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JACQUELINE PETTIFORD Name: I 91090037 PINELLAS COUNTY FLA. . WARRANTY DEED OFF. REC. BK 7721 PG 1666 INS T :JI: 91-' 29BO B I .___'___,_",__ NOV 1, 1991 5:41PM Ji!':.tlfn lQ:~Qc~se self.addressed stamped envelope) JJ, r)~~~ This Ins~ent Prepared by: Address ~/r~ g ", "J "i '__"" ,;:,>1.. ~:,: lV )!r. Tl<,~~~ ~"' J1IKELL..L."..sI...,.GERMA I~ ... " 'C "" .,. ';4~~~. ::. Address: ;','.\~:; :;'~" ;'>', .~';'~';6 ""' C~~,r: ""'~\l',~:..'i" -' L :,...tb~ 'f' t \Vhid_, 8 ~~ ;S::Tt1i: i~'i;it 'I.-'V;:<~ ',:iJ ~P1lre(; inci(Jentsll.; I.. wriu<11i, d;: i :ti<? r n~,llfilll(r I'olicy '~ ~ Property Appraisers Parcel Identification (Folio) Number(s): Grantee[s] S.S. #[s): SPACE ABOVE THIS LINE FOR PROCESSING DATA SPACE ABOVE THIS LINE FOR RECORDING DATA mItis DIIurrantl1 ittb Made the -' .a ~ JACQUELINE PETTIFORD, a married woman day of October, A.D. 19 91 by hereinafter called the grantor, to CITY OF CLEARWATER, FLORIDA whose post office address is P.O. Box 4748, Clearwater, Florida 34617-4748 hereinafter called the grantee: (Wherever used herein the terms "grantor" and "grantee" include all the partie$ to thi$ instrument and the heirs, legal representatives and assigns of individuals, and the succesgors and assigns of corporations) .-.:.--:"- Bttntlllld1J: That the grantor, for and in consideration of the sum of $ 10.00 and other valuable considerations, receipt whereof is hereby a.ckncrwledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms 1fnto the gra;ttee all that certain land situate in Pinellas County, State of Florlda, mz: Lot 18 of a Re-subdivision of Lot 5 of R.H. PADGETT'S SUBDIVISION, according to the plat thereof, as recorded in Plat Book 4, Page 32 of the Public Records of Pinellas County, Florida. ~' ~' ',,\,~ ,( " ill ALSO DESCRIBED AS: Lot 18 of resubdivision of Lot 5, of R.H. PADGETT'S SUBDIVISION, REVISED MAP OF PLAT, according to the plat thereof, as recorded in Plat Book 4, Page 32 of the Public Records of Pinellas County, Florida. ALSO DESCRIBED AS: Lot Eighteen of a re-subdivision of Lot Five of R.H. PADGETT'S SUBDIVISION, accordin to the revised map or plat thereof, as recorded in Plat Book 4, Page 32 of the Public Records of Pinellas County, Florida. Parcel number 15/29/15/65214/005/0180 Grantors social security no. "',.;)c,,/ - 8 g -l.J..-ldf, (JACQUELINE) Property is not the principal residence of the Grantor, she in fact resides at: ( ~ do 0 &~ \=5 () l} '"' -3 b ('0 K~ C-f- J -N ~ ~ h~ " "'-+ ) tV C d?::J- '-- <::; 01 RECORDING REC /0 . 5 cJ Ds36~ . ~ !NT 'fEES _~ M','F _____ Pie ..,,------ REY ___ ('~~i ,1l~t:;1"/ -r~.( Pd. (:I~ 0 a ' cJ--r:7 L_, k'> n.;,:t~ ] T.-.:{ i'd. ar\.:. i'ine:;)6 Count)' ~ j)ep..'ty Ckll!! --0;;.:.;..;;..,;;,. _ ...~ 'l'll'I'AL ~ 7 :c- 2'41 C)040ei RMH 01 RECORDING DOC 3T A~1PS ~ " -fH -9~ J.i u... ... 4 1 ~ ':'j:,"\ ~ '...., ,., J.t:il.i...L~ 1.'- . ~ $10.50 ... '*<360~ Gd 17' >'1 ,I <p I ~ irf;1L r.:;""l"tt.' LHtLt\ 1"OT ,fd :t it itH....._ f.~!~I' Tl:tllnr=~l"'tr: ~ lI, :r: l...h~-.~" u. CHA~~GE: ~~3'70~ 5U $J7G~5Q ',~:~Cj1O ~~FU:.EE,:N,., F. DEBl.AKER ~:LEF~K k~CORD VFR"I'I~'[I~r . ... .. . ,_ I BY. _._n___.._...__._.,__ I';) R'J ry ,- r' .L - () % -' (' t,/ ,. .., , -,-.. ," . J I PINELLAS COUNTY FLA. OFF.REC.BK 7721 PG 1667 mngdlfer. with all the tenements, hereditaments and appurtena,nces thereto belonging or in anywise appertaining, mn ]I{aue anb tn ]I{nlb. the same in fee simple forever, Anb the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land infee simple; that the grantor has good right and lawful authority to sell and convey said land, and hereby 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~ NOVEMBER 1, 199 and all easements and restrictions of record. In Witness Wlferenf. the said grantor has signed and sealed these presents the day and year first above written. ~Si~ ~~f) I!.D JAfiSTTRT ,TNR PR'M'TTi'()'Rn Prin Si ture .~.;lc", ~(',ll....{-,brol::.e C-I-\H:,h Post Office A os fb:n-t !JC ~ld-LS Signature Signature I!.D Printed Signature Printed Signature Signature P08t Office Address Printed Signature . .STATE-OF-WRTIfCAROLINA COUNTY OF i' ~",,'It.. rJ_ 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 JACQUELINE PETTIFORD, a married woman to me known to be the person described in and who executed the foregoing instrument and she acknowledged before me that she executed the same. WITNESS my hand and official seal in the County and State last aforesaid this ,/ d-~ day of October A.D. 19 91 / 1:\ v'1. .J __ _' t.~Ct..~ y ,o~.AI.. "" ~ ~ S~ Notary Si~ture/ ~.. SE.<1~\I.GV.S 'l'?l..Ie\..\C l'\C S ~ O\~~ 1..Il'\1'l. {, Do,", (', \......J' N. fe.-.-. t::e~ \'\ \) cO ifee;, rinted Notary S~ture ~CER GI..I\\..rO:\Ss\on t.'f..9 My Commission EXPOOtlc$A~.J1-95JLk co(fl 0,'2.,9 A- NOTARY PU~L GUilFORD COUNTY, He Commission Expires 5-2,94 L 'PAATlE&: ~ J a c que 1 i n e Pet t i fir d ---I ("Seller of 2206 Bolingbroke Court.-liigh Point. NC 27265 (Phone 919-885-8789 -and r:iry nf r:lp::lrw::lrpr, Flnrici::l ("Buyer of P.D. Box 4748, Clearwater, Florida 34618 (Phone 813-462-6638 hereby agree that the Seller shall sell and Buyer shall buy the following real property ("Real ProPQIJ.[) and personal property ("Personally") (collectively :roperty") upon Ihe 'ollowi' terrns and conditions, which INCLUDE the Standards for Real Estate Transactions ("Standard(s)") printed on the reverse or attached and any Riders an Addenda to this Inslrumel I. DESCRIPTION: CONTRACT FOR SALE AND PURCHASE (a) Legal description or Real Property loc;)ted in . R Ii Padgett's Subdivision pinellas County,Florlda: Lot 18 of Or iginal Lot 5. (b) Slreet address, city. zip, of the Property is: (c) Personalty: N (1 n e 1165 Gould Street, Clearwater, Florida II. PURCHASE PRICE ...,..................,.. ........,.. ......." PAYMENT: ",.'",..."",'.',,'.'.......,'..,'.,....,.,'.'......',..............,............. $ 60.000.00 (a) (b) (c) Deposit(s) to be held in escrow by Additional escrow deposil within in the amounl 0' " $ days arter Effeclive Date in Ihe amount of ,..,........,......,.......,..........,..,......,... $ N/A N/A Subject to AND assumption of mortgage in good standing in favor of ,__ havi',o an ~Pnr0"''':?~'' !"~",,,,l p"C1,:ipol balan"c d .. $ N I A (d) Purchase money mortgage and note bealing annual interest at % (see Addendum) in amount of....,.".".".",.."