TOM DEVOCHT-TRUSTEE OF THE CHURCH OF SCIENTOLOGY RELIGIOUS TRUST
CLOSING STATEMENT
CHURCH: TOM DEVOCHT, TRUSTEE OF THE CHURCH OF
SCIENTOLOGY RELIGIOUS TRUST
CITY: CITY OF CLEARWATER, FLORIDA, a municipality
DATE OF EXCHANGE: AUGUST 20, 2001
**********
PURCHASE PRICE:
[Even exchange]
Church's Expenses:
2001 Real Property Taxes to Pinellas County
Tax Collector (1/1/01 through 8/20/01):
Parcel No. 15/29/15/54450/007/0131
$ 406.78
Parcel No. 15/29/15/54450/007/0140
3,873.36
Documentary stamps on deed to City (based on $365,000)
2,555.00
Recording of Deed from City
15.00
Title Search Fee to First American Title
125.00
Title Insurance Premium for Owner's Policy insuring
City (payable to Johnson, Blakely, et al)
2.400.00
$9.375.14
TOTAL AMOUNT DUE FROM CHURCH AT CLOSING
Approved and accepted on August ,;; I ,2001. /l /; /
' ~Ar/r {/~J
TOM DEVOCHT, AS TRUSTEE OF
THE CHURCH OF SCIENTOLOGY
RELIGIOUS TRUST
08/17/01 08:49 AM d-1
41305.102100
#246283 v1
/2 -0 J 9' t );r
(2)
TO BE FILLED IN PERSONALLY BY SELLER OR BORROWER IN HIS OWN
HANDWRITING
INDEMNITY AND AFFIDAVIT AS TO DEBTS, LIENS, AND POSESSIONS
SELLER OR OWNER-BORROWER: CITY OF CLEARWATER, BY: EARL BARRETT
LEGAL DESCRIPTION: LOT 8, BLOCK 12, MAGNOLIA PARK
and Parcel "B"
PURCHASER: CHURCH OF SCIENTOLOGY RELIGIOUS TRUST, BY: TOM DEVOCHT
Personally known to me to be the person whose name is subscribed hereto, and upon his oath deposes and says:
I, the seller, owner-borrower, and/or contractor, represent to the purchaser and/or lender in this transaction that to my knowledge there
are:
1.
No unpaid debts for plumbing fixtures, water heaters, floor furnaces, air conditioners, radio or television antennae, carpeting,
rugs, lawn sprinklers, venetian blinds, window shades, draperies, electric appliances, fences, street paving, or any personal
property or fixtures that are located on the subject property described above, and that no such items have been purcha'sed on time
payment contracts, and there are no security interests on such property secured by a financing statement, security agreement or
otherwise except the following: (If none, so state)
NAME AND ADDRESS OF SECURED PARTY
Al'l'ROXIMA TE AMOUNT
2. No loans of any kind on said property except the following:(if none, so state):
NAME AND ADDRESS OF CREDITOR
API'ROXIMATE AMOUNT
3. All labor and material used in the construction of improvements or repairs on the above described property have been paid for
and there are now no unpaid labor or material claims against the improvements or the property upon which same are situated,
and I hereby declare that all sums of money due for the eredction of improvements or repairs have been fully paid and satistied,
except (If none, so state)
NAME AND ADDRESS OF SUPPLIER OF LABOR, SERVICES OR MATERIALS APPROXIMATE AMOUNT
4, I, the purchaser, represent that I have no knowledge of any debts or liens of any kind other than those listed above, except: (If
none, so state)
NAME AND ADDRESS OF SECURED PARTY, CREDITOR, SUPPLIER OF LABOR OR MATERIALS
APPROXIMATE AMOUNT
5, I, the owner-borrower, or purchaser, have not been given notice of the furnishing or intent to furnish any labor, services, or
materials in connection with any improvements or repairs to said property from any person or firms, except: (If none, so state)
SUPPLIER OR LABOR, SERVICES OR MATERIALS API'ROXIMATE AMOUNT
6. I, the undersigned owner, further certify that the real estate and personal property above described are in the actual possession of
the undersigned and is not in the possession, actual or constructive, of any person, persons, or organizations holding or claiming
same, adversely to the undersigned under contract, lease or any other color of title or right of possession,
THE IMPROVEMNETS OR REPAIRS TO SAID PROPERTY ARE NOW COMPLETED AND HAVE BEEN ACCEPTED BY
PURCHASER AND/OR OWNER-BORROWER,
INDEMINTY: I, THE SELLER, OWNER-BORROWER, AND/OR CONTRACTOR, AGREE TO
PAY ON DEMAND TO THE PURCHASERS AND/OR LENDER IN THIS TRANSACTION,
THEIR SUCCESSORS AND ASSIGNS, ALL AMOUNTS SECURED BY ANY AND ALL LIENS
NOT SHOWN ABOVE, TOGETHER WITH ALL COSTS, LOSS ~D ATTORNEY'S FEES
THAT SAID P ARTIES MAY INCUR IN CONNECTION WITH SUCH UNMENTIONED LIENS,
PROVIDED SAID LIENS EITHER CURRENTLY APPLY TO SUBJECT PROPERTY, OR A
PART THEREOF OR ARE SUBSEQUENTL Y ESTABLISHED AGAINST SAID PROPERTY
AND ARE CREATED BY ME, KNOWN TO ME OR HAVE AN INCEPTION DATE PRIOR TO
THE CONSUMMATION OF THIS TRANSACTION.
