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Tfiis STATFJIAHiT is presented b ~ filimp officer for fiGnp ptRSwnt to 11M Uniform Ca~rnerdsl Cody. $ Matarlt7 date (!f .u7): l
t D.btor(d (Last Neese Ftrst) aQd address(es) 2 Secand Part7(tss) ead od~~v:~/`3~ Fer Fi hear
Daaiel P. Groff ~ Pamela J Groft y (au' T Nao~.*...a Fi>ms arm)
1809 Lynr?ood Avenue Credithrift of ~Inerica, Inc. (919 Atl6 ~8 PM i2~ I8 -
Ft. Pierce, FL. 33!;50 608 Colorado ~ ~ O
stuart, 7?'L. 33494
This ststemeat refers to orisloal Fioanein,t Statement No...~..,' Dated _
A Contir.eiation ? B. Partid Release j~~l
7 _ ~ c. a.aEnment o n. oa.r=. 0 1
Th. orlDfdl .tst.m.nt From th. oen.teral daeried fa Th. saeared Pa eestlfMs th.t w s.ered ~`/W42
between the f tnr and the statement baarlnst Parlp has assiped to t6a A.si~oss whoas usms
3ecaead PartF~r the file the ~ sbowa abosa~ the and address L shows below. Secarsd Parts
i nambsr shown abos+ta, L still effeo. Secand Pargr releaess the f hts aaler the ffaaoeloa statement beartas t>ts
tlvs. ls~s ~ nambsr shown .boss 1a the folbariss yso-
Pat?
4 TiM :e)eaea or asdp~ (or other atatemaat) oerors the foUowfa~ dwcrbsd oollstenls
~ lqy sad all household goods located at debtorts address listed on IICC-1
~ Filed on 5/18/78 in 3t. Iucie County Court ,
1-sofa; 1-rocker; 2-enda tables; 1-coffee table; 1-E&i~1 tv; 1-Fia~er Stereo
5~c. Bedroom set; 1-table; 4-chairs; 1 W/Pool Feitrig; 1 Y?pool Miaher; 1 id?pool Dacysr
t s )lame .adra.. of awl~aset
0 . k of .i tmt~+ Court of $t. ?~eia c-,.e..r. ~ Seetetarp of Stan
~nl. hwt.®..t prsp.r.d bs__~= .l~iielo~oh..--b0$..1`ro2arado-.--Stl~a~t,--1G~--.3,3494-
Crsdi~it t ~f ~msrioa, Inc.
Dstsdt.r~~'~t 97 _ 197gT ~ . 19____ B~ O ~
Ipatm e) o ee~'~~--- }
Rikg Officer Dopy - Aip)wbetkal
iiANDARD FORM -UNIFORM COMMFRCUIL CODE -FORM UOGj 8~~