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THIS NNAlKINO STATEMENT is M a /il offices for f~ir» pwawM N Nr IMiforw Cow~werciol Code: Motwiryr dNe (i1 ear?:
Dolwer(c) (tmt Mew. tint) eed .edr...(..) 2. Socwed ?ery(iss) ewd eddroes(oe) a. f~ ONinr lasrr, res., tb.+....r t'i'w~ ONia)
He?nssen Ne?deline A. Blsslr Financial Services, 4559 -
705 Avenue J 2506 S• fP'edesal fN.yf. - 19TH 11UG ! 7 PN 3 0~
Ft. Piertx, FL 33450 Fte Pierce, FL 33450
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4. Thh fiwaweio/ slMewwM Devon Nn followiwo trttos (e? itawu) of ?ropry: ~ Ti/c T RA ~ l ;i
/111 appliaaoes, housfshold floods and chattels. located in fif0
oz about the above debtors resideaee.
s. Assiywescs) of Socvrod ?anr owd Addmacos)
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a. n...a..+ raylr?. •~w .wae.d.? eev.er. r.le~. rata r:e. r. +ee+r »v.•ed a u.~.e 701. ib~o sa.... i u.,,. 6e.. b... `~~~"~~as
t~~ a tln /o~o:r .weo..k r.c.nd Asrarr. aw/ d M atecod o¦ oq orddwd od rds +r..er t?s we, b..o nc.nd.
Elie stetewewt is fiNd withM 1M dortas's siynotwo N oor/ocf a sKwiy iMarott M cellatorel. (Cl:ed ®if se) f
? Akoedr sor)ed N . soanitr ieNreq ie oeMMr jwisdictiew wMw it ~wM brergM irate Nis aMto.
? wrid i. oracoods of Nr orioinel colteNrel dotuibod crew ie vrrich a secvriy iMerop wet oethcNd:
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Ctnck ®N arorod: ? ?recoeis of Coltatwel oro olw cowad. ? hodoc» e! Co1loMrel on olte cevorod. Mo. of eddit?onol Sheets ??orewted: i
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ft7ed with: '
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Blazer Cial Services ~iC.
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SiNnowro(s) of Debtor(s) 1~ SiyneWro( hrtr(iesl ~
• - STANDARD FORM -FORM UCC-1 1}R
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