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THIS ftNANCWG SiAfEAtENi a presewNd b e kWp dlker for hlup pvrsuon! b sM UeHwm Commercioi Codr--... - - - 3. tAOturuy_dae (d onyk-- _ _ - - - - - _ ~
1, Debbr(s) Host Nom. Fksd end oddress(es) 2. Secured Porh(tes) and oddressles! For FNUq OIF:ar (DoN, Tune, Number, end Ftlug Olhce)
Miller, Terry D & Samuel Household Finance Copp ~1a~~
3339 SE Kensington St P O Box 3219 ~J19 OCT -4 ~
Staart Fla 33494 Ft Pierce Fla 33450
FIlEO I?NC R~CORUEO
Tb:f sbtae.nt cor.rf rM td- ST.LUCIE COONjY.FIA.
~ hp.: to it.mfl d prop.rh: ROGiER PWTRAS
CLERK CgiCUfT T
ALL HOUSEHOLD AND CONSUMER GOODS R[CORDYEP,IilEQ
S. Assgeee(s) d Seared ?orty oed Address(es)
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6- Cbed ti aee ? lbe sfawpf reVeired by<Mpter 201, f.5. hose been Otoced en eee promissory e+strumesus seared ~ -
bereby. ee/ osll N pieced ow ony addltNed oed sun:br bstrumewt fAot mey 6s so seared.
Tblf sNNmeet b hied sr{Iboyl the debfor'f styewere b per(ep a searhy btersN N coNoNrd. (CAed 0 U ao)
? Already w6(ecl b a secerNy bNreM M anofwer (erbdkhoe when h sres brouphl fnb dais sbN. -
? rb1d~ N proceedf d die orlylwsl cdlwrd desutbed above N s+bkA a searhy bNrest eyes perieued:
Chedt ®dcoared: ? procoedf d Collwerd ore dso co.ered. Q prodvds d CotNterd ore dw cosered. No. d eddH7onot Sbeets presented:
Ftbd w~ilh:
e.E~ Household Finance Corpor tion
By StyeeNre(f) d OeMor(s? By.
ye(s) d Sea ed Pory(N<]
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STAND D FORM - Fi7RM UCC-i - Rnfi[ ~