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THIS STATEMENT 4~y~
is weesntad to ~ tilinE officer for f irk vu~t tQ tM l)niforn~ Caaw~l CodK 3~ M~tYritl? d~a /if anf?): .
t . Debtor W Mast NawN? First) and addneslaa) ~ Seewad Wand addraaslee] rb? ~ Otaar ft.~ trtma wroei, i t7ry ours)
D I C Construction Cc,rp Sears, Roebuck apd Co.
99 N.w. 183 Street N.w.- 2~ Street ~ JAN 29 ~ 2' - .
Mimi, Florida 3.3.169 I-Miami, Florida 33122 su~~~ r0~
Contract X129934 ~~~T~
4. This ststeanrrt refers to ori~inM Firwreirr~ 91aterrrerrt bearirr~ w. tEO-- ~~~'~-`-r .
_F:Nd,~ Fwd, Ai ~ ~~4'7~~T7 _
5. [ ] Contlnwtion. TINE wginol firw~cin0 statMMnt bRwMO tIN iwa~;snp Osblor and Soaw+~d Party, bwr~ file nwnb~r ~iwwn altoro, ~ s~.iN offrctire.
fi. [ 1 Terrrirretias~, Seaend periy rN? lurrplr claims a saa+rity intareat under the fwrarNOirro ststerrrerK baarirro file rNrnber slx~rwr :bores.
7. [ ] 11sei~rrnrerrt. TM saarrsd party's rght under tiM finarKirq rrtatarnant t'de rrurnbar sfrosr+r above to the pm~arty dastdbad in Item 1 Z hat been
aasiyned to ttre arsi8nse vrlrose Herr: and sddreat appear in Items 1.
8. y[ y] yAr"vadurMrt. Firrnwg StaterrrMt baarirq file number shorwr abase is an+anded as sat forth in Item f 1.
8. ptasasaaee` Seared Party releases the collabral daacribed in Item 11 from tM finr+eNq statement beari.q fiN number sf~r above.
~ t~J. [ ] Cbaek if trues AB dowrrra~tary stamp taxes dus and payal-!e ter to become dw and payable purstwnt to Clnpter ~f, F. S. hwe bean paid.
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R~EASE ONLY: Building 5A, 3'1 Units, A parcel of Land in Section 22,
Township 36 South, Range 41 East, St. hucie County, Florida.
. hying easterly oY State 8oad ALA.. -
SAND DOLLAR VILLAS CONDOMINIiJ1K A. - -
fi. of adiiWaN tb..,~ pseerrtai:
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8igrrature[s) of Debtor(:{ Ineowsary ordy if Item 8 is apyiicab4!. ~ Sienatunlaf of Soared Parcyliaa]
t RD. FORM -FORM U.t~-3 . -
~ ~1 } F i L!#~G Q ~ ~ t C F ~ C0 ~-ALP , f?..re.aa ew s.er.or,? of states. >xat+ ~ t'laler. -