I REALIZE THAT THE PURCHASER AND/OR LENDER IN THIS TRANSACTION ARE
RELYING ON THE REPRESENTATION CONTAINED HEREIN IN PURCHASING SAME
STATE OF FLORIDA
COUNTY OF PINELLAS
SWORN TO AND SUBSCRIBED BEFORE ME THIS 21ST DAY OF AUGUST, 2001.
~
CITY OF CLEARWATER
CHURCH OF SCIENTOLOGY RELIGIOUS
TRUST
BY:
EARL BARRETT
BY:
TOM DEVOCHT
L A.. RY S~. 'to {~
\'''U'''' ,['Atr
_-'~~\~~~'~~:'~ MARIANNE SCHAFFER
g*:' ':*E CC 698089
. OJ" ....- p
, '~,;~''''''',<),;::MY Cml'MISSIO"l EX IPES
, '.'"
I
MY COMMISSION EXPIRES:
I
I
!i
,'~:~;;.';~,
~.~ U_S.DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT B.TYPE OF LOAN
1. [ ] FHA 2. [ ] FMHA 3. []CONV. UNINS.
4. [ ]VA 5. [ ] CON V . INS. [X] Cash (6)
6. FILE NUMBER: 7. LOAN NUMBER:
01080009
8. MTG. INS. CASE NO.:
C.NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown, Items marked
("p,o,c. ") were paid outside the closing: they are shown here for information purposes and are not included in the totals,
D. NAME OF BORROWER: CHURCH OF SCIENTOLOGY RELIGIOUS TRUST
ADDRESS:
E. NAME OF SELLER: CITY OF CLEARYATER, FLORIDA,
ADDRESS: PO BOX 4748, CLEARYATER, FL 33758 SELLER TIN:
F. NAME OF LENDER: ,
ADDRESS:
G.PROPERTY LOCATION:
:
H. SETTLEMENT AGENT: STEYART TITLE OF CLEARYATER PHONE NUMBER: (727) 441-2689
ADDRESS: 1290 COURT ST.
CLEARYATER, FL 33756 SETTLEMENT AGENT TIN: 59-1433918
f---
PLACE OF SETTLEMENT: STEYART TITLE OF CLEARYATER I.SETTLEMENT DATE
ADDRESS: 1290 COURT ST. Closing date: 08/20/01
CLEARYATER, FL 33756 Proration date: 08/20/01
J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION
100, GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER:
10 I. Contract sales price .156,500.00 40 I. Contract sales price 156,500.00
102, Personal property 'l 402. Personal property
-
103. Settlement charges to borrower(line 1400) , 10.50 I 403, .
104. 404.
105, 405,
Adjustments for items paid by seller in advance: Adjustments for items paid for seller in advance:
106, City/town taxes to 406. City/town taxes to
107, County taxes 407. County taxes
108. Assessments to 408, Assessments to
109, 409.
110, 410,
Ill. 411.
112. 412.
120. GROSS AMOUNT DUE FROM BORROWER: 420. GROSS AMOUNT DUE TO SELLER: 156,500.00
156,510.50
200, AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER:
201. Deposit or earnest money 501. Excess deposit(see instructions)
202. Principal amount of new loan(s) 502, Settlement charges to seller(line 1400) 2,203.00
203. Existing loan(s) taken subject to 503. Existing loan(s) taken subjeCt to
204, 504, Payoff of first mortgage loan
205, 505, Payoff of second mortgage loan
206, 506,
207. EXCHANGE PROCEEDS 156,500.00 507, EXCHANGE PROCEEDS 156,500.00
208, 508,
209, 509.
Adjustments for items unpaid by seller: Adjustments for items unpaid by seller:
210, City/town taxes to 510, City/town taxes to
21 I. County taxes to 51 I. County taxes to
212. Assessments to 512. Assessments to
213, 513,
214, 514,
215. 515,
--
216, 516,
217, 517,
218. 518,
219. 519.
220, TOTAL PAID BY/FOR BORROWER: 520. TOTAL REDUCTION IN AMOUNT: 158,703.00
156,500.00
300. CASH AT SETTLEMENT FROM/TO BORROWER: 600. CASH AT SETTLEMENT TO/FROM SELLER:
301, Gross amount due from borrower(line 120) 156,510.50 60 I. Gross amount due to seller(line 420) 156,500.00
302. Less amounts paid by/for borrower(line 220) 156,500.00 602. Less total reductions in amount due seller(line 520) 158,703.00
303. CASH [X FROM] [ TO] BORROWER: 603. CASH r TO] rx FROM] SELLER:
10.50 2,203.00
SUBSTITUTE FORM 1099 SELLER STATEMENT-The information contained in Blocks E,G,H and I and on line 401 (or, if line 401 is asterisked, lines 403 and 404)
is important tax information and is being furnished to the Internal Revenue Service, If you are required to file a return, a negligence penalty or other sanction will
be imposed on you if this item is required to be reported and the IRS determines that it has not been reported,
SELLER INSTRUCTION-If this real estate was your principal residence, file Form 2119, Sale or Exchange of Principal Residence. for any gain, with your income tax
return; for other transactions, complete the applicable parts of Form 4797, Form 6252 and/or Schedule D (Form 1040),
You are required by law to provide Stewart Title of Clearwater. Inc. with your correct taxpayer identification number.
If you do not provide Stewart Title of Clearwater, Inc. with your correct taxpayer identification number, you may be subject to civil or criminal penalties.
Under penalties of perjury, I certify that the number shown on this statement is my correct taxpayer identification number,
Seller
'Ffll.01080oo9 L. SETTLEMENT CHARGES PAID FROM PAID FROM
BORROWER'S SELLER'S
FUNDS FUNDS
700, TOTAL SALES/BROKER'S COMMISION Based on $ @ %= AT SETTLEMENT AT SETTLEMENT
Division of Commission (line 700) as follows:
701. $ to
702, $ ., to
703, Commission paid at settlement
704,
800, ITEMS PAYABLE IN CONNECTION WITH LOAN.
