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T'li5 STATEMENT it pr«~nNd ro a iilin4 effipr far filing p.wwuM » tAe lMSortw Cewrw~.ciol CoM: 3. Metwiy date (If oe~): /
~ Crbter(t) (LeM Norar Pint) and address(«i 2. S.wr.r ?ertpliet) ewd addr+at« t. rry ott:.r (t]ttr, rr, M..a«. .r Iii aa.l
Kelley, Will Sun Bank of St. Lucie County
1620 club Drive P.o. sox 8 ?9 B ~ 30 ~.i ~
Vero Beach, FL 32960 Ft. Pierce, FL 33450
ftt.fL a~ f-t'.C~:k ii
s~.iuc~oou9sY na.
Aot~s ~iTRas
~ TI,„ ,ta,,,M,t rehrs ro o.igirtel P~nnad.M StdwrNet w.,;,,R f,fe N.. 41~i05 OR 295 P 1897 G.~RX CRtCWT~t~r:j D
~ St. Lucie County Ia... I~ Oct 6 3:15 ply 1~ RO trfr:r~~a__ _
S ~ ConfintrotiOn, il» aiginaf financirq stet«w~nt br/wr>.w tl» forpo:rg D~bter r+d S~cvrd ?sy, 6MriwR f.7~ w~iw~or .Iwrn above, rs syll',I'~
6 ~C Tenwa.aifan. Socvr~d pony ne lowq~r cleiwn a tetwiy ingrett candor tlr finenc:rp ttoMwwM l~etiwR i'ib twrwbrr tlterrw above. 4 (L,
7 Auigntttenf. Tlb soarrod pert,"t riy1M vector tbo Iinawcinq ttatomont booriny fib n.rn~bor tbewnt ebevo ro tM papM~ dota~bod io hoot 11 het Mwt ersi~ted
ro tlr ats:gnoo viAeto naioe awd oddror appoor in Itow 11.
a Atrttrndtttettt. Fiwonciwq Stotamont boerinq fiM wmbor tlgvrw ebo.e it awrondod of t« forth in Itowt 11.
v Roltwte. Socvnd Iartp roloooot tho rnlk»orol dotaibod iw Itaw 11 frorw tho fieewciiq sbtownrN boorinp fib nve~bw sbovrw abevo.
~0 ~ CMck if frtte. All deangntorr ttorap toa« dvo owd porabb a to bocomo dw o.d po~obb pvrtvawt b Cbop+« 201, S. lwvo booty poid.
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No. of edfiitieoal sMMt prosoatod:
Q ? Sun Bank of St. Lucie County
sT, a(K1~ 319 PA~i 135 ~T:
$ptetvro(s) of polter(t) (nocettorr onl, B Itao • it opplicoblo). Siyrrotvr ) of f'~r~r(~
STANDARD FORM - FORM U 3 V ~ `