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HomeMy WebLinkAbout0541 i _ i i I r I ! i THIS STATEMENT ir prw«+t~d to ~ fili~p oNic~r iq filie?O punuant to tM Unilorm Comrn~rGN CoW: 3. 11Aatwity dat~ Ilf ~ny1: y/~ ~ t D~btorlsl I~~se Narrw ii.al sra war~sqel 2. S~cw~d Y~rtYliyl and addrMS(~s) ~O F.IN1~ OH~t~f IOM~. T~/1~. MMbO. I~/ ~M.~ ONK~1 iILLLIAKS~ 1~S PSASOI~I~L TA1tIFT P'I.A11, II~IC. FILEt~ AN;, rECuROEY P.O. HOZ ~I~T Sj ~UCiE c0!lNT1' FLA. P.o. Bwc 1~223 ' „ ~ocr= ~o~iR,,s ~Amfi.i7 ~o~b I4~ ~1 l~ ~ia~i ~'~ii 3fi~T~~vst RFrapC v a F1E0 C U I~'E. Pisrc~, Fia. ~~'as, ~,331a50 ~ J04~ ~1118 ~Q 39 ~ ,n/~ 4. TAisstat~m~nt t~f~rs W o~iyinal iinancinOStat~ma~t b~ino Fil~ No ~ ~Y Fil~d witA 0+ ~i.C~Y VNii'Y n~tt Fi1W ~r`~ / ~g~ l 5? COntinuatiOn. TM wipnal fin~ncirp sUt~rn~nt b~tw«n tM fwppiep U~bto~ ~nd S~curW P~rty. p»rirq tiN numb~r shown abow, is atAl Ni~ciir~. T~ 6. ZS TNminnion. S~ewW prty no Ion~r daims a wcwity intK~st unda th~ flnancin~ se~t~n+~nt bqrirq fN~ numb~r shown ~pow. - 7. ? AssipnrrMnt. TM a~cwd pMty's Hd?t u~W~r tM fin~ncley stst~nynt bNri~p flq nu~ntNr fbpyrn ~bovr tp iM P~OPwtY d~sc~GWd in It~m 71 Aas bNn tssi0n~d to tM ~ip~ wAO~ nMr» ~rq ~rNS ~ppyr in 1 i~rn 71. 8. ? Am~ndrrynt. Fin~neinq St~s~rs~w~t bwln~ fY~ numOw flwwn ~bow ts an.«+d~d M s~t fweN in Inm 11. 9. ~ RNMSS. S~cwW Party r~INSa tA~ coil~t~r~l dweribW in It~m 1/ from iM (Insncirq sUt~rt~nt WrinO fil~ numWr aAown abovr. ~ O. ? Ch~ck it tru~. A11 docurtw~taryr st~mp 4x~s dw an0 p~Y~b1~ or to b~cortw dw nW p~y~bl~ purwsnt to Chpt~r 201, F_ S. hsv~ Wp~ p~id_ 11. NO. 01 ~dditipryl ~ANts pr~nfW: ~ Pe Tmrift Plan nc. BC:r F'A6E ~ ~ B~= er: - SiOnatur~(s) of peptorls) (n~cpsarv only it It~rn 8 is s~WtcaW~). SMnatur~(a) 01 S~curW P~rt~li~s1 ~ STANDARD FORM - FORM UCC-3 . ; (1) Filing Officer Copy = Alphabetical w~.o„w ar s.~..t,.r o~ stn., s~,t. or F~ww. s