801. Loan Origination fee %
802, Loan Discount %
803. Appraisal fee to
804, Credit Report to
80S. Lender's inspection fee to
806. Mortgage Insurance application fee to
807. Assumption Fee to
808, .' to
809, to
810, to
811. to
812. to
900, ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE.
901. Interest from to @$ /day
902, Mortgage insurance premium for mo, to
-.. 903. Hazard insurance premium for yrs. to
904, yrs. to
90S.
1000. RESERVES DEPOSITED WITH LENDER
1001. Hazard Insurance mo.@$ '1 per mo.
1002. Mortgage insurance mo.@$ , per mo.
1003, City property taxes mo,@$ per mo.
1004, County property taxes mo.@$ per mo.
1005, Annual assessments (Maint.) mo.@$ per mo,
1006. mo.@$ per mo,
1007. mo.@$ ,
per mo,
1008, mo,@$ per mo.
1100, TITLE CHARGES:
110 I, Settlement or closing fee to STC 100.00
1102, Abstract or title search to STC 100.00
1103, Title examination to STC 50.00
1104, Title insurance binder to
1105. Document preparation to
1106. Notary fee to
I 107, Attorney's fee to fl risk ra to
(includes above items No,: )
11 08, Title insurance to STEWART TITLE OF CLEARWATER 857.50
(includes above items No,: )
1109, Lender's coverage $
1110, Owner's coverage 156,500.00 $ 857.50
1111. to
1112, to
1113, to
1114. to
1200, GOVERNMENT RECORDING AND TRANSFER CHARGES
1201. Recording fees: Deed $ 10.50 Mrtg $ ReI. $ 10.50
1202. City/county tax/stamps: Deed $ Mrtg $
1203, State tax/stamps: Deed $ 1,095.50 Mrtg $ 1,095.50
1204. to
--
1205, , to
1206, to
1300. ADDITIONAL SETTLEMENT CHARGES
13 0 1. Survey to
1302. Pest inspection to
.-.
1303. to
1304, to
1305, to
1400. TOTAL SETTLEMENT CHARGES (entered on lines 103, Section J and 502, Section K) 10.50 2,203.00
CERTIFICATION: r have carefully reviewed the HUD-I Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all
receipts and disbursements made on my account or by me in this transaction. I further certify that I have received a copy of HUD-I Settlement Statement.
c~
by.
Borrowers Sellers
The HUD-I Settlement Statement which I have prepared is a true and accurate account of this transaction, I have caused or will cause the funds to be disbursed in
accordance wilY i ent.
August 21st., 2001
S
gen ,,( . Date
is a crime to k~~gIY make false statements to the United States on this or any other similar form, Penalties upon conviction can include a fine and
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CONDITIONS
1. DEFINITIONS
(a) "Mortgage" means mortgage, deed of trust or other security instrument. (b) "Public
Records" means title records that give constructive notice of matters affecting your title
according to the state statutes where your land is located.
2. LATER DEFECTS
The Exceptions in Schedule B - Section 2 may be amended to show any defects, liens or
encumbrances that appear for the first time in the public records or are created or attach
between the Commitment Date and the date on which all of the Requirements of Schedule
B - Section 1 are met. We shall have no liability to you because of this amendment.
3. EXISTING DEFECTS
If any defects, liens or encumbrances existing at Commitment Date are not shown in
Schedule B, we may. amend Schedule B to show them. If we do amend Schedule B to
show these defects, liens or encumbrances, we shall be liable to you according to
Paragraph 4 below unless you knew of this information and did not tell us about it in
writing.
4. LIMITATION OF OUR LIABILITY
Our only obligation is to issue to you the Policy referred to in this Commitment, when you
have met its Requirements. If we have any liability to you for any loss you incur because
of an error in this Commitment, our liability will be limited to your actual loss caused by
your relying on this Commitment when you acted in good faith to:
Comply with the Requirements shown in Schedule B - Section 1
or
Eliminate, with our written consent, any Exceptions shown in
Schedule B - Section 2.
We shall not be liable for more than the Policy Amount shown in Schedule A of this
Commitment and our liability is subject to the terms of the Policy form to be issued to you.
5. CLAIMS MUST BE BASED ON THIS COMMITMENT
Any claim, whether or not based on negligence, which you may have against us concerning
the title to the land must be based on this Commitment and is subject to its terms.
~ .
FATIC.213X
ALTACommitment (1982)
First American Title Insurance Company
SCHEDULE A
41305.102100
Issuing Office File No.: 120421-4-01 <t> \ \\1 \ 0 \
1. Commitment Date: ~~ 05: 00 PM
2. Policy or Policies to be issued:
(a) Owner's Policy (Identify policy type below) Policy Amount: $ 365, 000 . 00
AL T A Owner's Policy (10-17-92) (With Florida Modifications)
Proposed Insured:
CITY OF CLEARWATER, FLORIDA, a municipality
(b) Loan Policy (Identify policy type below) Policy Amount: $
AL T A Loan Policy (10-17-92) (With Florida Modifications)
Proposed Insured:
(c) Other (Identify policy type below) Policy Amount: $
ALTA Loan Policy (10-17-92) (With Florida Modifications)
Proposed Insured:
3. A Fee Simple interest in the land described in this Commitment is owned at the
Commitment Dat~. by:
TOM DEVOCnT, as trustee of The Church of Scientology Religious Trust
4. The land referred to in this Commitment is described as follows:
See Attached Commitment Schedule A Continued
JOHNSON, BLAKELY, POPE, BOKOR,
RUPPEL & BURNS L
(Inset'fJbQ~ line6aIDe of Agent) / /
, I I f/
, / / I
By: ./ [.
