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r: _ ~ ~ _7 * v ? • . i i ` THtS FINMKING SiATfMEIiT is presuNd.b e(ilinq oNicar for filieg pwsuont w th~ Unifonw Gow~rciol Code: Mo~vrity dwe (if any): t. DrbNrit) (tep Ne~M f~rstl and odd.esst~s) 2. S~cw~d ?arer(:~s) and addr~ss(~s) r« r~ orr~.. ~ow, t~... ?w.~e.....e r- olf~os ~ 4 PawQl~it, Robezt b Carole B1ssQr Fiuancial S~rvices, Inc p ` 128 1~1 12tb St - 2506 5 Red~sal Hiyhway ~i~~~ ~ ~ Rt Piesce~ F1 3345A Rt Pierce~ F1 334SA ~ ' _ c~ .a~ c«cu~t cvunT € ~ ~ ,,:;:ciEO } i ~ 1. Tbis Financiwy sbNw~M1 corKS Ih~ foilewiwY hPK (o~ i~wws) d P~~Y= OC~ t~ 9~ 03 aH' T` # ~ All hottsehold 9oods at snd azound the abave a,ddzess. " ~ t ~ ~ ~ S. AssiqM~fs) 01 S~cw~d ?wtr ond Addr~ss(~s) ~ . 3~~'~g - i 6. Tb sc.wd ra~+ir(~L .~..o.~...~a a,,.a. ~.a.. r~. ~.ro. ~.w•.e a c?oa.~ w~. Fb.eo s~... , a,,. b.. e... doad o~ Av po~w~oq r.wr~ rc.nd 1rr~br. od .i b~ pbc~d w vry oddred o~d rwb ..r.w.~r dis ~ Ee o rc.ad this saaawwf ia iit.d wr~+hw~ Nw d.Wer's s:qnorw~ ~s perl~ct o sear?ifp in!!?yf if~ tO~1olNOI. (CIMtk ~ N f0) ~ ? AlrNd~ srbj~ct 1e • wcyritr 'w~M~~st in anoNrr iwis~ion v.Mn it ras bro~qAf in~e fhis s~aN. ; _ Q wlrtA is p~ el tl» Niyi~o) ee11o1~ro1 de~criMd abov~ in r.l+ich a s~swity inNr~s~ v.m p~r/~chd~ ~ CMck ~ i! ce•~r~d: ~ hoc~ eI Cotlat~rot an dw cowr~d. ?/roduch of Cellohral a?e dw cowr~d. No. of odditiawl SMeb p.~s~nNd: ! t Fibd wifh: [ _ 't € ! i ' I `r~ ~ O~Wer(s) ~Y~ { ~d~r(~ ~ STANDARD FORM - FORM UCC-1 (i) r r^..; - Alphabeticai ~w.ewa.s.cmwas.w.s:w,aFw.d. - ~ - - - _ ~