HENRY AND COMA DAVIS
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DATE: May J. 1'"
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CITY OF CLEAR WATER
CITY HALL - PO BOX 1348
CLEARWATER, FLORIDA
AFFIDAVIT OF NO LIENS
STATE OF FLORIDA )
COUNTY OF PINELLAS )
Before me, the undersigned authority, personally appeared
Henry Davis and Cama H. Davis, his wife,
who, being fir st duly swarn, depase and say
1. That ' they ar~ ., ; the owners af the
fallawing described praperty in Pinellas County, Florida, to' wit:
Lot 4, Black "A", PALM PARK ADDITION TO CLEARWATER,
as recarded in Plat Baak 4, page 86 af the Public Recards
af Hillsbaraugh Caunty, Flarida, af which Pinellas County
was farmerly a part.
z. That said praperty is naw in possessian af the recard awners .
3. That there has been no' labor perfarmed or materials furnished an
said property within the past ninety (90) days for which there are unpaid bills
far labar ar materials against said property.
4. That there are no' liens ar encumbrances af any nature affecting the
title to the praperty hereinbefare described.
5. That it is hereby warranted that no' natice has been received af
any public heariJlg regarding assessments far impravements by any gavern-
ment within the past ninety (90) days, and it is hereby warranted that there are
no' unpaid assessments against the abave praperty far improvements thereto'
by any government, whether ar not said assessments appear of recard.
6. That the representations
inducing uthe'City orClearwate:r
embraced herein ar~ f()l".thep\l:rpc>seof
to purchase the abave described property.
H'\JA-v14f) ()--0/VlI()
Henry Davis
C2r1fYt1(.... 11& ~
Cama H. Davi~
Swarn to' and subscribed befare me this 3rd day af Mayf- ,-1-965.
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NOTARY PUBLIC, STATE~El~;~ ~.d 1\' '}'(73-~~*
MY COMMISSION EXPIRES MAR. 30.. l~atary PublH:.'<;~.__.~:_-
My Cammission Expires BOND&/;) THROUGH I'R&/;), W. Dlla'l:&I.I1.QRO
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May 3, 1965
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RE: MRW - 28
May 3, 1965
Henry Davis and Coma H. Davis, his wife
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n.R. 2151 PAGE 682
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~AllllitN'TY DEED
DREW'~ FORM 01 (REV,)
Manufacturet" nd for sale by The H. & W. B. Drew Company
Jacksonville, Florida
This llttJarranty Jrrd
Made the 3rd
day of
May
A. D. 19 65 by
HENRY DAVIS and COMA H. DAVIS, his wife,
hereinafter called the grantor, to the CITY OF CLEARWATER, FLORIDA, a
municipal corporation,
whose postoffice address is PO Box 1348, Clearwater, Florida,
hereinafter called the grantee:
(Wherever used herein the terms "grantor" and "grantee" include all the parties to this instrument and
the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations)
llttJilnrssdh: That the grantor, for and in consideration of the sum of $ 10. 00 and other
valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, re-
mises, releases, conveys and confirms unto the grantee, all that certain land situate in Pinellas
County, Florida, viz:
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Lot 4, Block "A", PALM PARK ADDITION TO CLEARWATER,
as recorded in Plat Book 4, page 86 of the Public Records
of Hillsborough County, Florida, of which Pinellas County
was formerly a part.
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DOCUMENTA~\L,~3T,\t'l[) T/\X
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COM,-, hl,L~~""., <- .', =
P.B_ls 012" -._:c.'o::~T'~i~:.::::::c.:::--,:~:::.:~=
Jogrlhrr with all the tenements, hereditaments and appurtenances thereto belonging or in any-
wise appertaining.
JoJlalJr and to Mold, the same in fee simple forever.
illnd the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land
in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the
grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of
all persons whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent
to December 31, 1964.
In llttJilnrss lWfhrreot, the said grantor has signed and sealed these presents the day and year
first above written.
Signed, sealed and delivered in our presence:
~~:
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STATE OF FLORIDA
COUNTY OF PINELLAS
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I:Ienry DaVIS 1/1 _
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I SPACE BELOW FOR RECORDERS USE
I HEREBY CERTIFY that on this day, before me, an officer duly
authorized in the ,State aforesaid and in the County aforesaid to take
acknowledgments, personally appeared Henry Davis and
,pof~:H~.~'~Pavis, his wife,
/<~;:~.:. ;:::'~;:.:.~;;:\
:'~tri de' 9nbA~v be-;.;:tlie person S described in and who executed the
~ ;&~r~ing""~tnj~n~ ~hJ they acknowledged before me that they
;, ....c,' te, cu&tJ,.....the s,ame..: .