~. Authorizea Signatory 'I
TIllS COMMITMENT IS FURNISHED BY FIRST AMERlCANTITLE~NC~COMPANYOR ITS POLICY ISSUING AGENT
SOLEL YFOR THE ISSUANCE OF A POLICY OR POLICIES OF TITLE INSURANCE OF FIRST AMERICANTITLEINSURANCE
COMPANY. TIDS COMMITMENT IS NOT AN ABSTRACT OR AN OPINION OF TITLE. LIABILITY UNDER TIDS
COMMITMENTIS DEFINED BY AND LIMITED TO THE TERMS AND CONDITIONS OF TIDS COMMITMENT AND THE TITLE
INSURANCE POLICY TO BE ISSUED. PERSONS AND ENTITIES NOT LISTED ABOVE AS PROPOSED INSURED ARE NOT
ENTITLED TO REL YUPON TIDS COMMITMENT FOR ANY PURPOSE.
Issue Date:
Auqust 2, 2001
FATIC-202 (Rev. 9-78)
First American Title' Insurance Company
SCHEDULE B-1
(Requirements)
Agent's
File No.: 120421-4-01
Commitment No. FA-CC- DP/LRC
w
, following are the requirements to be complied with:
Payment to, or for the account of, the grantors or mortgagors of the full consideration for the estate or interest to
be insured.
Payment of all taxes, assessments, levied and assessed against subject premises, which are due and payable.
Satisfactory evidence shall be produced that all improvements and/or repairs or alterations thereto are completed;
that contractor, subcontractor, labor and materialmen are paid in full.
Instruments in insurable form which must be properly executed, delivered and duly filed for record:
Submit a proper OWner/Seller's Affidavit satisfactory to insure
against unrecorded mechanic's liens.
b. Submit a proper survey certified to all parties involved in this
transaction, including but not limited to, First American Title
Insurance Company.
Deed from TOM DEVOCHT, as Trustee with full powers under Florida
Statute 689.071, under Trust Agreement known as THE CHURCH OF
SCIENTOLOGY RELIGIOUS TRUST, to CITY OF CLEARWATER, FLORIDA, a
municipality.
.~ d.
V
Obtain and record in the Public Records of Pinellas, County, Florida,
an Incumbency Affidavit from the Trustee TOM DEVOCHT, confir.ming that
the Trust Agreement known as THE CHURCH OF SCIENTOLOGY RELIGIOUS
TRUST, remains in full force and effect; has not been amended; that
the Trustee still remains vested with all the powers enumerated in
said Trust Agreement, that the property(ies) described in Schedule A
herein is/are still an asset of the trust, and that there have not
been any amendments or modifications to the trust other than the
amendments noted herein. If there have been any subsequent
amendments, production of them is required. The company reserves the
right to make such additional requirements as it may deem necessary
upon review of said amendments, if any, and proof of status of trust.
. Written evidence, from appropriate governmental authorities, that City
and County Special Assessment Liens, and water, sewer and trash
removal charges, if any, have been paid.
FATIC-600(Rev, 9-78)
First American Title Insurance Company
SCHEDULE
A
(Continued)
Agent's
File No.:
120421-4-01
Commitment No. FA-CC- DP /LRC
Policy No.:
The West 24.7 feet of Lot 13, all of Lot 14 and the East 8 feet
of Lot 15, Block 7, MAGNOLIA PARK SUBDIVISON, according to the
plat thereof, recorded in Plat Book 3, Page(s) 43, Public
Records of Pinellas County, Florida.
AND
The East 25.3 feet of Lot 13 and the West 10 feet of Lot 12, all
in Block 7, MAGNOLIA PARK SUBDIVISION. according to the plat
thereof as recorded in Plat Book 3, page 43, Public Records of
Pinellas County, Florida.
FAT - 203 (Rev. 10-92)
First American Title Insurance Company
SCHEDULE B-II
(Exceptions)
Agent's
File No.:
120421-4-01
Commitment No. FA-CC- DP /LRC
Schedule B of the policy or policies to be issued will contain exceptions to the following matters unless the same are disposed
of to the satisfaction of the Company.
1. Defects liens, encumbrances, 'ms, or other matters if
~ r attaching su 0 the effective date hereo ut prior to the date the propose
record the estate or interest or mortgage thereon covered by this Commitment.
~~r cI~ies in pgssessi5fi uvll>hvwu by the publ~{, reetHd.,.
3. Easements, or claims of easement, not shown by the public records.
4. Encroachments, overlaps, boundary line disputes, or other matters which would be disclosed by an accurate survey
or inspection of the premises.
~. ~ny lie~ht to ~, for sel"iise.s...labor ru:..atlit"'l~a:l huetgfQTP or hPTe:ilfter FHf'lli.,;lu;d, impv5Cd by law and not
'(- ~ s~y the ptitrtrcfecords.
6. Any adverse claim to any portion of said land which has been created by artificial means or has accreted to any such
portion so created and riparian rights, if any.
7. Taxes or special assessments. which are not shown as existing liens by the public records.
8. Any minerals or mineral rights leased, granted or retained by current or prior owners
9. The lien of the Taxes for the year 2001, and all subsequent years, which
are not yet due and payable.
