ADDRESS — 214 Hogan Street ADDRESS 1212-A U.s. Highway 41 CITY. STATE. SP CODE COUNTRY Jacksonville, Ft. 32202 CITY, STATE. ZIP CODE, COUNTRY North Paint Beach, Florida 33406 ORIGINATOR REFERENCE: BENEFICIARY REFERENCE: l i t I l i 1 I I I I I I I I 1 1 1 1 i l I I I I I I I I I SPECIAL INSTRUCTIONS