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Get Blumberg Form 77

Rp. 10-01 www.blumberg.com SECURITY AGREEMENT (Chattel Mortgage) THIS AGREEMENT, made the under the laws of the state of day of BETWEEN (name and address) herein called the Debtor debtor is an organization registered in the State of debtor is an unregistered organization, its chief executive office is in the State of debtor is an individual residing in the State of and (name and address) herein called the Secured Party WITNESSETH : with interest, payable as follows To secure the payment.

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