2000 Taxes Gross Amount $6,435.06 - PAID
$6,628.11 on April 12, 2001; Total Assessed Value $268,200.00
Taxing District: CWO - CLEARWATER DOWNTOWN
Homestead Exemption filed for 2000? NO
Other Exemptions: NONE
Parcel No. 15/29/15/54450/007/0140
10. The lien of the Taxes for the year 2001, and all subsequent years, which
are not yet due and payable.
2000 Taxes Gross Amount $669.42 - PAID
$689.50 on April 12, 2001; Total Assessed Value $27,900.00
Taxing District: CWO - CLEARWATER DOWNTOWN
Homestead Exemption filed for 2000? NO
Other Exemptions: NONE
Parcel No. 15/29/15/54450/007/0131
11. Personal Property Taxes - NONE FOUND
12. Ter.ms and provisions of all agreements and franchises pertaining to the
cost, installation, operation, and maintenance of gas, water and/or sewer
facilities. (Owner's Policy only)
REAL ESTATE TAX
RE ITEM NO RE PARCEL NO /. /
PP ITEM NO PP ACCOUNT NO
~CTION: PASSWORD:
(A) ADD" (C) CHANGE (D)DELETE (P)PRINT
THIS RECORD FOR INQUIRY ONLY
TRANSFER
/
/
/
CORR#
CODE
6177.66
CWD NOV
268,200
6242.01
DEC
NOTE CODE
TAXABLE
EXEMPTED
ASSESSED
2000
6306.36
JAN
CURRENT-YR RE 063215 - 8
6370.71 6435.06 6628.11
FEB MAR APR
NX
HX
WX/DX
AX
TX
612 FRANKLIN ST
PLAT 001 PAGE 070
MAGNOLIA PARK
BLK 7, W 24.7 FT
13, ALL LOT 14 &
LOT 15 (LYING IN
15)
268,200 2)
o
268,200
RE PAID 04 - 12 - 01
02 - 042269
OF LOT
E 8 FT OF
N 16/29/
NAME 1
NAME 2
ADDR1
ADDR2
CITY
CNTRY
VALIDATED AMT 6,628.11
PARCEL NO 15/29/15/54450/007/0140
HYDE PARK BUILDING PTNSHP
C/O TERRY, MARIE C.
1511 S CLARK AVE
TAMPA
ST FL
ZIP 33629-4935
REAL ESTATE TAX
RE ITEM NO RE PARCEL NO /. /
PP ITEM NO PP ACCOUNT NO
ACTION.:, PASSWORD:
(A)ADD (C) CHANGE (D)DELETE (P)PRINT
THIS RECORD FOR INQUIRY ONLY
TRANSFER
/
/
/
CORR#
CODE
642.64
CWO NOV
27,900
649.34
DEC
NOTE CODE
TAXABLE
EXEMPTED
ASSESSED
2000
656.03
JAN
CURRENT-YR RE 063214 - 1
662.73 669.42 689.50
FEB MAR APR
NX
HX
WX/DX
AX
TX
27,900 2)
o
27,900
RE PAID 04 - 12 - 01
02 - 042267
PLAT 001 PAGE 070
MAGNOLIA PARK
BLK 7, E 25.3FT OF LOT 13
& W 10FT OF LOT 12
NAME 1
NAME 2
ADDR1
ADDR2
CITY
CNTRY
VALIDATED AMT 689.50
PARCEL NO 15/29/15/54450/007/0131
HYDE PARK BUILDING PTNSHP
C/O TERRY, WILLIAM J
POBOX 20645
TAMPA
ST FL
ZIP 33622-0645
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This Warranty Deed
KRIEII F. I( IAI(EJ/, lWlC IF lIDIT
PDllIJlS lUTV, FlIRIM
-----------------.._-------~- -
r
Made Ihis -"-- daynl April A,D. 200
"'Y HYDE PAU: BtJXLDmG PARTlllBRSBIIP, A FLORIDA
GBRERAL PARTRBRSBIP, JOYCE C. ADIlISOB,
PARTND AND IWlIS C. TlUllRy, PAR'l'IID AND
WILLIAM J. TBIUlY, PAR'l'ND ..., 10 I f'S17'leL.Ut
hcreinafler caDed Ihe: IVaalnr, 10 -r..m p,.~ Fe. :!f>3
1'CIII DeVoalat. .~. ...~ CII~ fte Clallrch of
ScieD.tology ael1fl0U8 i'zu8t H
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~ R9DlD FEES
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aMif:
1lY. _____ ImIlY a.ERk
01-113415 APR-12-2001 9 55~
PINE~~RS CO BK 11309 PO S?l
hereinafter called Ihe: IVanlcc: '....1..111
:':.n' (Whenever us;ed ht:mn the lenn -granlor'" and -,ramec. tndudc alllhe partie,.." Ihn. ift$l.rumcnllUld Ihc
,...~. hein>. lep. rqwa;cnlall\u and alO,Q~"M of mdlVidu.&. and lhe MIf...."C:\1!IOr5 and .us~ t.r ""flt'f"dllom)
.D,l"\"I Witnesseth, l&allhe IVaaIOl. rllr and in CtllL<idcrali"n IIf the SlIm III $ 10.00
and olher wluuble con.ideruliOlls, re....... wherct" ;,. he..."". ;od......1cllg..... he,elly granL" ""rgain,,- ,.,11.. alien" remises,
~rcle...,., con."". and con6rm~ unl" the granl<.'c. 1111 lhat .e"aiR land sicU;dc in PDQU.LAS
l'oonly. Floridit. '17:
See Schedule A attached hereto aad by tbis refe&'8Dce _de a part
.. hereof.
'f..~
.. - SOBJBC'l' 'l'O CoVlIDaIlts. restrictiOllUl. -._ta of record aDd taxe. for
... the current y_r.
whose: po.1 office address i."
