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1 THIS fINANCNiG 5rA1F1NH~fT is pesarrled b o fit' officer for fN~ pursuorrt b the llnifornr Commercial Cods: 3.
1. Debtorlsl (lost Nome first) and oddresslee) 2. Secwed Porlyliesl and oddreWes) fa Filirp Offioe? (Date. rn., Number,
ostd Filinp Offioe)
HAZELLIEF, GARY
Rt 3 Boa 3t~6 T.~(.T.'.T' T7?~TA*v~g 4Ei~~1,
Ft. Pierce, FL 3345 f ~ }~,,-i3':1+.A t, t~~ti~.)
Thi: finoncirg statenwx corm the fdbwinp types la items) of t -
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AS PSR $CHB,7[TLE "A" HODSEHOLD G00~?S s. A.e~~ os s.a,red Forty and Addressi~l
GLE FINANCB
P. .BOX 3265 ,
57 S. FEDERAL ~iWY.)~
b. The seared portylsl. wwhote sgrwtureis) oppeors bebw, stores Asot the stomps squired by Chopser 201 t
~ Fbrido Stotvtes, if any. hove been pbad on the promisor„ irWnYrrMnts ,caned hereby, and win PIEitCr, FLORIDA 3 3x 50
pbced on any odditiorwl and simibr instrument shot nwy be a seared.
This sbterrreM is filed wiNrorrl the debbr's signoture b perfect o teourily irMereet in colbterol. Klrecic ®if so1
? Alnody subject to o scarily interest in anoNrer jurisdiction arl+en it wos brought irsto this stole. ;
? 1hM1ridr is prooseds of the oriyinol Dolbterd described above in whidr o seawity interest wos perfected:
Check ®if Dowered: ? Proceeds d Cdbterol ore oleo Dowered. ? Products of Cdbterol ore olso cowered. No. of /Idditiasol Sleets presented:
filed with:
(d~,~~i ~l ~ ~p~r.1 EA LE FINANCE C CRPORAT ION F
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sy sy, '
sl of ¢~iartst - ~ 'siynaturds~,gfL Pa+yl~ .
G' STANDARD FORM -FORM 110.1 ` . B J,1~11 _ . ~ . ~ .