4orm Cotnrnerciol Cod~: ~ 3. AAoturity date tifi onY): --i _
. Oebtorls) (lost N«ne first) ard addrest(es) 2 Secvred Party(~es) ond aclclress(es) ~ Fw i~l~rg Officer (Date, T~me. Nu~nbcr, ond Fil.np Oft~ce)
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Ka~Arr, xozsLLg & c~tr$ FAI+IIL7C FINANC$ SERVICE, n~c.'~9 Rac~a ~o:i
2T08 Ave S OF' FT. PIBftCE~ ~ CIERK CIRCpn Cp~~ ~
Ft. Fierce~ Fl 331t54 2506 So. Federal Hxy RECORO VEFiF1ED~„~,i~
Ft. Pieerce~ Fl 33~~ _ 1~ il
4. Th;a sateme~f rofers to oriqinal Firwncinp Srotament bwrinp f~te No._ '~~vetisi bk 221 ~ GV1~ ~
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F~s~a ,~;rh St. LuCfe Cou~1tly eea Ft?.a ~~0 19~-3-i '
S Cu~tinuation_ Ths ortgino! firo~tinp stottrt~ent b~tween t!a forepang D~bto~ and S~wr~d Pwtr, beonrq lik m,mber sF~own obove. is still affec•ive.
6 Tertninetip~_ Sscursd partY no IorqK cb~mt a~u+rih inter~st v+d~r t1v finonci~p storem~~r bearinp fi4 numb~r shw+in obwe.
7. ? Assiyrvne~+t. Th~ tecw~d Pab~s riyM unds~ fM f'uwrcin0 atotsnent b~orin0 f~l~ n~rr~bs~ tlwwn abov~ to rhs property desaibsd in Itam il hos been ass:pned
e;~°-. to tM ossiprw rAwss narn~ ond oddr~ss opp~w ~n iwm 11. -
~ 8. ~ Artiendment. Firwne~nq Stoe~n+~nt bsarinp fils nurribsr alwwn obai~ is onw~d~d os a~t fath in Itam 11. ~
~ 9. Z R~Iw~a. Secur~d Party nlaosss th~ oo7latvol dsscrib~d in Ihm 11 from rM firwn~ar+p stotsrr+ent bsorlr,p fils number sMwn aba+s. -
10 0 C]~eck ~f tr~e. All docunKn?orp stomp toxes dw ond Po7'obfe or b b~coins dw and poY~~ P~s~+~~t to CFwprar 201. F_ S. hwe been poid.
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No. of o;)ditiwwf ~heels preaented:
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~~'7C.Gl,[LQ ..~Q~L.R
Br- Sip~wt~wr(s) of S~cur~d PartyGesl
Sqnotwe(a) of O~t,torti) (+~+~s+arY on~Y if It«n a is opplicobl~f-
STANDARD FORM - FORM UCC-3 - .
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