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THIS i1NANCINCs STATEMENT is pr.s.nt.d a o fi{irq effigy fw fiGno Parer!ant b th. 1)nifecra Coarwsnial Cod.: 7. Motrritr dot. (if any):
1. Osbter(s) (last Nonr. fiat) awd addnas(.s) 2. S.orr.d ?arty(ias) and addr.aK.d r+? by ONis.. lDd~, tre, ttaarr. a+r tsw OHa
Robezts! Annie Ruth Blazer Financial Services, Inc -
604 N. 18th Street 2506 S. Federal Highway ~ ZS ,~~t ~9 _
Ft. Pierce, F1 33450 Ft. .Pierce, Fl 3340 ~W6DatKINECOROEO
~'UICiE~OiJNTY.f A.
1. This financirp staNaraas covers IIN felbwirg ~ (ar it.ar) d prop.Ay: ~ RAT
All Household goods and appliances located in or about the vERtFtED
above debtors address.
_ S. A..ion..cs) d s.cw.d ?ary and Addrass(.s)
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6. n..a..d o.nr(+)..tww sosdswls).w..:. bdo., rws id i. s.wv. ••v.•.e br c),.w« 1W. fiord. surwa. i.q,. no.. ta..
obcs/ a i. inorrors arr~«+r sscw.d trsbr, and .i b vtoca! a a4 addro.d and r.iar rrrrssar dd nor be o src~..d.
This atat.ra.wt is fil.d withwt tM d.bter's si,notara q o.rfct o aowiryr iwNrMt in asllat.rd. [t.Me! w)
D Ak.adr_srbj.A N a s.writp Tolerant in arrelh.r jwisdictiow whoa if was brov0lM Typo this staN.
? which i. oroa.ds of tha oripirwf collatad d.son'b.d above iw which o s.writr intseist was p.rfctsd: _
Ch.dc ®d oa.rr.d: ? rroc«ds of Coll.t.ral an dso oswrd..? ?rodads d Copotsrol an also cowrad. No. of addit5owal ShaMS ps.ntsd:
Filsd with: ~
_ ~ Blaz Fi social Services Ihc.
Si~rwtcrr.(s) .f O.btor(s) Siynat.n(s) S.wr.d ?arhr(is)
STAND~~D FAlM ~ FAlM IICC-1 7 ~~C~