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filirp offiaar for ff)irp pwararrt to the ur~ifonn rar~ra.rtw co+.: 456591 ~ z lif arry): ~ ~ /
7 . Dabmrls) (Ws f~isars Fwtt) aad addrasslra) : 2 fitewtl Partyliss) and~addrasa{es) ! Fa? ~v Or11ar 1 L1ari, TYrr; Iwrreti. a f~ paoe.
I~eaphast, Jon A ~ Joan ~ Liberty Doan Corporation
3zoo s. 7th st. Lot 103 I P.o. Hwc 3748 1919 AUG 2B PK ~ OS
Ft. Pierce, FL 33450 ~ Orlando, FL 38202 p
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a. This atttarwwrt refers to eri~insl FirrrKier! stattr~arrt btarirp FiN f~- 1,29 S`t_ Lucie Ce~y
~e t~nr OR 2~'l PG 1485 at. Fil.d November 7. »38i ~co~~reR!FIED.~
5. OoaRirwation. The orginal finsneirq snttrrrmt bttvsttn the fart0oin0 D~tbtor and S.eurtd Party, bsarino fiN rwenbtr sfwwn abovs, k still affaccive_
6. P¢Twwriurtior~. fi.cuitd party no ior~r Nairns • stwrhy intrust under the finsrrurp statsnrr?t btsrirq fiN nrrnbtr shown above.
7. [ 1 A~ipMwarR. Ths saGMtd party's rpht under the firwrcin~ stagnwrt triny fiN number shown abort to the probtrty datoribad M Item 11 hts bear
..pn.d m a» a..pn.t,altos. narn. and address apot.? m°I'am 1,. .455591
8. ( I Amtndrwtnt. Finpx3rq Statement btarirp fiN nurribp shown about is Mrrsedad as set forth in item 11.
! 9. ( ] Reieest. fNautd Party rehasu the collateral deeoribad in Item 11 frpn tM finaneinp ststertrant beerinp fiN numbw ehOwn above.
10. l 1 C.Iradr if trees All doaxrrarrtary stamp texas dw snd peyabN or to beeane drw snd ps+yabN purwrent to f2rptar 201. F. S. have been paid.
11.
No. of additional ehaoss paserrtad:
f3Y:
'~6ionaturtlsl of Dsfxorls) Intoeeeery only if Item 8 is applioebNl. of iwntd Partyliee)
t l) FILINIG OFFICER COPY.-Alphoberica)STANDARO FORM -FORM UCCA
•a.ii.as r.?.. • w.tuw.~ .~c - •i..~~ s.... AOOrOraA by faOtiefy Ot staff, fitab Of flariae
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