319 South GardeD AVeDue
Clearwater, Plorida 33756
Grantees' 1'ax Id # :
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Said proputy 18 Rot the hoaeat8llld of the Greator (s) ORder the la"s
aad cORStitutiOR of the State of Florida ta that Deitber GraatorCs)
or aay 11811ber. of the bowteltold of Graator(8) ~ida tbereoR.
**wltb full power and authority to protect, con.erve. .ell. le..e, encuaber or
otherwise manage aDd dispos. of said property puruaaat to '.S. 689.011.
Parcel Ideatificatioa~. 15/1'/15/5..50/007/01.0 . 0131
ToaIetberwith a1111lr ICIle_. IIo:rcdilalttCl\b llIIId .......,-..IIaen:t.. hc~ or in an~.,., apf'Crlaining.
To Haw alld .. Held, the ..._. ~. r.'C ....pIIo r'lI'e>"r.
ADd the (lJaotorllcreby "''''O:1IlIDI0 with ...jd ,..aile I..... 1110: gr...... i, Iawf~ ""in:d ..r .....;.J land in le~ simple;
Ihlll lhe (lJaotnr ..... good .1 aad lawful _.....Y 10 ""II ...... C\.....:y 5lIid Iud: tIuIIllIc 1"""'''' here~ fully W"rrants
lhe tille I.. lIllid Iud and will dd<.',M1 lhe ",,"c opinn ..., bwful claims of aU pcr......' whom.".....cr; and Illat ",id land is
free of IlD enClllllhra_ CllCcflIllIlllCs aCU\ling .lIh>.:qtIC8Ilu [)en""", .\1. :I 000
i fa Witneu Metreol, lbe .ald IU"........ ..... "'l!llCd and "'..k..... lhe"" /VC-'<Cnb I"" da~. ...... year lirs' ahllve
writlen.
Sign ,"tift': A FLORIDA
~
/(<.Jav..1 April 200lly
HYDB PARK BtJILDD1Q PU'IltDSBIP,A FLORIDA CJII'aBRlU. PAR'l'NBRSBIJI BY:
JOYCE C. ADDlSOII', PAR'DmR.um IIAR1Jt C. '1'IalRY, PAR'l'RBR AIm WILLIAII J..
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PREPAJUm BY, MARY BALL
RECORD a RBTOItH TO.
GOLD SERVICE 1'I'l'LJI IRSU1UI1ICI: CO.
476:1 CeIlua1 AVeIlue
St. Petersburg, FL 33711
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Florida Promul'gat_e4 Closing Service Letter
..
The operation and scope of the following closing protection letter ("Letter") is limited to the transaction which is the subject of the
commitment to which this Letter is attached and is also directed to those person(s) and/or entity(ies) set forth in the Letter and identified
as a proposed insured in the commitment.
RE: Issuing Agent: Agent countersigning the attached commitment.
When title insurance of First American Title Insurance Company is specified for your protection in connection with closings of
real estate transactions in which you are to be the lessee or purchaser of an interest in land or a lender secured by a mortgage (including
any other security instrument) of an interest in land, the First American Title Insurance Company, subject to the Conditions and Exclusions
set forth below, hereby agrees to reimburse you for actual loss incurred by you in connection with such closing when conducted by said
Issuing Agent when such loss arises out of:
1, Failure of said Issuing Agent to comply with your written closing instructions to the extent that they relate to (a) the status of
the title to said interest in land or the validity, enforceability and priority of the lien of said mortgage on said interest in land, including the
obtaining of documents and the disbursement of funds necessary to establish such status of title or lien, or (b) the obtaining of any other
document, specifically required by you, but not to the extent that said instructions require a determination of the validity, enforceability
or effectiveness of such other document, or (c) the collection and payment of funds due you, or
2. Fraud or dishonesty of said Issuing Agent in handling your funds or documents in connection with such closing,
If you are a lender protected under the foregoing paragraph, your borrower in connection with a loan secured by a mortgage on
a one to four family dwelling shall be protected as if this letter were addressed to your borrower.
Conditions and Exclusions
A. The First American Title Insurance Company will not be liable to you for loss arising out of:
1. Failure of said Issuing Agent to comply with your closing instructions which require title insurance protection inconsistent
with that set forth in the title Insurance binder or commitment issued by the First American Title Insurance Company. Instructions which
require the removal of specific exceptions to title or compliance with the requirements contained in said binder or commitment shall not
be deemed to be inconsistent.
2, Loss or impairment of your funds in the course of collection or while on deposit with a bank due to bank failure, insolvency
or suspension, except such as shall result from failure of said Issuing Agent to comply with your written closing instructions to deposit
the funds in a bank which you designated by name.
3. Mechanics' and materialmen's liens in connection with your purchase or lease or construction loan transactions, except to the
extent that protection against such liens is afforded by a title insurance binder, commitment or policy of the First Ame rican Title Insurance
Company.
4. The periodic disbursement of construction loan proceeds or funds furnished by the owner to pay for construction costs during
the construction of improvements on the land to be insured, unless an officer of the company has specifically accepted the responsibility
to your for such disbursement program in writing.
B. When the First American Title Insurance Company shall have reimbursed you pursuant to this letter, it shall be subrogated to
all rights and remedies which you would have had against any person or property had you not been so reimbursed. Liability of the First
American Title Insurance Company for such reimbursement shall be reduced to the extent that you have knowingly and voluntarily
impaired the value of such right of subrogation.
