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THIS FINIANCgdG STAi6MB~tf is b a - " ~ - - - - - - _ - _J
pnse~rt.d - - filig atria.. for rdit0 pursuant b the Unitornt corrrrreraid coon 3. Mohiriy? dab pf any:
1. Debo$s~ p~oa tiatrte First' and addreesleel 2. Suawad Pbrtyliet~ and addreeNosl For Filing OtBar (Oote. Tirrre, NrrnbN
' and FiWrrO OHiasl
R$b~$N, 41ILLIB & CORNS EAGLE FCNANC$ 4~IS'S~~
2205 Ave ~ Q p•n. BOX 3265
FT PISRCS, FL 33450 FTO PIERC~ o
L ~
RIDw 33450
4. This Arrartdrtd MolsrrtsrM soars Mie toNowirrp frptts for iserru~ d psopeAy:
A3 PSR 3CHSDIILS "A" HOIISSHOLD (300ffi
E
P !'COX 3265
{ 05 7 S. F I~ETtAL HWY.)'
6. Tlw sewed porhtsl, whow siyrwsurNsl appeon blow. stubs flrat the stomps rsquir.d by etropb. T01, • PIE~tC~, ~,ORIDA 3345
florida Stohrgrs, it arty, hors been placed on the pnanwssory itwrunwNS secured hsreby, and will be
plead an any additiawl and sinrilor ietstrterrwrt Mwt rtwy be as sewd. -
This stobnwrt is filed wiMrout the debbr's si0rwf<w b parted a sswity interest in aoNobrd. (Chedr ®if soi
? Already subjeet to o swwiry irrbrest in anoMter jursdidian when M was brw~rr irMO this sbb.
? 1M+irh is proceeds d the aipirrol asllaAerd described abate in whidr o sewily YMwest was perteded:
Checlr ®if aoard: ? hosed: d Copanerol an able osrsred. ? Products d Coflorerol ore able covered. No. d Additiawl Shoats prewrMed:
Hled wills -
~ SA(3LS ~FI CS CORPO ON
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STANDARD FORM - Aaaaad br 15dwrd . Sr~~l d Pisrida