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THIS STATEMEIiT is pr•wwrod h a filiw~ effltr fer filiwy p•rsxawt ro tM Uwifarw Caiww•rc:ol Ced•: AA,airorAr dot• (if awl):
1. D•b.arlst (last Nawi• First) ewd eddras{•.1 2. S•awad fartr(i••) awd addra•.(•.) ?.r ~ ON's 10•t., Tir, r+.~r...r Otfiel
Bierman, R.C. Sun Bank of St. Lucie County44~'7259
1375 SE Coral Reef Street P.O. Box 8 "79 h~;l 27 A~ 30
Port St. Lucie, FL 33452 Ft. Pierce, FL 33450
#lL~fiD ~Ul' ~ ~ COKUt 0
ST.L!!C~ CCUNTY.fIA.
tR0o6~li Pt71TP.AS
375587 OR1~272 Pg~2285 'AERKLIRC:tIT000RT
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St. Lucie County o.•. ~ Aug 17 1:18 PM » 77
S. ? Cowtirrrofiaw. Th• eriy:Mr i'wawciwy gt.rw.w+ b•tw•w tlr ferpoiwy 0•bror arm 5«w«i ran,, Me?iw fil• wawb•r shos.w abe••, is .till •ff•.tiva.
~ party hrp•r claiwn a s•witp iwt•rwt •wd•? tlr finawciwq .tot•w•rM b•wiw/ i'il• wrwb•r sherw abaw_
5 6 ~ T•nwirtotiow. s.nw.d wa 4s'72~9
7 ? Auipwtnawt. Tlr s•cw•d partT's riy1M owdw th• fiwawciwq storowwN b•orirp fih w~wnb•r .ho~rw aibova a th• prep•rtp d•.cr~•d iw INw 11 has b••w assi*~•d
ro th• ossign•• whe.• wawa and odd?w• appswr iw It•w 11.
Atw•wdrw•ttf. Fiw•wciwy Stot•w.ra barNq (ih wrwbw .howw above is ow•wd•d es rM forth w Irow 11.
f 4 ? R•1•os•. Sasw•d My r•1•o..rs tM collot•rol d•.crib•A w It•rw I1 frow 1h• fiwawtiw~ sbrowwM ba•riwq fih ~ww~b•r shosvw abev.
t 10. ? Chack if 1tw. All decaw•wtaryr stowip tars dY• and paTabhr ar ro b•ceww dw ewd porobl• prnYawl a Clwpl•r 201, F. S. Nava b••w poid.
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Ne. e/ eddtiawd sh••h pr•wwrod:
Sun S e County
fir. Si~watvra(.) of O•btar{.) (wsw.seryr ewlr if Irow 1 i. opplicabl•L `r Sipnorvr•,N of S•sw•d Iortp(i•s)
STANDARD FORM -FORM UCC-3
t - i . y ~ i i Aypro.•d of S•cMSry d St•M. SI•t. d fbrda