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~ r?i~s FlNMK~NG STAiFiKB~tf K p~.aemed a a f~l~np oificer for ~hnp wusuo~ ~o ~h. Un~o.n~ Canrnac~d Code: 3. Mo?wihr da. (if amr:) 10~80
~ 1- O~b/or~s1 (lo~t Nane FiRt) and addressles) 4. S~cw~d PurtY(i~s) and aednsslasl fa filinq O(fio~r (OoN. Tinr, tiiw~br,
~ EAGLE FINANCE °"d F~'"° ~
H~u~anda~ Mary P.C). BC~X 3265
, 2502 Av F Apt B
Ft. Pierae Fla. ~450 ~~~'7 5- FET?ERAL HtVY.)
. ' . PI~;I2CE, FI.,ORII?A, 33~i50
¢ n+~ ~inonCirg ~ aw... the folbw?irw +~rp.. (a ~s) of p.op..ryr: ( i~~
~ As li sted oa s chedule "A" seauri ty liat datsd 10-22-75 ~
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~ 5- Auiyrwlsl of s.c~wd P~.Ar bd~w1
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~ 6. TM seuw~d portylsl. whose siprwfwels) oppeon bdow, stot~s Nw? the staeps rquind by Chopl~r ?pl,
~ Hwido Stvwles, if ony. have betn ploced on rht promistory i~ntn~nn s~twd
ns Mrebr. axl will be
¢ Pb~ ~~Y odditiorwl and sintilor ir~tnwna~t thot moy b~ os s~axrd.
~ This sb~t is Fkd witlwuf th~ debw's spraArre b p~led o
sswity iMarest in colblerol. (C~ck ~ if s~
g ? A1~wdp svbisc+ +o a s~aw~+r im..est N, a+oN~e. ju~~adiction wh.n if viios bnou~hr iMO this stot.. .
$ ? Whith is proosetls of tl~e orpinol oolbterol desctibed abwe in whitfi o ae~wity irnerest was perf~ttd:
~ Check ~ if oore~ed: ? Prooe~ds o1 Colbte?al ore olso caversd. ? Products of Collohral ore olw oovered. No. of Additia~ol She~R peesaMrd:
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B~IM P~(~ • STANDARD FORM - FORM UCC•1
(I~ Fiiing Officer Cap Aiphebeticai /~.ored tr~, ~d~o,d Ip;ct1 swr,~. ~«~o,~, of s~, 5~»e os t~o,~do
/~.l!: - pc~c. ioewt no. ~e~v
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