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TMIS STATEMENT is prMrnlod h a filiw~ officer for filiwq pwsauN h Ibr Uwiferw Cewawrrciel Cody: 1. Atatarih daN (if ever): - /
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1 Orbtrr(s) (lost ?iewn fSrst) end oddrosa(os1 2. Socwrd iaortp(ios) owd addrrrs(os) t:r si y OHir. lor.. rte. w~. ~ Fry ONE)
might, Arthur s Hazel Sun Bask of s 443'70~4~ty
71o x. nunfias ct P. o. Bou 8 1919 HAr -8 PN 2 15
Ft. Pierce F1 33450 Ft. Pierce, Fl 33450 ~
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R POITRASA.
This shtrwtwM .rf.n h eri0iwd fwarKin~ Stt...M brariw~ 191r Nw 370860 OR Book 270 Pag 1302 CLERK CIRCUIT COUR
St. Lucie o.b rtb~ June 30 1:S7PM 11 77 RECORUVfRtitEO~
3 u CowtiMwtiow. Thr oriyiwd fiwwcaq statrwbid brh.wt Hb forogoiny DoWor ad Sward Pwtp, borriw~ fiM wradrr shown above, is still dlreivr.
6 X$ Totwtinatien. Socwod part' we hiw4rr cfeiwts o srcwitr iwtrrost w~drr tM firwKirq stetrwtrwt brotiw0 Pilo wYwbrr sheww dww.
443'7,0
r 7. ? Atspwtwrrtt. TL. s.corrd part{s riyM rw~drr Mo financiwy shNw~ont broriip filr wuiwbw sAeww abooo h Mo property dostr~od iw lNro n ha, booty
~ h the assi4wM whew waoto awl address appoor iw Lbw 11.
ti Atttandwtawf. Fwewcwq StobwsM 6oarirtq fiM warwbw shown draw is owowdrd as tat foAh iA Itorw 11.
9 RaMato. Soawrd ?aAr rolrasos the colhabrd dracribod iw ftstw 11 fraw thr fiwewciwo atabwrN brorirq Pilo twrwbor shown above.
a t0.;,_j Chttek if Irw. All docv,wrwtaryr sta/op h¦rs des owd parabb a b brcawo des owd parable pvnrawt h Clwptrr 201, f. S. Iwao boon paid.
fie. oI odditiowd ahrols pnsowtr/:
Sun Bank of St. Lucie County
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iy~ SiOwotiwo(a) of OMlor(s) (w
wsr`wp awlr if Itow { is appticoblr). `r~ S: root) 1 Socvrrd r(irs) .
STANDARD FORM -FORM UCC-3
' C ^ a F' A Aypotrd bf Socntry o! stn. Sob d Floods
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