C. Any liability of the First American Title Insurance Company for loss incurred by you in connection with closings of real
estate transactions by said Issuing Agent shall be limited to the protection provided by this letter. However, this letter shall not affect the
protection afforded by a title Insurance binder, commitment or policy of First American Title Insurance Company. The dollar amount of
liability hereby incurred shall not be greater than the amount of the title insurance binder, commitment or policy of title insurance to be
issued, and liability hereunder as to any particular loan transaction shall be coextensive with liability under the policy issued to you in
connection with such transaction. Payment in accordance with the terms of this letter shall reduce by the same amount the liability under
such policy, and payment under such policy shall reduce by the same amount the company's liability under the terms of this letter.
D. Claims of loss shall be made promptly to the First American Title Insurance Company at its principal office at 1 First American
Way, Santa Ana, California 92707. When the failure to give prompt notice shall prejudice the First American Title Insurance Company, then
liability of the First American Title insurance Company hereunder shall be reduced to the extent of such prejudice. The First American
Title Insurance Company shall not be liable hereunder unless notice of loss in writing is received by the First American Title Insurance
Company within ninety (90) days from the date of discovery of such loss,
E. Nothing contained herein shall be construed as authorizing compliance by any issuing agent with any such closing instructions,
compliance with which would constitute a violation of any applicable law, rule or regulation relating to the activity of title insurers, their
issuing agents, and their failure to comply with any such closing instructions shall not create any liability under the terms of this letter.
F. The protection herein offered will be effective until cancelled by written notice from the First American Title Insurance
Company. Any previous insured Closing Service letter or similar agreement is hereby cancelled, except as to closings of your real estate
transactions regarding which you have previously sent (or within 30 days hereafter send) written closing instructions to said Issuing
Agent.
FIRST AMERICAN TITLE INSURANCE COMPANY
By:
1:tre~
.;
..,
AFFIDAVIT OF NO LIENS
STATE OF FLORIDA
COUNTY OF PINELLAS )
BEFORE ME, the undersigned authority duly authorized to administer oaths and
take acknowledgments, personally appeared TOM DEVOCHT, AS TRUSTEE OF THE
CHURCH OF SCIENTOLOGY, who [is personally known to me] [~
~ i::l~entifieationi and who, being first duly sworn, deposes and
says that:
1. The undersigned is the owner of the real property located in Pinellas
County, Florida, as is more particularly described on Exhibit "A" attached hereto and
incorporated herein ("Property"). The Property is now in possession of the record
owner, and there is no other person or entity in possession of the Property or who has
any rights or tenancies to the Property.
2. No Notice of Commencement affecting the Property has been executed,
recorded or posted by the undersigned.
3. The Property is free and clear of all liens, taxes, encumbrances, and
claims of every kind, nature, and description whatsoever, except for real and personal
property taxes for the year 2002, and matters shown on the title insurance commitment
issued by FIRST AMERICAN TITLE INSURANCE COMPANY, through its agent
JOHNSON, BLAKELY, POPE, BOKOR, RUPPEL & BURNS, P.A. (collectively, "Title
Company").
4. The undersigned knows of no state or federal judgment or lien of any
kind or nature whatever against the Property.
5. There has been no labor performed on or materials furnished to the
Property within the past ninety (90) days for which payment in full has not been made
or for which valid liens could be filed; there are no claims whatsoever of any kind or
description against the Property for which liens could be filed according to the statutes
in such cases made and provided; and no informal notice of claim has been received
by the undersigned including, without limitation, unrecorded labor, construction or
materialmen's liens against the Property.
6. The undersigned hereby warrants that the undersigned has received no
notice of any public hearing regarding pending or future assessments for improvements
by any governmental agency and there are no unpaid or pending bills, assessments or
liens against the Property for sanitary sewers, paving, utility installation, service or
other improvements made by any public utility or governmental agency, whether or not
such assessments appear of record.
"
7. The undersigned knows of no violations of municipal or county
ordinances, or any easements or claims of easements for uses or adverse interests not
shown by the public records, pertaining to the Property including, without limitation, any
unrecorded easements or rights-of-way created through use or adverse interest with
respect to the Property. The undersigned knows of no violations or breaches of any
covenants, conditions or restrictions applicable to the Property including, without
limitation, building setback violations and use restrictions violations.
8. The undersigned has, in the operation of the Property, where
applicable, complied in all respects with the sales tax law, and shall submit in a timely
fashion all filings not currently due.
9. The undersigned warrants that there are no estate tax, inheritance tax,
or income tax liens, under federal or state laws, against the Property, or against the
undersigned, which would affect the Property.
10. There is no outstanding unrecorded agreement of sale, option, deed,
agreement for deed, conveyance, mortgage, or lease affecting the title to the Property,
other than the Contract for Exchange of Real Property between the City of Clearwater
and the undersigned, incident to which this Affidavit is given.
11. The undersigned owner of the Property is not a non-resident alien,
foreign corporation, foreign partnership, foreign trust, or foreign estate (as those terms
are defined in the Internal Revenue Code and Income Tax Regulations), and the U.S.
taxpayer identification number of said owner is
12. This representation is made under oath for the purpose of inducing
City of Clearwater ("City") to purchase the Property, and the Title Company to insure
title to the Property.
13. The undersigned makes and delivers this Affidavit of No Liens fully
realizing that the Title Company and City are relying hereon in order to close such
purchase. This Affidavit of No Liens is made with full understanding of all laws
appertaining to affidavits in Florida, and full faith and credit may be given hereto. The
undersigned further certifies that the undersigned has read the complete text of this
Affidavit and fully understands its contents.