..,.."".., $ N / A (e) Olher: $ N / A (r) Balance 10 close (U,S, cash, LOCALLY DRAWN certified or cashier's check), subject 10 adjustments and prorations ,.......................... $ hO .000 00 Iff. TIME FOR ACCEPTANCE: EFFECTIVE DATE; FACSIMILE: If this offer is not executed by and delivered..to all parties OR FACT OF EXECUTION communicated In wrltln~ between Iheparties on or before ' Septp.rnber 23, 1991, the deposit(s) will, at Buyer's option, be returned to Buyer and Ihls oHer withdrawn. A lacslmile copy 01 thi! Contract for Sale and Purchase ("Conlracl") aix! any signatures hereon shall be considered for all purposes as originals, The date of Contract ("EHective Dale") will be the dale wher the last one of the Buyer and Seller has signed this offer. IV. FINANCING: N/ A (a) If Ihe purchase price or any part of it is to be financed by a third-party loan, Ihis Contract is conditioned on Ihe Buyer obtaining a writlen commitment lor (CHECK (1 or (2) or (3)):( 1) 0 a fixed. (2) 0 an adjustable or (3) 0 a fixed or adjustable rate loan within_ days aller Effective Date al an initiallnleresl rate not to exceed_ 0/, term of years and for the principal amount 01 $ , Buyer will make application within days after EHective Date and use reasonablE diligence to obtain the loan commitment and. Ihereafter, 10 meet the terms and conditions of the commitment and close Ihe loan. Buyer shall pay all loan expenses, II Buyer fails to obtain the commitment or f;)ils to waive Buyer's rights under this subparagraph within the time for obtaining the commitment or afler diligent el'ort lails to meel lhf. terms and conditions of the commitment, then either party Ihereafter by prompt written notice to the other may cancel Ihe Contract and Buyer shall be relunded thedeposit(s) (b) The existing mortgage described in Paragraph lI(c) above has (CHECK (11 or (2)): (1) 0 a variable inlerest rate or (2) 0 a fixed interest rate 01 % per annum - At time of titte transfer some fixed interest rales are subject to increase, If increased, the rate shall nol exceed % per annum. Seller shall, within days after Effective Date, furnish statements lrom all mortgagees stating principal balances, melhod of payment, interest rale and slalus 01 mortgages. II Buyer has agreed to assume d mortgage which requires approval of Buyer by lIle mortgagee for assumption, then Buyer shall promplly oblain all required applications and will diligently complele and returr Ihem to the mortgagee. Any mortgagee charge(s) not to exceed $ shall be paid by (II nol filled In, equally divided). II Buyer Is not accepted by mortgagee or the requirements for assumption are not in accordance with the lerms of Ihis Contracl or morlgagee makes a charge In excess 01 the slated amount Seller or Buyer may rescind this Contract by prompt written notice to the other party uniess either elects to pay the increase in interest rate or excess mortgagee charges V. TIT, LE EVIDENCE: At least I ') " days before closing date. Seller shall, at Seller's expense, deliver to Buyer or BW'S ,torney, in acco, rdance with Standard A, (CHECK (1) or (2)): (1) 0 abstract of tille or (2) [ljtille insurance commitment and, after closing, owner's policy 01 title insurance, ~ or bef.ore b 2' 199J/. VI, CLOSING DATE: This transaction shall be closed and the deed and other closing papers delivered on uecern er '. ;.- ,unless exlended by other provisions 01 Contract VII. RESTRICTIONS; EASEMENTS: LIMITATIONS: Buver shall take lille subjecllo: zoning. restrictions. prohibitions and other requirements imposed by governmental authority; restrictions and matlers appearing on the plat or otherwise comn';'m to Ihe subdivision; public utility easements of record (easemenls are to be localed contiguous to Real Properly lines end not more than 10 feet in width as 10 the rear or front lines and 7'/2 feet in width as 10 the side lines. unless otherwise stated herein); taxes for year 01 closing and subsequent years; assumed mortgages and purenase money mortgaggs. if any; other: ; provided that there exists at closing no violation of Ihe foregoing and none of them prevents use of Real Properly for Cornrnf'rc i ;:r 1 purpose(s), VIII. OCCUPANCY: Seller warrants that there are no parties in occupancy other than Seller; but, if Property is intended 10 be rented or occupied beyond closing. the ract and terms thereo' shall be stated herein and the tenant(s) or occupants disclosed pursuant to Standard F, Seller agrees 10 deliver occupancy 01 Property at time 01 closing unless olherwise slated herein. If occupancy is to be delivered before closing, Buyer assumes all risk of loss to Property lrom date of occupancy. shall be responsible and liable for maintenance lrom that dale, and shall be deemed 10 have accepted Properly in its existing condilion as 01 time of taking occupancy unless otherwise stated herein or In a separate writing. IX. TYPEWRITTEN OR HANDWRITTEN PROVISIONS: Typewritten or handwritten provisions shall control all printed provisions of Contract in conflict wilh them. X. RIDERS: (CHECK if any of tho following Riders are applicnble and alO altachod to this Contract); (a) 0 COASTAL CONSmUCTION CONTnOL LINE RIDER (e) 0 FOREIGN INVESTMENT IN f1EAL PROPERTY TAX ACT f1IDER (b) 0 CONDOM'INIUM RIDER (d) 0 INSULATION f110ER (e) 0 FHAIVA RIDER (f) 0 OTHER: XI. ASSIGNABILITY: (CHECK (1) or (2)); Buyer (1) 0 may assign or (2) [Xl may not assign Ihis Contract XII, SPECIAL CLAUSES: (CHECK (1) or (2)): Addendum (1) 0 is attached or (2) DI: there is no Addendum, XIII. TIME IS OF THE ESSENCE OF THIS CONTRACT. BUYER'S INITIALS XIV, DISCLOSURES: Buyer 0 acknowledges or 0 does not acknowledge receipt of the agency/radon/compensation and estimated closing costs disclosures... THIS IS INTENDED TO BE A LEGALLY BINDING CONTRACT. IF NOT FULLY UNDERSTOOD, SEEK THE ADVICE OF AN ATTORNEY PRIOR TO SIGNING. THIS FORM HAS BEEN APPROVED BY THE FLORIDA ASSOCIATION OF REALTORS AND THE FLORIDA BAR. nstitufe an opinion Ihal any of the tef7ns and conditions in C/lis Controcl should be accepted by the parties In a particular transaclion. Terms dilions should be negotialed based upon Ihe respective interesls, obiectives and bargaining positions of all fnteresled persons, '{RIGHT 1991 BY "'2:!E.!L~R~~B~R ~N!?.~THE FL~R~A_A~~IATION OF R~ORS q!'-/fl 0"" ~ ~ / I _ accruel i ,Pett i ford Date Social Security or Tax I,D, # ~ (Pi - f?8 - Lf{,;). ~ ~ ' Q- ? , Date Rlt(;arvey~ ~o ~ -, A Tr;;:: ,~-,-- ? /5- /7/ D;:Jte. Social Security or Tax 1.0, # lteposiFs.ltler~J,~b~?,Ph iI(a) ~ ,Ived, IF &M~4~.l\R~, THEN'SUEGECT TO CLEAfiANCE, BRG 'S FEE: (CHECK AND COMPLETE THE ONE APPLICABLE) By: o IF ~STIN _~ENT IS CURRENTLY ,,~ EFFECT; seller agrees to payl~ef-.Q ed below, including cooperating sub-agents named, according to the terms of an existing, separale listing agreement: OR o IF NO LISTING AGREEMENT IS CURRENT N-E.f..E.ECT: , SEiiier....agrees to pay-the Broker named below, at time olclOilli;g,..lJ:QQ1tho disbursements 0 thy proceeds of lhe sale, compensation In the amount of (COMPLETE ONLY ONE) _ % of gross purchase price or $ for [kokor's serviC'esln-e.f ling the ,1f'!bY Ii , g the Buyer ready, wiffing and able to purchase pursuant to the loregoing Contract. If Buyer fails to perform and deposit(s) is retained, 50% thereof, but nol exceedl , r k r' fee above provided, shall be paid Broker as full conslderalion for Broker's services, including costs expended by Broker, and tho balance shall be paid to Seller, ff Ihe transaction I close because of refusal or failure 01 Seffer to perlorm. Seifer shaff pay the full fee 10 Broker on demand, In any litigation arising out of the Contract concerning the Broker's fee, the p arty shaff recover reasonable attorney's fees and cosls, ,., 1$-; f; ('; ~/c:/r/ Date Dale (Escrow Agent) (lirm name of listing Broker) By: (authorized sIgnatory) (firm name of selling Broker) By: (aulhorized signatory) lIer) Dlnt::nc r^", Qr:' f'"\QT^I"'~n t:or\lJ T\..IC ~t rH:un^ j\O::C/""\("'..l-^T.1()N' nJ: tH:'AI Tnnc:: rUJ TLJI: t:'1 nnln^ D^D ., ~ I I STANDARDS FOR REAL ESTATE TRANSACTIONS A. EVIDENCE.oF TITLE: (1) An abstract of title prepared or brought current by a reputable and existing abstract firm (if not existing then certified as correct by an existing lirm) purporting to be an accurate synopsis of the instruments affecting title to 1I1e Real Property recorded in the public records of the county wherein Real Properly Is located through Effective Date and which shall commence with the earliest public records, or such laler dale as may be customary In Ihe county, Upon closing or Ihis transaction, Ihe abstracl shall become the property of Buyer, subject to the right 01 retention thereof by first mortgagee until fully paid, (2) A litle insurance commitment issued by a Florida licensed title Insurer agreeing to issue to Buyer, upon recording of the'deed to Buyer, an owner's policy 01 title insurance in the amount of the purchase price insuring Buyer's title 10 the Real Property. subject only to liens. encumbrances, exceplions or qualilications set lorlh in Ihls Contract and those which shall be discharged by Seller at or before closing, Seller shall convey marketable title subject only to liens, encumbrances, exceptions or qualifications specilied in the Contract. Marketable title shall be determined according 10 applicable Title Standards adopted by authority of The Florida Bar and in accordance wilh law, Buyer shall have 30 days, if abstract. or 5 days, if title commitment. from date of receiving eVidence of tille 10 examine it. If tille is found defective, Buyer shall, within 3 days, notify Seller in writing specifying defecl(s), H the defect(s) render tille unmarketable, Seller will have 120 days from receipt of notice wilhin which to remove the defect(sL failing which Buyer shall have Ihe option 01 either accepting the title as it Ihen is or demanding a refund of deposit(s) paid which shall immediatdi be return~d to Buyer; thereupon, Buyer and Seller shall release one anolher 01 all further obligations under the Contract. Seller shall, il tille is found unmarketable. use diligenl ellort 10 correct delecl(s) ;11 the tille within the time provided lherelor, including the bringing of necessary suits. B, PURCHASE MONEY MORTGAGE; SECURITY AGREEMENT TO SELLER: A purchase money mortgage and mortgage note to Seller shall provide lor a 30'day grace period in the eve[)( of ridault if a first mortgage and a 15-d~y grace period if a second or lesser mortgage; shall provide lor right 01 prepayment in whole or in pari withoul penalty; shall not permit acceleralion or interest adjustment in event of resale of Real Properly; shall require all prior liens and encumbrances to be kept in good standing and forbid modifications of or 1~lure advances ~nder plior morlgage(s); and the mortgage, nole andsecurily agreemenl shall be olherwise in form and con ten I required by SeUer; but Seller may only require clauses cuslOmarily found in mortgages, mortgage notes and security agreements generally utilized by savings and loan institutions or state or, national banks located in Ihe county wherein Rual Property is locat(jd All Personalty and leases being conveyed or assigned Will, at Seller's option, be subjecI 10 the lien 01 a security agreement evidenced by recorded fjnancing sta,erne,its: II,a ualklonrnortgage)he linal'payment will exceed the periodic payments thereon, C. SlJRVFY:-J);'Ivpr, o1t l3lly~r'5 'e,>(r~..~.c:;e ',.~'.llhjn limo rHcw.lI?d !n r:.k;!;\i.er r'\'fd9nc"~ 0' !i!!c 2nd to '.:~xJndn~ ~3~~:":::, .:1';.:" ~~~:'':~ r'lLi11 PIlJPc.l,y 5UI ;"C;)'tiJ WK': t.:t::difi0u by a ieyi$i~f~d flof'UtI surveyor, iI suryey shows encroachment ori Real Properly or that illlprovtlments located on Fleal Properly encroach on selback, lines, easements. lands of others or violate any restrictions. Contract covenants or applicable governmental regulation, Ihe same sl1all. conslitute a title delect. ' D. TERMITES: Buyer, at Buyer's expense, wltl1in time allowed to deliver evidence 01 title and to examine same, may have Real Property inspected by a Florida Certified Pest Conlrol Operator to determine if there i$ any visible active termite inlestation or visiiJle existing damage from termite infestation in the improvements, If either or bolh Rre found. Buyer will have 4 days Irom date of wlillen notice thereof within which to l1ave all damages, whether visible or not, inspected ond estimated by a licensed builder or general contractor. Seiler shall pay valid costs o/trealment and repair of ail (lamage up to 2% 01 purcl1ase price, Should such cosls exceed thai amounl, Buyer shall have tile option 01 cancelling Contract Within 5 days alter receipt of contractor's repair estimate by giving wrillen nolice to Seller or Buyer may elect to proceed wllh'the transaction, In which event Buyer shall receive a credit at closing of an, amount equal to tile total 01 the treatment and repair estimate not in excess of 2% 01 the purchase price, "Termites" shall be deemed to include all VJood destroying organisms required 10 be reported under the Florida Pest Control Act. E, INGRESS AND EGRESS: Seller warrants and represents that there is ingress anq egress to the Real Properly sufficient for Ihe intended use as described in Paragraph VII hereof, title to which is in accordance wilh Standard A, ' , F. LEASES: Seller shall, not less than 15 days before dosing, furnish to Buyer copies of all wrillen leases' and estoppel lellers from each tenant specifying Ihe nalure and duration of the lenanl's occupancy, rental rates, advanced rent and security deposits paid by tenarit. II Seller, is unable to obtain such leller trom each lenant, the ,same inlormation shall be furnished by Seller to BllYer within that time period in the form 01 a Seller's aflidavit, and Buyer may thereafter contact tenanls to conlirm such information, Seller shall, at closing, deliver and assign all original leases to Buyer,' , r G. LIENS: Seller shall furnish to Buyer at time of closing an affidavit allesting 10 the absence, unless vtherwise provided for herein, of any financing stalements, claims 01 lien or potential lienors known to Seller and further attesting that there have been no improvements or repairs 10 the Properly for 90 days immediately preceding dale of closing, If Properly has been improved or repaired, within that lime, Seller shall deliver releases or waivers of mechanics' liens executed by all general contractors, subcontractors. suppliers and malerialmen in addition 10 Seller's lien affidavit selling forlh the names of all such general contractors, subcontractors. suppliers and materialmen and furl her affirming Ihal all charges for improvements or repairs which could serve as a basis for a mecl1anic's lien or a claim lor damages have been paid or will be paid at closing ollhis Conlract J H. PLACE OF CLOSING: Ciosing shall be heid in the county wherein the Reai Property is located at Ihe office 01 the allorney or other closing agent designated by Seller. I. TIME: Time periods herein of less Ihan 6 days shall in the computation exclude Saturdays, Sundays and state or nationiii legal holidays, and any time period