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THIS STATEMENT b Drsssntad to a fNin~ oHlcar f0? filing pu?want to tM Uniform Commardal Coon: 3. Matwity data (if any): y
t . DabtoHs) (last Name Foal and addrasalas) 2. Secured PartY1W) and addrass(w) Fs Filry Olncw IWtr. Tiwr, sMwiew, sM Fd.ry ()1fa1
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Milgat@~ Gary R. b Alice Blazer Financial Ssrvices~ . _
105 Maple Avet, 2506 S• Federal Hwy,
Ft, pierces FL 33450 Fta Pierces FL 33450 ~T' k~~ Y2 ~ ~ ~T
4. Thh atacarr+ant refers to Ori,inN f inanctn~ Statement baaHrq F N• No 331025 hlc 250 EO ~`Ye~ _
St• tuai@S Ca~unty nata FNad Mar• Z9 19 96 1rn"n"' C~t
F ilad with
5. ®Continuation. TM eri0inal Tinantirp stata++ant between tM forpoirq Debtor .nd Satwad Party, baarirN file nu _ ectiw_
6. ? Termination. Secww party no lon0ar dsims • security interest under t1+a financing staternsstt basrin0 fHa number shown above.
7. ? Astigrtrrtent. TM secured party's right undo tM flrw~cirp staten+ant bea?irq fiN number shown show to tM property described in Item 11 has bean essignad _
to the aaeigrwe whose nanM and address eppaa in Item 11. i
8. ? Amartdment Finaneirg5s~tament baering fge number sftossn above b amendW ar sat forth In Item 11.
9. ? fteleese. Secured Party rMaws tM collateral described in Item 11 from tM ilnancing statement beeriry fiq number shown above.
10. ? CM[ic if true. AM documentary sump teals dw and WyeWe or t0 become dw and WYable punwant to CMpter 201, F. S. haw bean paid. -
71.
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No. of additional stoats pneentad:
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~ a001( PJ16E
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BY Signstunlsl 1 tnacassarY only N Item 8 k appticablH. r. Signature(s) Of r Partyiiaal
STANDARD FORM -FORM UCC-3
~..........w w., aw..rw.., wr brw m.e. of F 1w.:A.