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THIS STATEMENT a prssontod to o itt:ny off.cer for f:hrty pwsuom fo stse (ln:4orsn Cotetne*zml Lode 2 tranar~ra svrsr arry
' Debtor s Mast Norwe Firs+: and oddress.n } Z Scurod flany a a+td ~ to 'K"' rie i~1
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GRENSHAW ~ ®DIfi b I,FsOI,A ~ BUTlsR FIIMNCUI. $~QVZCBSe ~ D~
110 Fenneaoare Ct ~ 2506 S g~sal Hi,¢araF ~ ~ -9
r t Pierces FL 33450 i Ft ~ieroe~ FL 350
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a Tti~s statttment re*4er*syto~o+rigin~alyF:n~onc:~..q Statemer+f bear.nq Frk fio. w!
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~ Continuation. a original f+nanc,ng Notemerrt bet+een the fureyomg Deb+or u.ro Sr_y-r sr'. sta-m~ '.id +.:+wm s~+crr atcre -s snit eF'e~i+e.
' Terminofion. Secured party no longer cio:ms o sec u.rty .merest under the f.n~n;.ng stv+rrr,en+ :rn-R•~ air n.m~ s+r_w.r ,wn•.t 4~~
~ - Assignment. Tix ucured party s r,gM under the F,nancin~ stortemerr. l.ea.np i.it ..urnbe• s•.~..~r x.~.+e L •ne ~+v's acs:.c,ec ~'.r** i i Fm sear mvgn.ed
~ to the asvgnee hou name and odaress oppttar m item 11 •
e ~ AmendtMn}. Finon.:ng Statement bew mg i.k number sho.vn oboe is amanaed vs :.sK n rteR
• Releose. Secured Porty rekoses the collateral describ,rd .n Item 11 i*arn tt.e '••.nnc~•,. s+-.neme+r ~•.-.r -~e *+..nrer ,..•.+n aac+:
Check if true. All documentary stamp tares due and poyobk rn tc br ome due ene n-.uok p.~..r..*' r_ ••~r`n' ? = 'a-•e =ee" ,:c.a.
• n o¢t?~vtci sown peesa•rad
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S.gna+ure s of .ors necessa-r o*.ly if I+em i :s appi,cabk y
• STANDARD FOitM - fr' i1CC-3
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