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r - lii1S STAI'fJNENT is ~rwwtd to . fgiw~ effio~r /er filiw~ Nrwewe M Nr IMiferw Cewrwerciel Cde: i. Molwiy rete frf ewe): 1. Outer(.) (lw Mewr First) ow+ e//resa(e.l 2. Seorrd M?(i~.) w/ oaiMK«) I« fa.~ dtw lar. t~.w .rrr...r ~ oln~) Beers, Dale Sun Bank of St. Lucire County ;T~IE.UCIF • 1~LA. 209 St. Lucie Blvd P.O. Box 8 4~~1 R_~:. _ ~ Ft. Pierce, FL 33450 Ft. Pierce, FL 33450 RECOu g•. ~ - r "~'lRT » ~ 403903 OR#287 Pg~542 9EC 1 l0 48 4~~01 f;~ ~ St. Lucie County ow,. f:l.+ May 17 12:31 PM 1178 r S. ? Ca+tiwtwtiow. the eripittd finewtiwy stetwswt b~t.resw /1r fereyewp Dsbtar ewJ SeaneJ ?ertr, r.eriw, fRe w~wrsr sheww ebeve, is sNl effeAiw. 6. Tertwiwefiort. Secwed Oerfp we bw~sr cleiiws o s~arifp iwhrest ewdsr the fiwewciwo sNtwwwrtt r..riwo fib wrrwltwr sho.rw abeoe. 7. ? AssiOttwtewf. Iln sewrerl party's riylM w~dw the fwMrtciwq stolew~ewt r..riwo fib wrwiMr sheerw crew N the property ihaRa.d iw Iter 11 hes besw essi~nd to /lro ersiynee .hest woM ew1 ed/ress eppeer iw IM 11. ~ t ? AwrwdwrM. ~iw! Stetowww beeriw~ fib w~wwbsr .horrw e?oe is erwondod w ret ferM b Itww il. ? Release. Spewed hrtp telsetes Mte celhstorel ~ostribo+ iw Iteiw 1/ frewr the fiwwwciM atetswmM rr+ariwy fib weoror sho~rw crew. 10. ? CMck if true. All decvwrwtwr~ stare to;ss dw awd f/el~e or to berewie doo ewd Mtrerle fwr+~^t N Chepte. 201, f. S. hew r..w paid. !t. Ne. ef.o/ditiewel shaeb prerowlod: __J~ etlac PlGE - M= a,- SiOwoorre(s) d Dartw(s) (waceaser~ artly iI Itewt i is oppticobb). S:gwewr.is}-ef Secwe~ ?erhlies)