provided for herein which shall end on Soturday, Sunday or a legall10liday shall extend to 5:00 p,m, 01 the nexl business day, J, DOCUMENTS FOR CLOSING: Seller shall furnish the deed, bill of sale, mechanic's lien affidavit, assignments of leases, tenanl and mortgagee esloppellellers and corrective instrumenls, Buyer shall furnish closing statement, mortgage, mortgage note, security agreement and financing statements, K. EXPENSES: Documentary stamps on the deed and recording corrective instruments shall be paid by Seller. Documenla'ry stamps, intangible tax and recording purchase money mortgage to Seller, deed and financing slalements shall be paid by Buyer,' , L. PRORATIONS; CREDITS: Taxes, assessments, rent, interest, insurance and other expenses and revenue of Property shall be proraled through day before closing, Buyer shall have Ihe option of taking over any existing policies of insurance, if assumalJle, in which event premiums shall be' prorated, Cash at closing shall be Increased or decreased as may be required by prorations, Prorations will be made through day prior to occupancy if occupancy occurs before closing, Advance rent' and security deposits will be credited to Buyer and eRC!C'W dej.>oRits held by morlgaaee will be cmdited 10 Seller. Taxes shall be prnr~led based en 1I1e current year's tax with due allowance made for m!lximum allowable discount, homestead and other exemptions, If closing occurs at a dale when Ille cUllenl year's millage is not fixed and current year's ossessment is available, taxes will be prorated based upon wch assessment and the prior year's millage, II cur,.ent Y0ar's assessmenl is nol available. IIIGn til"es will be prorated on lhe prior year's tax. If there are completed Improvements on the Real Property by,January 1st of year 01 closing which improvements were not in existence on January 1st of the prior year, then taxes shall be prorated based upon the prior year's millage and at an. equitable assessment to be agreed upon between the parties. failing which, request will be made 10 the Counly Property Appraiser lor an Informal assessment taking into consideration available exemptions, Any tax proralion based on an estimate shall, <!t requesl of either Buyer or Seller, be subsequently readjusted upon receipt of tax bill on condition that a stalement 10 that eflect is in the closing slatement. M. SPECIAL ASSESSMENT LIENS: Certified, confirmed and ratified special assessment liens as of date of closing (not as 01 EffectiVE! Date) are to be paid by Seller. Pending liens as of date of closing shall be assumed by Buyer. If the improvement has been substantially compleled as of Effective Dale, such pending lien shall be considered certified, confirmed or ratilied and Seller shall, at closing, be charged an amount equal 10 the last eslimate of assessment for the improvement by the pUblic body, N. INSPECTION, REPAIR AND MAltHENANCE: Seller warrants that, as of 10 days prior to closing, the ceiling, roof (including the fascia and soffits) and exterior and interior walls, seawalls (or equivalent) ,and dockage do not have any VISIBLE EVIDENCE of leaks, water damage or structural damage and Ihat Ihe septic tank. pool, all appliances, mechanical items. heating, cooling, electrical, plumbing systems and machinery are in WORKING CONDITION, Buyer may. at Buyer's expense, have inspections made of lhose items by a lirm or individual specializing in home inspections and holding an occupational license for such purposa (if required) or by an appropriately licensed Florida contractor. Buyer shall, prior to Buyer's occupancy or not less than 10 days prior to closing, whichever occurs first, report' in writing to Seller such items that do not meet the above standards as to delects, Unless Buyer reports such defects wilhin that time, Buyer shall be deemed to have waived Seller's warranties as to delects not reported. If repairs or replacements are required, Seller shall cause such repairs to be made and shall pay up to 3% of the purcl1ase price for such repairs or replacements as may be required in order 10 place such items in WORKING CONDITION, If the cost lor such repairs or replacement exceeds 3% of the purchase price, Buyer or Seller may elect to pay such excess, failing which either party may cancel this Contract. If Seller Is unable to correct the defects prior 10 closing. the cost thereof shall be paid inlo escrow at closing, Seller will, upon reasonable notice, prqvide ulilities service ond access to the Property for inspections, including a walk-througl1 prior to closing, Between Effective Date and the date of closing, excepl for repairs required by this Standard, Seller shall maintain Property, including, but not limited to, the lawn and shrubbery, in the condilion herein warranted. ordinary wear snd tear excepled. O. RISK OF LOSS: If the Property is damaged by fire or olher casually belore closing and cost 01 restoration does not exceed 3% of the assessed valuation of the Property so damaged, cost of resloration shall be an obligation of the Seller and closing shall proceed pursuant to Ihe terms 01 Contracl with resloration cosls escrowed al closing, " the cost of restoration exceeds 3% of the assessed valuation 01 the improvements so damaged, Buyer shall have the option 01 either taking ProlLerty as is. together with either the 3% or any insurance proceeds payable by virtue 01 such loss or damage, or 01 cancelling this Contract and receiving return of deposit(s), P. PROCEEDS OF SALE; CLOSING PROCEDURE: The deed shall be recorded upon clearance 01 lunds, If abstracl, evidence of title shall be continued at Buye"s expense to show tille in Buyer, without any encumbrances or change whiCh would render Seller's title unmarketable Irom the dale of the last evidence. Proceeds of the sale shall be held In escrow by Sellt;lr's allorney or by such other mutually acceptable escrow agent for a period 01 not longer Ihan 5 days from and after closing date, If Seller's title is rendered unmarketabte, through no fault of Buyer, Buyer shall, within the5-day period, notily Seller in writing of the defect and Seller shall have 30 days Irom date of receipt of such notification to cure the defect. II Seller fails to timely cure the defect, all deposit(s) and closing funds shall, upon wrillen demand by Buyer and within 5 days alter demand, be returned 10 Buyer and simultaneously with such repayment, Buyer' shall return Personany and vacate Properly and reconvey il to Seller by special warranty deed, If Buyer fails to make, timely demand for refund, Buyer shall take title as is, waiving all righls against Seller as to any intervening defect excepl as may be available 10 Buyer by virlue of warranties contained in Ihe deed, If a portion 01 the purchase price is to be derived from institutional financing or refinancing, requirements of the lending inslitution as to place, time of' day and 'procedures lor closing, and for disbursement of mortgage proceeds shall control over contrary provision in this Contract. Seller shall have the right to require Irom the lending institution a written commitment that it will not withhold disbursement of mortgage proceeds