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TFSIS; INAlY.IhtC STA1EIrtEN1 is presented to o film, ofliter far fil:np pursuant ro the UnH«rw Coran+erciol Code 7. Mowrity dote (if ony):
1. f>.bror(s) llr;at tterwe fist) and oddressiss) 2. Secured ~artr('res) and oddnsales)~~ tw t~ ~tAi t:r. rr..a,... "'d fi.e ON:r.!
.7ackson, Annie Kate Blazer Financial Services, Inc FS~ED AND RECORDE~j
433 N. 18 St. 2506 5. Federal Hcvy?. LUCRE ~~3U~iTY. FL'A'."
Ft. Pierce, FL 33450 Ft. Pierce, FL 33450 - - ~ ~s-;~)
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a Ths financirq sros.e•.n+ corer the fdlowinp ht„s (ar items) of prepery: '79 AaR 5 W'I I ^ . 2
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f?11 appliances, furniture, household goods and chattels
located in or about debtor's residence. s. Asti9n..cNars«~r.r~?~rc~r~wder.,.le.) j
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6. Tke recwed perrytsl..br.q.eev.lrl app.ars 6eto.. ea4s dar the fa.ps..ew.d a Cby« 701. Fbdo Ssat~res. ~ ~
3 vbc.d o. rk. orow.ar tirw.ers sscw.d kw.br. o*d ~ b. e1.c.0 n or oddro.d ad r..b .s..+~e.r Mo ..or b. so secvr.d
This stderwent is fihtd without 1M debtoi s sprwture ro perfect o s.cvrifr :meres+ M collo+erd. ,Check ®if so)
Alreody subject ro a setWi+y interest M eno+her jurisdiction when it ?os brought into M:s stoN. T
.rhich is pr«eeds of the erigino) cdbMrol described above in which o security interest wos perfected:
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Cti.ck ~ :f covered: (jC/r«eeds of Colloterol on dso cerered. ?roducts of ColloNrol ore olw covered. No. of additionol SMHS present.d: f
find with: St. ulcie County
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Si0nowre'si of tors! Signotvreis` red Iortr;ies)
STANDARD FORM -FORM UCC-1 aCM ~ ~Afi ~tK7(.? `
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