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~ TH1S HNAMUNG STATEMB~IT is pMenlsd to o filin~ officer 1or filinq p~rw~on~ b tM Unitam Cannenciol God~: 3_ Malurily doN (~f wq?s) 10 80
~ 1. P~blorls) 1~ Nonr F"as?1 and addnssl~s) Secwrd IbAylies) and oddr~sMes) fw Fili~g Offia~ (Du1~. T'n~, Nun~,
and Flirp Offioy
; Rel la, Mary H. GLE FINANCE .
150 E. Priaa Vista Blvd. B~~ 3265
~ Pt. St. Lncie, Fla. ~452 (?Q~7 S. FEDERAL ~tZ~'Y.)
~ • I'. PIERCE, FLORIDA 33450
n,~. r~ ~ w+~ ~ ~a ~ `3~'.~3
~ As listed oa schednle aA" security list dated 10-22-?5
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~ s- A~iiq~,..~s) of s.~w.a P~t~? a,d Addwal..~
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~ 6. ihe asaui~d pcrtyisl. wl~os~ siynot~xe(sl oPP~on bdow, st~ota Nat tl+e san+P+ ?puird M~ dwpl~er 201,
~ Horido SbhM~s. if orry, hone b~an plot~d on 1!» pranissory w?struments secw~d herebp. ond will be
plood an any addtionol and similw irotnin+~nt thot moy b~ as t~cwed.
~ This sRrArmant is fild wiN~ouf fh~ d~bbr's siqnohwe b pKkd o NnKily im~est in collolerol. (CMtl~ ~ if so~
~ ? Altiady aubjat ~o o naxiry ineaest in araN+er jwadiction wlwn it wos brayht into this store_
~ ? Whid+ "s procsds d the aginol aolloterd describsd obare in which o secwity imenst wos penc~tsd:
n CMck ~ if aowerd: ? Procyeds of Colloteral an olso covered. ? Products of Collot~rol we olso cwered. No. of /ldditionol SF~ee1s p~a~sntsd:
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~ xV • BdGd~ FINANCi$ OOI~P
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~ STANDARD FORM - FORM lKC-1 .
(i) Filing 4fficer opy - A1phaEisticaf ~roMed M~d~ord lo~l sw~., ss~..wry of sa~.. s~w~. ot ~o.~do ~
_ ~ ~ p~C_ IDE15 NO. 1679 "
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