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THIS STATEA1EhR i. pre.a,rted a e filmy effroar Iw filing pes~awt M tlra UnAorre Co,ewrarciel Coda: 3. Melvrih deg (if ew7):
I. Do6ter(.) (tog Noma fins) end eddrw.(e./ 2. Sacvrod hA?iiw) end oddnaa(w1~ ~~IVV h. rrw~ oNs tor,. r.... w..rw. ~r r+.y oM;~l
Parish, Henry & Florence Sun Bank of St. Lucie County r~Ig ~'i~+J -7 ~ ~
1708 Avenue N P.O. Box 8
Ft. Pierce, FL 33450 Ft. Pierce, FL 33450 FtIED ~nU PtCU:!:,t o
ST. LUCIE GUL'N i Y. Fl A.
ROGER POiTRAS
CLERK ClRCUtT C00RT
a T1+:. aet.araM rulers to erigreal rrno,rriny St.t.,.«rt b.rlny FI. 1+.. 348332 OR#259 Pg#209 F£~^''9 ~~-r~r.-n
Oct 21 10:41 AM 76 ~ ` -
f;~ .ate St. Lucie County o... RIB 11
3 ~ Continvofierr. The oriyind /inawciny s?etoiwsnt botsrosn the foreyoirry Dybtw end Socwod DaAp, 6so?iny fib wwwMr .Iwwn above, n w.
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6 kjC Tenwination. 5«a.od pomp no bnysr clairrrs a .oarr:M i~tsrost ~ndor tiro finenciny atot.wrsrM bwirq fib ,wrwbsr shorn abere.
7 ~ Assi~n,nent_ Thu socwed paRtr's riyM vMrdor the finwrciwq stotornont baariny fib rwrwbor slrevrn ebew to 11rs proportT dsw.bod in Itore 11 has bosh essiyrred
to the msiynao whew naaw and oddraa aPPwr in Itswr I1.
• ~ ArnendntaM. Firrowciwy StaNersnt boeriep fib narwber sho~.n abora in orworded m rr fertlr in hoer 11.
9 ? ReMosa. Severed fertp rebuses Nrs cslbtorel dasaibod M Itorw it fros tlr finonc:ny stalarrsrM boor:ny fib rw/wbor sAown ebovo.
10. ? CMck if trw. AR decvnrsntary ato,wp bag dw and perabb a b bacowro dw and porabb prrsuont ro Chopter 201, F_ S_ bare bson paid.
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No. of oddrtionol ahaats pro:sntod:
Sun Bank of St. Lucie County
aoox P~
•1•= 'T: '
Si~reurre44 01 osMwis) (necossarv enly if Itsrw ~ is applicobb). Siynowrss) of r ortpfias)
STANDARD FORM -FOR UC 3