as a result 01 any lit Ie delect attribulable 10 Buyer-mortgagor. The escrow and closing procedure required by Ihis Slandard r;i",' be w:::ived il till', :::[Jenl im;ur"" adJ8rS'1 n18t1ers p'lIsuant to Seclion 62l.78~1, F,S, (1989), as amended, a. ESCROW: Any escrow a~nt ("Agent") receiving funds or equivalent is authorized and agrees by acceplance. (JI lI,elll tv c:",posil Ihem pr(Jm~'lIy, holt! sail." in es<;row and, subj&ct to clearance, disburse them in accordance with terms and condilions ot Conlract. Failure of clearance. of funds shall not excuse Buyer's performance, If in doubt as 10 Agent's duties or liat,i1itles under the provisions of Contract, Agent may, at Agent's option, confinue to hold the subject matter 01 the escrow unlil Ihe parlles mulually agree to its disbursement or until a judgment of a court of competent jurisdiction shall determine the rights 01 the parties or Agent may deposit same with the clerk of Ihe circuit court having juriSdiction of the dispute, Upon notifying all parties concerned of such action, all liability on the part of Agent shall fully terminate. except to the extent 01 accounting for any items previously delivered out of escrow, If a licensed real estate broker, Agent will comply with provisions of Chapter 4l5. F.S, (1989). as amended, Any suit belween Buyer and Seller wherein Agent is made a party because of acting as Agent hereunder, or in any suit wherein Agent intt:rpleads the subject matter 01 Ihe escrow, Agent shall recover reasonable attorney's lees and costs incurred with the fees and costs to be paid from and out of the escrowed funds or equivalent and charged and awarded as court costs in lavor of the prevailing party. Parties agre.e that Agent shall not be liable to any party or person lor misdelivery to Buyer or Seller of items subject 10 this escrow, unless such misdelivery is due 10 willlul breach of this Contract or gross negligence of Agent. R. ATTORNEY'S FEES; COSTS: In any litigalion arising ou't 01 tllis Contra'ct,' the prevailing party in such litigation which, lor the purposes of Ihis Standard, ShDl1 include Seller, Buyer, listing broker, Buyer's broker and any subagents 10 the listing broker or Buyer's broker, shall be entilled to recover reasonable allorney's lees and costs, S. FAILURE OF PERFORMANCE: If Buyer fails to perform this Contract within the lime specified, including paymenl of all deposit(s). the deposil(s) paid by Buyer and deposit(s) ~t;.,'eed to be paid, may be retained by or for Ihe account of Seller as agreed upon liquidated damages, consideralion for the execution 01 this Contract and in full selllement of any Claims; whereupon, Buyer and Seller shall be relieved of all obligations under Contract; or Seller, at Seller's option, may proceed In equity to enforce Seller's rights under Ihis Contract. If, for any reason other Ihan failure <If Seller to make Seller's title mal ketable alter diligent ellort, Seiler fails, neglects or refuses to perform this Contracl. the Buyer may seek specific performance or elect to receive the return of Buyer's deposit(s) wilhout thereby waiving any action for damages resulting from Seller's breoch, T. CONTRACT NOT RECORDABLE; PERSONS BOUND; NOTICE; Neill,er lhis Contracl, nor any nolice of it, shall be recorded in any public records, This Contracl shall bind and inure to Ihe benefil of the parties and their successors in interest. Whenever the context permits, singular shall include plural and one gender shall include all, Notice given by or to the allorney lor any party shall be as eflective as if given by or 10 1I1at party, U; CONVEYANCE: Seller shall convey tille to the Real Property by statutory warranly. trustee's, personal representative's or guardian's deed, as appropriate 10 the slatus of Seller, subject only to malters contained in Paragraph VII and those otherwise occepted by Buyer. Personally shall, at request 01 Buyer, be transferred by an absolule bill of sale wilh warranty of Iille, subject only to such mailers as may ba olherwise provided for herein, V" OTHER AGREEMENTS: No prior or present agreements or representations shall iJe binding upon Buyer or Seller unless included in this Contract. No modification or change in thiS Contract shall be valid or binding upon Ihe parties unless in writing and ~xeculed by the parly or parties intended 10 be bound by it. W, WARRANTIES: Seller warrants that there are no facts known to Seller materially affecting the value of the Real Property Which are not readily observable by Buyer or which n3ve not been disclosed to Buyer, rf\:-''.'ri~jht 1\'lQ 1 hv TI1n n..r:'l:' Po;}:' ,~::1'1111o"--' r:'lnri''l;l /\(;'ind;""lli,'~;., d ~r.^1 Tflnt:.; I I CITY OF CLEARWATER Interdepartmental Correspondence Sheet RE: Cynthia E. Goudeau, City Clerk I~~ M. A. Galbraith, Jr., City Attorney ~r Purchase from Jacqueline Pettiford - Lot 18 of Original Lot 5, R. H. Padgett's Subdivision for future development TO: FROM: DATE: November 4, 1991 The subject purchase was completed on November 1, 1991, and enclosed are the following documents: Contract for Purchase and Sale Settlement Statement Title Commitment # C-9912-787220 issued by Stewart Title Guaranty Co. Survey Copies of: Warranty deed Authorization and acknowledgement form Indemnity and affidavit as to liens Disclosure Non-foreign certification by individual transferor Information for real estate 1099-S report filing I will forward the original deed {if city ii g~yiRg] and title policy when I receive them. MAG:jmp Enclosures Copy: Daniel J. Deignan, Finance Director w/copy of Settlement Statement rfD) rn @ rn D W rn rn1 1ll1. NOV 04 1991 ~. CITY CLERK DEPT. I I CITY OF CLEARWATER Interdepartmental Correspondence Sheet TO: Cynthia E. Goudeau, City Clerk M. A. Galbraith, Jr., City Attorney ~ Purchase from Pettiford - Lot 18, a resubdi vision of Lot 5 of R. H. Padgett's Subdivision FROM: RE: DATE: November 22, 1991 As a follow-up to my memorandum of November 4, 1991, enclosed are the original warranty deed and title policy regarding the above purchase. MAG: jmp Enclosures lfD)tfiffffWif;fl/ UiJ NOV 2 21991 I ~I CITY CLERK DEPT. CONTRACT FOR SALE AND PURCHASE PARTIES: J a c que 1 i n e P e !: t i lor d I C ("Seller of 2206 Bolingbroke Court... High Point. NC 2726i (Phone 9/9-885-8789 and l.ity nf l.]p::In.J::Itpr, Florin::l ("Buyer ofP.D. Box 4748, Clearwater, Florida 34618 (Phone 813-462-6638 hereby agree that the Seller shall sell and Buyer shall buy Ihe following real property ("Real Prop~") and personal property ("Personalty") (collectively "Property") upon Ihe followi, terms and conditions, which INCLUDE Ihe Standards for Real Estate Transactions ("Standard(s)") printed on the reverse or attached and any Riders and Addenda to this instrume, I. DESCRIPTION: (a) Legal description of Real Property located in R.H PAdgett's Subdivision PinellAs County,Florida: Lot 18 of Orie:inal Lot 5. (b) Street address, city. zip. of the Property is: (c) Personalty: None 1165 Gould Street, Clearwater, Florida II. PURCHASE PRiCE,.......... ...... ..............."..., .....,,'............ ,... ,...............,',................,................."