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~ I ~ i i ~ s f ~ ~ _ ~ J TH~S fWA.YCINfrSTATfh1ENT :s preaMt~d to o f~linq oflicar (w fili~q p~rwant to the Unifam C l~tofvri~y doee til onr:- ~ D~btwia) Ilost No~ FiM) ond odd~esat~sl 2. S~c~hd ?enrl'asl and addrns(~s rd:.y d~¦« :Dew. T~~.. !+..w~s... •a~e t.w.q Or~:c.; ~r,or, r:ary Frances Slazer Financial 9ervices, In ~ _:lU Orange Ave. , pt . 2 2506 S. Fe~ler~l~ it.~y. ,~i9 J.~'i -s ~ 32 ~ . . . .T'ierce, 'r'L 33=~50 Ft . Pierce, FL 33450 ~ ~ L 22-3 ST~I! CiE tOCtiTY lA. R[2GER POITRA3 ~ 4 Th~s Finoncinq stot~r.wnt cov~rs M» followirq types (or i~ans) of pop~rtr: a~ ~~T C~' f ~ RcC(pd VERi~I~ f il ~~F>li_~nces, furniture~ householci gaoris anci chr:ttels ~ 4~3 ~ ' : C.C.".tC'.(.j lfl Or ~~OUt c:ebtor's resi~ience. S. Asii9ne~~s1 of Secv~ed Imry ond Addrefsi~s` ~ ~ . s4 ~ t T~,. rcw~d V~?1~1. .M~r fq~orw~1~1 app~os 6~10.. rote~ M~a~ ~At so~ ~eoy~~d bir ~AaO« ~Ot. florda Sa~yh.. 1 os~. b.e 6eaw 1 d«~d w d~e p.wsw~ wr..awo+ rcrr~d ir.~br. ond b~ d«d w aer addraal o.d ~eeior .a.~~na.t M~ar .ar 6e o vcv~d. ~ . : ~ Th;s stof~~nf is iil~d withwt tM d~btoi s iipnotur~ to p~rfM o security :n~~rest in collal~rol. iCMck ~:f so) ~ A AI~~Ody s~bjM b o s~cvrify i~ter~sl in ano~l+p jvrisdidion wMn if ~ros brwqM in~o Mis stoM. ~ » wl~ich is potf~ds of 1M orpinof tdloMrol d~strib~d obov~ i~ whicA a Mcvrit~ inlKest wm pMf~tt~d: ~ `~eck $ i/ cove~ed: ?rocNd~ of Coilo~~rol w~ olso cov~r~d. Iroducta of Colla~erol w~ olw cover~d. No. of addifionot SMe4 pr~s~nqd: ^ ~ F~led with: yt . 1.(1C1~ COl~flty _ ~ . ~ ~ _Blazer F'inanci~l S~_rvices Znc. _ I _ y~_ . ~,G~,~.._,.~- ar ps,~~. L~~ ~r+ - y Siqnotv~~!s1 0( O~btw:s) S:ynotvr is) ?orly(i~s'~ oi ~ ; STANDARD FORM - FORM UCC-1 ~ ~ . _ r . - - . . . . . - . . . rr. ~ .-r :•~r r f .~__y~..~c~r.W ~~e.~ e.~.~..~ c:..:.c,