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THIS Et1iAPlCfhlf3 STATEMHIT h prasantad to . filin6 offiear for filino pursuant to tM Uniform ComrnareW Cod.: 3. f`taturity dau lif anyl: -
1. DabtoHsl (last Name Find and addraaslas) 4. Sacurad Pa?trlias) and Wdratdasl t r . Fa Frry tHhesr it)ar. Tray. rr.rner, ana Fart' ott.ni~ ~
DorOt~r H>z`oYn Fereonal 'Dirt Plan, Ino •
3003 ~l~ Dcive - pa0~ Boz 3g4? .FIlEO AN0 RECORDEO~ _
~T, l_UClE CL~UNTY; FLA..
Ft. Pierce, Fla. 33450 Ft. Pike, Fla. 33450 - - i - : ; v - R ~ F t E 0 ~
4:~'7n2 ~
4. Thh finandM statar*wnt tovars tha f Wlowin, trpas for itams? of propwtY:
and all or austomere household ode na1 79 FEB ZI AM IQ~ 3 3 ~
arld i taa<~it~l7.'e s. Assi,rw.(s) of Sacund Partr snd Addtaados/
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CLFFtK ~~t"r.LutT :,CJP,?~~
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6. TM asvM pstrld, wrwrF pNrhraW a0iarr trrw, rYtar tM b ttampr rrperra tat t]rpa< ~Ot. Fbr4a SIrt111a~, it an11. haYa 6raa -
- OMnd an ti» /ranarnlr rrtryMab rbtl ~r~atr, awd wA d rdaord as a+r a76aeeM aas sr~r~r rsaryaaaat Hrt err M e acvsa.
i TAh atatwnant k fflad without tM d.btors si,nattxa to parfaet • saeurity Intarast M collataraf. IChaefe®if a0!
f}'"~1S AlraadY subjaa to • saeuritY btarast in anotftar jurh0{ctbn when it was brou/Itt bta tfih star..
U whkh h p.otaads of. tM ori,irtal toiiata?ai dserib.d above fn whkA . pewitY irrgrwt was pa*factad.
a Chock ®if cowrad: ?f
rotNdt of Coliatarai an alw t:owrad. ??roducts of Coilaural ara abo oowrad Nv of additbnal Shoats prasantad:
Fiiadwith: Clerk of Circuit COUrt - Bpser poitras - St. Luafe (buIIt,Y
Personal it .Pierce Ina
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Si~nat of Oabt a1 ~ 8i,natura(sl o ur.d Q''j
STANDARD FORM -FORM UCC-1 BOOK V
Approved by Saaatary of itaa, Rata of Fbrida ~
!1) Filing Officer Ccpy -Alphabetical