14. All statements made herein shall, to the best of the knowledge and
belief of the undersigned, be true and correct as of the date and time the deed is ~
recorded. There are no matters pending against the undersigned that could give rise to
a lien that would attach to the Property between the date hereof and such recordation.
The undersigned has not and will not commit, between the date hereof and the date
and time of such recordation, any act that would cause the statements made herein to
change or to become invalid, nor will the undersigned execute any instrument that
would adversely affect the title to the Property.
-2-
, ..
15. The undersigned agrees to indemnify and shall save and hold the Title
Company harmless from and against any claim, liability, or cause of action which may
arise by virtue of any of the foregoing representations being false or untrue or from any
lien or claim which may be filed or enforced for any labor, services or materials used or
furnished to the Property, for or on account of b_enefit of ow~. . a /
C/~4--{ ~r-
TOM DEVOCHT, AS TRUSTEE OF
THE CHURCH OF SCIENTOLOGY
RELIGIOUS TRUST
SWORN TO, subscribed and acknowledged before me thisI7f1t..'day of August,
2001.
~t.~
~ta I Public
Print name: JA- Y N e&". .s ~A-!<-5
My commission expires:
08/14/01 01 :39 PM d-1
41305,102100
#246250 v1
."~U'",,
:-t-!;;.~ Jayne E. Sears
&i:J MY COM\1ISSI0N #C('~jCi5 EXPIRES
,.,....'i;,.'>f SeptembEr? ;""
,.~,~" 80NDEDTHRu THOv ".'1..' ,." . ....
. '.," ",."",,'..v,.., INC.
.....'\"~';'",
.:"~~"~1;~ Jayne E. Sears
~.r ~\'1 MY COMMISSION II CC646775 EXPIRES
~~'R~ September 2, 2001
"~iif.:f.-~" BONDED THRU TROV FAIN INSUP,ANCE, INC
-3-
, ~
EXHIBIT "A"
The West 24.7 feet of Lot 13, all of Lot 14 and the
East 8 feet of Lot 15, Block 7, MAGNOLIA PARK
SUBDIVISION, according to the plat thereof, recorded
in Plat Book 3, Page(s) 43, Public Records of Pinellas
County, Florida;
AND
The East 25.3 feet of Lot 13 and the West 10 feet of
Lot 12, all in Block 7, MAGNOLIA PARK
SUBDIVISION, according to the plat thereof as
recorded in Plat Book 3, Page 43, Public Records of
Pinellas County, Florida.
~. Yfr5.oo
~:
This instrument is prepared by
and return to:
Timothy A. Johnson, Jr" Esquire
Johnson, Blakely, Pope, Bokor,
Ruppel & Burns, PA
P. O. Box 1368
Clearwater, FL 33757-1368
INCUMBENCY AFFIDAVIT OF TRUSTEE
STATE OF FLORIDA
COUNTY OF PINELLAS
BEFORE ME, the undersigned authority duly authorized to administer oaths a~
take acknowledgments, personally appeared TOM DEVOCHT ("Trustee"), who uris
personally known to me or D has-pre iderrtlficatiQo~_
and who, being first duly sworn, deposes and says that:
1 . He has personal knowledge of the facts stated herein.
'1
2. The undersig'led is the, acting Trustee of the Church of Scientology
Religious Trust ("Trust"), as' described in the Warranty Deed recorded in O. R. Book
11309, Page 871, Public Records of Pinellas County, Florida ("Deed").
3, The Trustee of the Trust is the owner of an undivided interest in the
following real property ("Property"), which is an asset of the Trust:
SEE EXHIBIT "A" ATTACHED HERETO AND INCORPORATED HEREIN.
4, The undersigned, as Trustee of the Trust, remains vested with all the
powers enumerated in the Deed and has full power and authority to sell, transfer or
dispose of the Property, and to execute and deliver all documents pertaining to sale of
the Property, including, but not limited to the Trustee's Deed.
5. The execution and delivery of any and all documents of whatever kind,
character, nature or description, including, but not limited to the Trustee's Deed, and
related documents by the undersigned, in his capacity as Trustee of the Trust, does not
require the further consent or approval of any other party.
6. No proceedings with respect to liquidation, dissolution or winding up of
the Trust are pending or contemplated.
7. The Trust has not been amended or modified and the Trust remains in full
force and effect.
8, This Affidavit is made with full understanding of all laws appertaining to
affidavits in Florida, and full faith and credit may be given hereto, The undersigned
further certifies that the undersigned has read the complete text of this Affidavit and
fully understands its contents.
~~.
TOM DEVOCHT
SWORN TO, subscribed and acknowledged before me this /1/'Jv'day of August,
2001.
~
t.
~G-/.
Print name: JAY"'; [; E. .s; ~ A R.S
My commission expires:
08/14/2001 2:01 PM
41305.102100
#246271 v1
~~'~~\:'f~~;;... Jayne E. Sears
f-"(h.';'f.~ MY COMMISSION # CC646775 EXPIRES
~;"~"~'R: September 2, 2001
''''~,9f.,~W~'''' BONDED THAU TROY fAIN INSURANCE, INC.
'1
. .
-2-
EXHIBIT "A"
The West 24.7 feet of Lot 13, all of Lot 14 and the
East 8 feet of Lot 15, Block 7, MAGNOLIA PARK
SUBDIVISION, according to the plat thereof, recorded
in Plat Book 3, Page(s) 43, Public Records of Pinellas
County, Florida;
AND
The East 25.3 feet of Lot 13 and the West 10 feet of
Lot 12, all in Block 7, MAGNOLIA PARK
SUBDIVISION, according to the plat thereof as
recorded in Plat Book 3, Page 43, Public Records of
Pinellas County, Florida.
'1
, I