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This RNIINCINC STAiEIAENT is presented to a filin~ offieu for fiGn~ purwant to the Unelorm Ganmera~l Code: 3. M~turiry date (if any):
1. Debt~x(s~ (Last Name First) and addras(cs) 2. Seaued P,rtr(ies) and address(es) ~15g56 for fiting Offia~ (D~te, Time. Numb~.
Avco Financail 3ervicea of Ho ~~'"g
Poitier~ Bernard and Glo~ glorida Inc. ~
2513 Tropic 81vd P.O. Box /~,311 ~
Ft. Pierce, Fla, Ft, pierce, Fla.
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4. nus fin~~a~a ~,ten,eac oa?«: tne talowi+~ trves ~~e/or ~cans of vropertr:
(s) If described, Motw Yehide as fdlorrs: >
•cu~ rwRC ~oor -~~~c rooc~ wo. s[~~wt wur~cw roTat wvr~c~ ro_ cY~. 5. Assi~nee(s) of Seared Partp and .
Addras(es) -
F LEO ANp RE~ ppE
a~ cuc~ ~ F~
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~ Toeether with aN Tira, Battenes, Rad'as. Hsatas. EWipmait a?d Aote~oria aaN or herwtter attscbe0 tbetsto: ROCER P41*RAS ~ -
(b)~checked at left, all househa~d goods, furniture, applianaes, and consur?ter goods of every kind and RE' n~ER~ Ci~e~~j C~ T
description owned at the time of the loan secured hereby, or at the time of any refinance o? renewal there- R~ yFR;~~E' A V!
of, or casfi advanced under the loan agreeme~t secured hereby, and located abau the premises at the -
Debtor's residence lunleu otherwise swted) or at any ottier location to which the goods may be moved. ~
DQC STAMPS AR~ AFP'I7~D TO O~S~I~IAL PROMISS4RY NOTE je « 32 PN ~jt~
This st~teme~ is fikd witlaut the debiors sigoature fi perfed a seauilp iMarat in ooll~teral. (cbedc Q if so) . _
p alreadp subjed to ~ sauritY i~uat in anotha jurisdidion rhen ~ was brougM into this stste. _ ~
Q xhich is proceeds oi tbe oripna! collataral desaibed sbo+re in wlud~ • securiry interat was pafeded: ~
Check 0 if covered: ? ProatAs ot Coliataal are alsr? cflvered. p Produds of Collata~l are also covered. No ~ddition~i Sheets praaded: ~
FUTURE ADYANCES ARE ALSO tA1fERE0. Fikd ~nth: ~
TNE S~WRItY INIERE9T WILL SE RE FUTURE OR OTHER INOEBTEDNESS. ~ ~
~ Avco Financial Ser ce Ho ood, Fla.
L,~~ dr~~~ Inc.
. lIONATUIK(f) O%D[~TORil1 o ~ v' a1GNAT R!( 1 i[CY ?ARf111[f)
§ d00K PAGE ~JJ~ ~
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