............. '..,.. '.. $ PAYMENT: (a) Deposit(s) to be held in escrow by in the amount of.. $ (b) Additional escrow deposit within days after Effective Date in the amount of .......................,...............,......,...., $ (c) Subject to AND assumption of mortgage in good standing in favor of 60.000.00 N/A N/A haviryg on ~o~n.)~j!":-~,?~~ r.-~~~.c~! p:-;ncipal ba:an::.c .:..'1 .. $ N l A (d) Purchase money mortgage and nole bearing annual inlerest at % (see Addendum) in amount of .....,....,.........,..,.......... $ N / A (e) Other: $ N / A (f) Balance to close (U,S, cash, LOCALLY DRAWN certified or cashier's check), subject to adjustments and prorations........................,.. $ nO ,000 00 III. TIME FOR ACCEf'TANCE; EFFECTIVE DATE; FACSIMILE: If this offer is not executed by and delivered..to all parties OR FACT OF EXECUTION communicated in writin, between the parties on or before' S e. p t e.mb e. r 23 I 1 99 1 , the deposit(s} will, at Buyer's option, be returned to Buyer and this offer withdrawn, A facsimile copy of thi~ Contract for Sale and Purchase ("Contract") and any signatures hereon shall be considered for all purposes as originals, The date of Contract ("Effective Date") will be thE! date wher the last one of the Buyer and Seller has signed this offer, IV, FINANCING: N / A (a) If the purchase price or any part of it is to be financed by a third. party loan, this Contract is conditioned on the Buyer obtaining a written commitment for (CHECK (1 or (2) or (3)): (1) 0 a fixed. (2) 0 an adjustable or (3) 0 a fixed or adjustable rate loan within_ days after Effective Date at an initial interest rate not to exceed_ 0/, term of years and for the principal amount ot $ , Buyer will make application within days after Effective Date and use reasonablE diligence to obtain the loan commitment and, lhereafter, to meet the terms and conditions of the commitment and close the loan. Buyer shall pay all Joan expenses, If Buyer fails to obtain the commitment or tails to waive Buyer's rights under this SUbparagraph within the time for obtaining the commitment or after diligent effort fails to meet thE terms and conditions of the commitment, then either party thereafter by prompt written notice to the other may cancel the Contract and Buyer shall be refunded the deposit(s) (b) The existing mortgage described in Paragraph lI(c) above has (CHECK (1) or (2)): ( 1) 0 a variable interest rate or (2) 0 a fixed interest rate of % per annum At time of title transfer some fixed interest rates are subject to increase. If increased, the rate shall not exceed % per annum. Seller shall, within days aftel Effective Date, furnish statements from all mortgagees stating principal balances. method of payment, interest rate and status of mortgages, If Buyer has agreed to assume e mortgage which requires approval of Buyer by the mortgagee for assumption, then Buyer shall promptly obtain all required applications and will diligently complete and returr them to the mortgagee. Any mortgagee charge(s) not to exceed $ shall be paid by (if not filled in. equally divided), If Buyer is nol accepted by mortgagee or the requirements for assumption are not in accordance with the terms of this Contract or mortgagee makes a charge in excess of the stated amount Seller or Buyer may rescind this Contract by prompt written notice to the other party unless either elects to pay the increase in interest rate or excess mortgagee charges V. TITLE EVI[)ENCE: At least I 'i , days before closing date, Seller shall, at Seller's expense, deliver to,. Buyer or BW'S orney, in acco, rdance with Standard A. (CHECK (1) or (2)): (1) 0 abstract of title or (2) ~,litle insurance commitment and. after closing, owner's policy of title insurance, ' or bef.ore b 2' 19q1-' VI. CLOSING DATE: This transaction shall be closed and the deed and other closing papers delivered on vec em er '. /J;"unless extended by other provisions of Contract. VII. RESTRICTIONS; EASEMENTS; LIMITATIONS: Buyer shall take title subject to: zoning. restrictions. prohibitions and other requirements imposed by governmental authority; restrictions and matters appearing on the plat or otherwise common to the subdivision; public utility easements of record (easements are to be located contiguous to Real Properly lines and not more than 10 teet in width as to the rear or front lines and 7'h feet in width a,s to the side lines. unless otherwise stated herein); taxes for year of closing and subsequent years; aswmea mortgages and purcl1ase money mortgages. if any; other. ; provided, that there exists at closing ho violation at the foregoing and none of them prevents use of Real Property lor Comme.rr i A 1 purpose(s), VIII. OCCUPANCY: Seller warrants that there are no parties in occupancy other ,than Seller; but. if Property is intended to be rented or occupied beyond closing, the fact and terms thereof shall be stated herein and the tenant(s) or occupants disclosed pursuant to Standard F. Seller agrees to deliver occupancy of Property at time of closing unless otherwise stated herein, If occupancy is to be delivered before closing, Buyer assumes all risk of loss to Property from date of occupancy, shall be responsible and liable for maintenance from that date, and shall be deemed to have accepted Property in its existing condition as of time of taking occupancy unless otherwise stated herein or in a separate writing, IX. TYPEWRITTEN OR HANDWRITTEN PROVISIONS: Typewritten or handwritten provisions shall control all printed provisions of Contract in conflict with them, X. RIDERS: (CHECK if any of the fOllowing Riders are applicable and are attached to this Contract): (a) 0 COASTAL CONSTRUCTION CONTROL LINE RIDER (e) 0 FOREIGN INVESTMENT IN REAL PROPERTY TAX ACT RIDER (b) 0 CONDOMINIUM RIDER (d) 0 INSULATION RIDER (el 0 FHAIVA RIDER (I) 0 OTHER: XI. ASSIGNABILITY: (CHECK (1) or (2)): Buyer (1) 0 may assign or (2) 00 may not assign this Contract. XII. SPECIAL CLAUSES: (CHECK (1) or (2)): Addendum (1) 0 is attached or (2) [X there is no Addendum, XIII, TIME IS OF THE ESSENCE OF THIS CONTRACT. BUYER'S INITIALS XIV. DISCLOSURES: Buyer 0 acknowledges or 0 does not acknowledge receipt of the agency/radon/compensation and eslimated closing costs disclosures... THIS IS INTENDED TO BE A LEGALLY BINDING CONTRACT. IF NOT FULLY UNDERSTOOD, SEEK THE ADVICE OF AN ATTORNEY PRIOR TO SIGNING. THIS FORM HAS BEEN APPROVED BY THE FLORIDA ASSOCIATION OF REALTORS AND THE FLORIDA BAR. stitute an opinion that any of the terms and conditions In this Contract should be accepted by the parties in a particular transaction. Terms ditions should be negotiated based upon the respective interests, objectives and bargaining positions of all Interested persons, YRIGHT 1991 BY ~E.!LER~~B~R ~N~a~~-':..A~~CI~TION OF R~ORS ;/':/f/ 0"" .c...~ ~ Date Social Security or Tax 1.0, # b) (gt - ~g - 'fl~ , --------------- if! ~ I.J- Cj( Date -~ Rl t ;:,arv"Y, ~ - , , '-,' , /s /tf/ Date Social Security or Tax I,D. /I ~~si~JW"~~r~,Ph -:1(3)- 4I1.t.