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<br />r <br /> <br /> <br />1. DEBTOR (S) iloIleld MM. titlOtt. SherfdM PI <br />&ADOI'lESS ".rMd Island. l(f 6880' <br />2, SECU.JIEOJ>A.RTY JOMOll.. ITYClfOJTCOll'. fiAlI..OlI....... <br />& ADDRESS ,.oftU COunty .1\$.($ ..Box 459,. <br /> <br />3, MATURITY DATE (if"'!4 <br /> <br />#I>Ol:lb <br /> <br />5. TERMfN.4TI()N: <br /> <br />Sew<'ed._W""'o,,q.,._, <br />d.f;trns: ~ 'seeurft:Y'.,mtet~ <br />U"de1_:t~_ _f-in~ln9 _~n~~ <br />ment:~a~n"jle-"~_ <br />shovm.. abo"';::b -'!" <br />-the- hfing-Qff.u:et 'to.-ter.fuin'. <br />ate same ofi~ord. ;'X'IU <br /> <br />10. <br /> <br />Check X if covered, <br /> <br />Crops are covered <br /> <br />XXX <br />Fixtures are COVl!'fe<!..",...,_,.., <br />,~- ,--~~ - \ <br />-"/-r-.,:'- <br />-' ~~. <br /> <br />StgMtu-re it, of Oebtor hJ <br /> <br />_.eo...o.CIodt_,~__. '. <br /> <br />llopy y_....."'IloWo <br /> <br />n <br /> <br />LJ <br /> <br />L <br /> <br />~ <br /> <br />L <br />