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~' ..:":'......., 'WJ"t<l'~~ my hand and
\;,-"" "..;'....," ..Ajht~';" ~~t aforesaid this
'f; <..2",,"0' I May
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OTA-RV- ' -IC~ fttf} -at"
MY COMMISSION EXPIRES r.l.~R. 30,
"ONDED, :THROUGH I'RED W., DIESJ:EI.HORSll
official seal In the County and
3rd d~ ~
, A. D. 19 65
~~~~~~*~~.~~~-~~~~.~~~~~
~r No. 30940B
OWNER'S POLICY
Chelsea Title and Guaranty Company
HOME OFFICE, ATLANTIC CITY, N. J.
Plant Founded 1888
...... .1.1.7. 9.. ............ Amount..$.}J.. ?.Q.9.:. .Q.Q..
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NC? 12716
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This Policy of Title Insurance Witnesseth: That the Chelsea Title and Guaranty Company, herein
called the Company, in consideration of the payment of the premium for this Policy, does hereby covenant and
agree that it will pay to
CITY OF CLEARWATER, FLORIDA
hereinafter called the Insured, the heirs, devisees, or personal representatives of the Insured, all loss and damage
not exceeding
Three Thousand Five Hundred and NO /100-- - -- - -- -- - -Dollars ($ 3, 500. 00 ),
which they, or any of them, shall sustain by reason of any defect or defects in the title of the Insured to the
estate or interest of the Insured in the real estate described under Schedule A, hereto annexed, or by reason
of liens or encumbrances against the same as of the date of the final examination of the title thereto, to-wit:
May 7, 1965
which date shall be deemed the effective date of this Policy, excepting the defects, estates, interests, objections,
liens or encumbrances mentioned in Schedule B, hereto annexed, or excepted by the conditions or stipulations of
this Policy hereto annexed and incorporated herein as a part of this contract. Any loss hereunder shall be established
and the amount thereof ascertained in the manner provided in said conditions and stipulations and be payable upon
compliance with the provisions of same and not otherwise.
This Policy shall not be binding until it shall hflve been countersigned by an authorized signatory of the
Company.
~n ~itne55 ~qerenf, Clllyelsea ~itle anb ~1Uttan~
aIontpatttr has caused these presents to be signed in facsimile by its duly
authorized officers and its corporate seal to be affixed in accordance with
its By-Laws, this the 14th day of
May , 1965.
aIqelseCl mitle anb Oi1Uttatti~ aIlllllpa~
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Couot",igo,d: ~
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Attest:
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SCHEDULE A
1, The estate or interest of the Insured in the real estate described below covered by this Policy is
Fee Simple Estate.
2. The deed or other means by which the estate or interest covered by this Policy is vested in the Insured
is described as follows. Warranty Deed from Henry Davis and Coma H. Davis, his wife
-to- City of Clearwater, Florida dated May 3, 1965, and filed for record May 7,
1965 at 2:44 P.M. as Clerk1s Instr. No. 295108B in O. R. Book 2151, page 682 of
the public records of Pinellas County, Florida.
3. Description of real estate in which the Insured has the estate or interest covered by this Policy.
Lot Four (4), Block "A", PALM PARK ADDITION
TO CLEARWATER, as recorded in Plat Book 4,
page 86 of the public records of Hillsborough County,
of which Pinellas County was formerly a part,
Florida.
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AJrIOd SIH.L ..'IO SNOI.LV'ID.dI.LS aNY SXOI.LIaNO:)
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~ SCHEDULE B tT'tA
-. _~ThiS Polj(:y doesuDill: insure or indemnify against the estates} interests, defects, objections to title, liens, ~
~ charges and encumbrances affecting said real estate, or the estate or interest therein insured,as are sclleouledbelow:- . ~--
~..8 1. Rights or claimsof parties other than the Insured in actual possession of any ~
~ ~
~ or all of the property. ~
~ 2. Any variation in location of lines or dimensions, deficiency in quantity of 6'~
~ ground, or any state of fact which an acceptable survey would disclose, or ~
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~ which are visible or are known to the insured. tT'~
~ /3. Rights. of way and easements not disclosed of record. ~
~~ .; 4, Possible unfiled mechanics I and materialmen's liens. ~
~ ... 5. All assessments and taxes for the year 1965 and all subsequent years. ~~
~ 6. Cond;tions, restdctions, and Umitations together w;th easements reserved I
~ for public utilities purposes, as shown on plat recorded in Plat Book 4, page ~
~ 86, Pinellas County, Florida records. ~
~; 7, Conditions, restrictions, reservations and limitat ions as shown in instrument d'~
~ recorded in Deed Book 1144, page 310 of the public records of Pinellas County, Ii
~ . .:il
~ Florida.
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