~. THEN'SUBJECT TO CLEARANCE, BR 'FEE: (CHECK ANOCqMPlHE THE ONE APPLICABLE) By: o IF A LISTlN ". MENT IS CURRENTLY IN EFFECT' Seller agrees to pay the ed below,lncluding cooperaling sub'agents named, according to the terms of an existing, separate listing agreement: Jjs7rL- f/~/r/ Date Date (Escrow Agent) OR o IF NO LISTING AGREEMENT IS CURREN ECT: seller agrees to paY'the, Broker named below, at time 0 co, m the disbursements 0 II}! proceeds of the sale, compensation in the amount of (COMPLETE ONLY ONE) - % of gross purchase price or $ for [koker's services ing the o/'by Ii I 9 the Buyer ready, willing and able to purchase pursuant to the foregoing Contract. If Buyer fails to perform and deposit(s) is retained, 500/, thereof, but not exceedl r' fee above provided, shall be paid Broker as full consideration for Broker's services, including costs expended by Broker, and the balance shall be paid to Seller, If the transaction t close because of refusal or failure of Seller to perform. Seller shall pay the full fee to Broker on demand, In any litigation arising out of the Contract concerning the Broker's fee, the p , , arty shall recover reasonable attorney's fees and costs, (lirm name of listing Broker) By: (authorized signatory) (firm name of selling Broker) By: FAR/BAR 002A.90a Rev, 1/91 (authorized signatory) ( lieI') RIDERS CAN BE OBTAINED FROM mE FLORIDA ASSOCIATION OF FlEALTORS OR THE FLORIDA BAR. StJUll\1.:JU J".J '~l\.'!F..:r,)u~,~V l!~!~UI.:l \'.11.11 ~)UL' ~v8 ';I-~JVI.:j 'j'..U I\q l bGL j\.ll-,P,'d.JiJ':.) I ,I 'JaAns 01 pasops!p uaaq IOU aAUlI lP!4M JO JeAns I\q alqe^Jasqo I\llpeaJ IOU aJe lPI4M I\pado I leat:j aLII 10 anll?^ a41 oolpaJje ^lIUlJalew Jallas 01 UMOUlt pel ou aJe aJa41 IU41 SlueJJeM Jallas :S311Nl/llll1/M 'M 'I! 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I\JeWOISno aq ^ew SIl alep Jalel lIOns JO 'spJo:>aJ o!lqnd ISa!pBa a41 41!M a:>uawwoo lIe4S 40!4M pue aleo ll^ll:>aIl3 4flnOJ41 P8IBOOI Sl I\padOJd lea~ U!llJEl4M I\lunoo a41 10 SpJo:>aJ o!lqnd a41 U! papJo::>eJ I\padoJd leat:j alll 01 all!1 6u!l:>alle SIUawnJISu! 941 10 Slsdoul\s aleJn:>:>e ue aq 01 flUIpodJnd (WJ!) flu!lS!xa ue Aq paJJoo se pa!l!IJao US41 6ullS!xe IOU II) WJ!! peJlsqB 6u!ls!xa pue alqelndaJ e I\q IUaJJI10 14flnOJq JO paJedaJd all!l 10 peJlsqe U\( (~) :31.111 .:10 30N301^3 'V SNOI~O'1SN'1H~ EI~'1~SEl 1'1E1H HO:l SaH'1aN'1~S .t, MIS (1ei<9) ,-,' A, U,S. DEPARTMENT OF HOUSING AND URB N DEVElOPMENT B, TYPE OF LOAN . 1, 0 FHA 2, 0 FMHA 3, 0 CONV, UNINS, 4, OVA 5, 0 CONV, INS, 6, FILE 17, LOAN SETTLEMENT STATEMENT NUMBER 91090037 NUMBER 8, MORTG, INS, CASE NO. C, NOTE: This form is furnished to tve you a statement of actual settlement costs, Amounts paid to and by the settlement agent are shown, Items marked ("p,O,c,") were paid outsi e the Closing: they are shown here for information purposes and are not included in the totals p. NAME OF BORROWER: CITY OF CLEARWATER, FLORIDA PO BOX 4748 ADDRESS: r FT. ldF,17-d7dR E. NAME OF SElLER: JACQUELINE PEITIFORD c/o GUILFORD TECHNICAL COMMUNITY COllEGE ADDRESS: l\-ir I Roan 1\T(" ?7?A? SElLER TIN: F. NAME OF LENDER: ADDRESS: CASH TRANSACTION G, PROPERTY LOCATION: LOr 18 OF A RE-SUBDIVISION OF LOr 5 OF R.H. PADGEIT' S SUBDIVISION a/k/a 1165 GOULD STREET CLEARWATER, FL 34616 H. SETTLEMENT AGENT: STEWART TITLE COMPANY OF CLEARWATER, INC. SETTLEMENT AGENT TIN: 59-1433918 ADDRESS: 1290 COURT STREEJl' I '1 H'T ldF,lF, PLACE OF SETTLEMENT: STEWART TITLE COMPANY OF CLEARWATER, INC. I. SETTLEMENT DATE: ADDRESS: 1290 COURT STREEJl' NOVEMBER 1, 1991 CLEARWATER, FL 34616 305th DAY OF YEAR/60 REMAIN J, SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SElLER'S TRANSACTION 100, GROSS AMOUNT DUE FROM BORROWER: 400 GROSS AMOUNT DUE TO SelLER: 101. Contract sales price 60.000.0( 401. Contract sales price 60,000.00 102. Personal properly ~02 Personal properly 103, Seltlement charges to borrow lIine '400) 1O.5( 403 104, 404 105, 405, Adjustments for items paid by seller in advance: Adjustments for items paid for seller in advance: 106, City Ilown taxes 10 406, City flown taxes 10 107. Counly taxes to 407. Counly la'es to 108. Assessments to 408 Assessments to 109 to 409 to 110, to 410 to 111. 411 112 412 120 GROSS AMOUNT DUE FROM BORROWER: 60,0l0.5C 420 GROSS AMOUNT DUE TO SElLER:: 60,000.00 200, AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500 REDUCTIONS IN AMOUNT DUE TO SELLER: 201. Deposit or earnest money -0- 501. Excess deposit (see Instructionsl 202, Principal amount of new loan(s) 502 Selllemenl charges 10 seller (line 1400) 961.00 203. Existing loan Is) taken subject to 503. Existing loan(s) taken subject to 204 504 Payoll of first mortgage loan UNITED COMPANIES 2.650.22 205, 505 Payolf of second mortgage loan 206, 506 207. 507. 208, 508, 209 509 Adjustments for items unpaid by seller: Adjustments for items unpaid by seller: 210, City /town taxes 10 510, Cityitown taxes to 211. County taxes 10 511 County taxes 1/1/91 to 11/1/g1 d7L1 ?Q 212, Assessments 10 512. Assessments to 213. to 513 10 214, 514 215, 515, 216, 516, 217 517, 218, 518 219, 519, 220, TOTAL PAID BY /FOR BORROWER: -0- 520, TOTAL REDUCTION IN AMOUNT DUE SElLER:: 4,085.51 300, CASH AT SETTLEMENT FROM/TO BORROWER: 600, CASH AT SETTLEMENT TO/FROM SELLER: 301. Gross amount due from borrower (line 120) 60.0l0.5C 601. Gross amount due to seller (line 420) 60 000.00 302 Less amounts paid by lIor borrower (line 220) -0- 602, Less total reductions in amount due seller (line 520) d ,OWi ,S 1 303, CASH (KJ FROMIIIXDOJIJlORROWER: 60, 010. 5C 603, CASH I[XTO~SELLER: 55,914.49 I =I OMB No 2502,0265 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.1f 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 0 (Form 1040), You are required by law to provide I. R. S with your correct taxpayer identification number, If you do not provide I. R. S 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 JACQUELINE PETTIFORD 1;c I I .. PAGE 2 OF OMS No, 2502,0265 M/SI.DI ~ "" PAlO FROM PAID FROM , L SETTLEMENT CHARGES BORROWER'S SELLER'S FUNDS FUNDS 700, TOTAL SALES/BROKER'S COMMISSION Based on prk:e S @ 'to= A T SETTLEMENT AT SETTLEMENT Division 01 commission (line 7(0) as follows: 701.$ 10 702.$ 10 703, Commission paid at settlement NONE 704, 800 ITEMS PAYABLE IN CONNECTION WITH LOAN. 801, loan Original ion fee % 802, loan Discount % 803 Appraisal Fee 10 804, Credit Report to 805, lender's inspeclion fee 806, Morlgage Insurance application fee to 807, Assumplion Fee 808, 809, 810, 811. 9OO,lTEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE. 901. Interest from to @$ /day 902, Mortgage insurance premium lor mO,lo 903, Hazard insurance premium for yrs, to 904, yrs, 10 905, 1000, RESERVES DEPOSITED WITH LENDER 1001. Hazard insurance mo,@$ ~ per mo, \r~ .c ';'[ .,\ 1002 Morlgage insurance mo,@$ per mo, 1003, Cily property taxes mO,@$ per mo, . !< , ,""~"'t,,, . . , -'~ 1004, Counly properly taxes mO,@$ per mo, 1005, Annual assessmenls (Mainl,) mO,@$ per mo, 1006, mo,@$ per mo, 1007, mo,@$ permo, ~, ~; . " < 1008, mo,@$ per mo, ;" t' 1 } ./Y",; '" 1100, TITlE CHARGES: 1101, Selllemenl or closing fee to 1102, Abstract or lille search 10 STC lnnnn 1103, Title examination 10 1104, Tille insurance binder to 1105, Documenl preparation to 1106, Notary lees 10 1107, Attorney's fees to to (includes above items No,: , 1108, Title insurance (1101) 10 STEWART TITLE COMPANY OF CLEARWATER, INC. 450.00 (includes above items No,: ::~ 1109, lender'S coverage $ 1110, Owner's coverage $ 60,000.00 ."" " 1111. 