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j TM15 STATEMENT f~ prwnt~d to ~ filin0 oHlar for fNin~ purw~nt to tM UnNOrm ColnnrrdM CoW: 3. ANatwity dates Iif any): y ~ '
1 1. Dabtor(f1 (last Name Firsq and addraMta~) 4. Saewad PartyiNt? and adOraMla~) Fr i~ OIRO. IO~wr. tw, Nr.ar..w frwy On.vl '
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Pierce, Irene b Allen Blseer Financial Services, Ia ~~7
7404 St Lade Ave. 2506 s. 1+seder at thy. - 19~ INY 24 AN 11= 55
Ft. Pierce,, FL 33450 Ft. Piltrce, P'L 33450 - -
_ F~eEiC ~ Ftcoi~~a
S ROGER~~O
TRAS~ t
361280 Book 265 Pte 212 CLERK CIRCIIR COURt
i- Thia •taterrlant refers to o?f01na1 Fiwleirl~l;tatemarrt berrin~ FNe No r,"CC~Q YFPtf i~p__~~_
_ FGadw~ •St. Lucie Oounty ~a.Fx.a Nsrch 28, 14 ~
5. ? Continuation. TM OrfOinN ffnanciny ststement Detwaan tM faraOoinP Debtor and Secured Prtr, WariM fiN number shown show, k still effeahra.
6. ~ Termination. Seaued Arty no loryar dalnr • security intreat under tM firwrciry statement baerin~ tiN number fhown above. S¦ ~~/?/y
7. ? Aasiorlnwnt. TM aacwed party's rift unda? tM flnarlelrt~ statamaM baariry fIN nurrlbr tllorvn above M tM property described in Item 11 hwv~baan asiOr~ld
to tM asslpwa whose name and add?ees epper in Item 11.
8. ? AmandntaM. Fineneiry Statement bariM fMa nurnWr ebown above k amended as sat forth M Item 11.
9. ? fiNaaN. Seewed Party nlewe tM colNterel dewibad in Item 11 from tM flnricin0 etaternent berky fiN number shown above.
t O. ? fi trw. AM docwnrltary stamp was dw and parebN or to become dw and parabN pursusrrt to Chapter 201. F. S. haw bean paid. i
11.
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No. Of additional ehean presented:
Blase r •Finaacial Services, Inc .
ar. P11t~~~, far,
SipnaturNa) o• Debtorls) lnec•asarr only M item 8 h eppNcablN. 8 ale) of 8eewad ?rtylNe)
STANDARD FORM -FORM IJCC-3
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