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; ~ i: , - I: THIS i1NAHCIHG SiATEMENT ii pr~s~n»d to a lilinp officN (w lihnp p~rrwun! to eM UnHern~ Cawiw~rciol Cod~: ~°h~ p°r)' ~ 1_ O~b?w(s) (los~ Name fintl ond oddrtss(osl 2_ Socvr~d ~ortr(e~s) ond oddr~s~fM) Fr f~w OM:s+ IPw. i'~. ~ wi~~ OM1r! S i q ~ ~ v~~r~ - } eLIN~N DAUGHTRY CIBE'RTy ~Q/~(y CORPORpTlON OF fT, p~~RC ~ ~~oX 518 _ G~otrnd Flo~r 1028 Orange Av~nue ~°r~n~ CrJ ~ F'I' PIERCE~FI+ 3~'SrJ f0.t t'I~~C~^., Ffo~i;;a 3~4:iU ~,r ~ ~t E•,~-1 P ~ Nll~f~~: ~0.: r. ~ Q:a ~!"'i4 n,~: ~N+awc~ns sa~.~n«,+ co..rs eh. ~ollowinq ryp.s to. ~e.n+.) et wo~.~rr: Cjt~,Q ~ - i~ ~ ~ All ~f the hnusehnldg~~ds n~k ~r h~rcafter Iocated ~ ~ - at_ the deptor's residence address _set fnrth abnve. s. .a G~ _ - _ ~ 0. Clwet i1 trw ~ Th~ ~~aMP~ rpvlr~d b~ CAaWM 201, F_S. ha~~ bNr+ V~loe~d on 11r Praini~sory inttrvw+«eM s~evr~ ' hMbr. ~nd writl b~ plec~d on wir e~diflon~i ond iirnilor in~trvrtwnl thot n+or b~ w~rr~d. Thit flal~~T is ~ilwd r+itfiwf th~ d~bfor'~ ~iprwtur~ ro p~r(M o Ncvritr int„„t in collot«oI. ICh~ck ~ if s~) ' ? Alr»dr wbj~ct M a-f~n+ritr iMKNI in onofMr ]vriadictia+ wMn il vre~ b~o~+yht inlo this t1~N. - ~ - ? wl+ieA ia p+oes~d~ oi fM xlpiewl eolloNrol d~~erib~d obov~ in wh;eh a t~evritr int~rxl rsa p~rfsehd: ;s t ~ - CM+ck ~ if cewrrd: /roc«ds ef ColloNral w~ alw tor~r~d. ~?rod~rs~s of Collahral oas o(so co+rsrrd. Ne. of oddieeawl SM~1s pw+Mwd:_ = i~kd.r~rn:_ CLERCK OF CIRiTOIT C~URT ST LUCIE C(3UNTY ~ - - ~ _ x - ~ ; ~ - _ - i ~r~ ~ r` •9,,.n~..t~~ s.a, ro.,,,t».i I s~9~aw,.t~~ ~t o.b,«t.~ - ~ - - BOOK ~4~ P~~E 2~0 ~ _ iORM 243 FLA. 12-66 ~ 213,00-08 _ . . . . _ . ~ 4 . - - _ . ~ ~ _ . ~