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- - ~ I i _ ~ . E ~ ! • ~ e ~ F. ~ 14~5 FINANCItIG SYAIEMENT is p~wn~ed b o Flinq off~c~r fa Rli~p pwwont ro th~ Unifa~n Canme~ciol Cod~: 3 ~~Ab~wily doM (if any): - - - - p D~bror'?! :lo+~ Nawv f~rsfj ond odd~~is;~~; -r7 S~cwed Iwlyfi~s; ond oddr~ss~~s; iw fil:wp OfRw (DaN. Tiin~. Nu~wb~., and t:Gwo Wfiul ~ • r: ~ . ~MOAEC ROEO ~ ~ ~ ~ ~~IE CO ~s ~A. ~ 1lOCENP " ~ •.i ~ n ~ _ _ c+t _ 7^ i: ~ i ss- ~ n- n. ~ -~7 ~r.. CIERK C1RCIMT COURT • , r-. •:c- ViRIFtED ~ a This f~'wncinq sro+em:nr ceve~s ~fie fdloriny tryes !a iiw~sl « pop~rtp: ¦S/~ ~ . ~ ~ . ~ Y~V All of rhe ccnsume. poods nor located 1n or obou* M~ pr~m~s~s const:ru~~np fhe debton' .esidenc~ at 4 ~ tF.~l~ odd.eas obo+e s~r lo~th o. at my orhe~ oddr~ss ~o .+~+~ch ~he ~on~* mop b~ r~~no.ed ~d ~r oroo•.rr ~ Lst~d b~tor. ~ S. AssipnN;s' of S~cvr~d ?orfp ond Addr~u;~s; ~ ~ 'r!N'fDilo.~ny propvtr: ..~,7_ ~ a , ,..,•.e . ..q,. ..o.,,w•..~ e.:o... ~WY~ ..y ..~..•a a c~.. ior. rb..e~, s....N>. b.. w~ ~`~+V~~4 ~ :•aed >~+v a,,.•,~+wr .•.a~..+r-r~ ~ec...W ~~b?. o.Yi w~N Ee d~so w av adAr.o.~oi ad a.w`b .~s+~.w..~.r !M~ ~+ot b~ w r~N~d ~ _ ' _ _ _ 1 ~ Tcis sbfemeM is ~~kd witAout Me debfa's s:ynotvre ~o p~rtetl o ucvril~ ~ntrresl in cdbfe~ut. iCheak ~ if soi j Alrrod~ wbretf fo o uw.iry inreresl in anothtr 'ryrisdicrion when it wcs brouykl into 1Mis slole 3 ~ ..h;ch is p.occeds o~ fhe wiy~nol cdbte.ol d~wibed obo.~ in which o sec~riy iM~reat v.os p~nc~4d: ~ - _ _ - - ~ rtiec~ $ if mvered ?.oceeds oI Cdlohral er~ olw co.~red. hodvct~ oI Colioteral aro atso co.~r~d. No. of odditiaql Sheets pr~~ented - - - - - - - _ _ _ - - - _ - ~ - - ~ F~I~d wiM- - ~ ~ _ _ _ . ~ ~ R ~ SO~dI~G~ - _ - ~ _ _ - - - . • J ~ d?`--- - _ C.~ ~ Siqnolvr~(sl of D~btals` Si t~ntsl a~f~r for ,ias----- • - ANDARD fORM - fORM UCC-1 ~ ~*.;r~ n~-r!~.^,FR COPY - AL ~:BETiCAL ,~.~.a br t~~~,a.e io;~t~ s?«.~, s«,.b., of i~a,.. s~ak o~ ri.,.;.~~ ~ ~ ~