1112 1113, 1200, GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recording fees: Deed $ 10.50 Morlgage $ Releases $ 6.00 10. 50 6.00 1202, City/counly tax/stamps: Deed $ Mortgage $ 1203, Slate lax Istamps: Deed $ 360.00 Mortgage $ 360.00 1204, 1205, 1300, ADDITIONAL SETTLEMENT CHARGES 1301, Survey to EVANS LAND SURVEYING POC 1302, Pes I inspection to NONE 1303, FEDERAL EXPRESS CLOSING J:X)CUMENTS 1 2 WASY + PROCEEDS) 45.00 1304, 1305, 1400, TOTAL SETTLEMENT CHARGES (entered on lines 103, Sect/on J and 502,-Sect/on K) 10, r:;n 961.00 CERTIFICATION: I have c~~~~ UD-l Settlemen~ement and {jlt1iL.owtedge Ind bellel,lt Is I true a~lll stltemenl 01111 rer pts tnd dlsburseme~on my lccounJ.orFl~ this transactlon.llu;'thercertlly Ihat I have received a copy ollie ~}'~ ' , h, "' 0 _ _ ill IL j bV: C.LTY U1" I I t.l!lU, 11 fJl< I<lll-<I r Borrowers e~~ ~ Selllre To the beslpf n;x J<,no'1dg~e HUOj 1 ~elllemen~le ~ ~,prepared Is a true an~ a~ account o. the 'unds which were received and have been or will be disbursed by the undersigned as part of Ihe settlement of this transaclion, :;; l 'jA'/!/j/ .-?'f. L.t-' 'j '-I' ./77 /J ./ k / NUVt;MI::Illi 1, 1~~1 ~er'emlnll8f81 :.:::-~ / ~" Dete S L ER' AN /0 PURCHASER'S STATEMENT Seller'S Ind Purchlser'e slgnalure hereon acknowledges hlslthelr approval olllx proratlonslnd slgnllles their underelandlng that prorations were based on teltes lor the precedl';R year, orestlmates tor the current ea end In the event of an chen e lor Ihe current ear III neeessa ad ustments must be m d b ween Seller and Pur haser' Ilk wise In dellult In delln uent taxes will be relmbureed to Title Com In b t e Seller, y , y g y , ry I a e et c, e y ,q p y y Title Company, In Its capaclly as Escrow Agenl. Is and hes bien aulhorlzed to dlposlt all funds It receives In this trlnsectlon In any lInancllllnstltutlon, whether affiliated or nol. Such lInanclallnstllutlon may provide Title Company compuler accounting end audit services directly or through e separate entity which, II affiliated with Title Complny, mey chlrge the lInancllllnstllutlon reuonlble Ind proper compensation therefore and relaln any prollls therelrom, Any Iscrow lees gald by any party involved in this transaction shall only be lor checkwrltlng and Input to the computere, but not for II0resald eccountl~ and ludlt services, TIlle Complny shall not be lIeble for any Inleresl or olher charges on the earnesl money and shall e under no duty 10 Invest or reinvest funds held by It al eny time, Sel rs and Purchasers hereby acknOWledge and consenllo the deposit oflhe escrow money In flnanclallnslllutlons with which Tille Company has or mey have 0 ,Ing relationships and further consent 10 Ihe retenlion by Title Company and/or Its e les of eny an all benellls (Including advanlegeous Interesl rates on loans) Title Com any and/or Itsafflllates may receive Irom such fin all tll tlons rea n ofthelr malnlenance of said escrow accounts, """- ' The parties have read Ihe above at purchaser~r~we~ WUNINS: It is a crime to knowingly make false slatements to th ALTA O~NER'S POLICY - (4-6-90) WITH FLORIDA rODIFICATIONS - I ---------- -------- POLICY OF TITLE INSURANCE ISSUED BY 91090037 STEWART TITLE GU ARANTY COMPANY SUBJECT TO THE EXCLUSIONS FROM C SCHEDULE B AND THE CONDITIONS AND corporation, herein called the Company, insures exceeding the Amount of Insurance stated in Sc 1, Title to the estate or interest described in 2, Any defect in or lien or encumbrance on t 3, Unmarketability of the title; 4. Lack of a right of access to and The Company will also pay the costs, to the extent provided in the Conditions IN WITNESS WHEREOF, Stewart T duly authorized officers as of the Date of RAGE, THE E PULATIONS, ST of Date of Poli Ie A, sustained 0 TrONS FROM COVERAGE CONTAINED IN ART TITLE GUARANTY COMPANY, a Texas hown in Schedule A, against loss or damage, not urred by the insured by reason of: l , other than as stated therem; defense of the title, as insured, but only this policy to be signed and sealed by its ~~~~ e1Aaw/$~ Chairman of the Board ~~d~ AJ'thorized Signatory Company City, State The following matters are expressly excluded from the cove expenses which arise by reason of: 1. (a) Any law, ordinance or governmental regulation (incltC)ibuilding and zoning laws, ordinances, or regulations) restricting, regulating, prohibiting or relating to (i) the occupancy, use. or ' H) the character, dimensions or location of any improvement now or hereafter erected on the land; (iii) a separation in ownership 0 ns or area of the land or any parcel of which the land is or was a part; or (iv) environmental protection, or the effect of any vi inances or governmental regulations, except to the extent that a notice of the enforcement thereof or a notice of a defect, lien orsencumbrance resulting from a violation or alleged violation affecting the land has been recorded in the public records at Date of Policy, ' anewy ('I ( OIIIIi1O (b) Any governmental police power not excluded by (a) above, except to the extent that a notice of the exercise thereof or a notice of a defect, lien or encumbrance resulting from a violation or alleged violation affecting the land has been recorded in the public records at Date of Policy, 2, Rights of eminent domain unless notice of the exercise thereof has been recorded in the public records at Date of Policy, but not excluding from coverage any taking which has occurred prior to Date of Policy which would be binding on the rights of a purchaser for value without knowledge. 3, Defects, liens, encumbrances, adverse claims or other matters: (a) created, suffered, assumed or agreed to by the insured claimant; (b) not known to the Company, not recorded in the public records at Date of Policy, but known to the insured claimant and not disclosed in writing to the Company by the insured claimant prior to the date the insured claimant became an insured under this policy; (c) resulting in no loss or damage to the insured claimant; (d) attaching or created subsequent to Date of Policy; or (e) resulting in loss or damage which would not have been sustained if the insured claimant had paid value for the estate or interest insured by this policy, 4, Any claim, which arises out of the transaction vesting in the insured the estate or interest insured by this policy, by reason of the operation of federal bankruptcy, state insolvency, or similar creditors' rights laws. -----.......---~ Page 1 of Policy 0-2111- Serial No. 16602 ~ ".....", ....... ~ ....... .- ~ ~ 211 (Rev, 4,6,90) -, ~ ~ f ! t t t ~ t - ~, . 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(D) II04S paJnsu! a41 '6u!paa)oJd JO UO!PO Auo 10 asualap a41 JOI ap!AoJd JO alnJ :uoaw AJ!lod S!41 u! pasn ua4M SWJal 6u!M01I01 a41 -asoJd 01 Auodwo) a41 saJ!nbaJ JO SI!WJad AJ!lod S!41 aJa4M saSOJ 110 UI (p) 'SWIl31 ~O NOlllNI~~O 'l SNOIl\flndIlS ON\f SNOIlIONO:> AL TA OWNER'S POLICY I I -: 16602 SCHEDULE A mls Order No.: 91090037 Policy No.:O_2111_ 16602 Date of Policy: November 01, 1991 Amount of Insurance: $ 60,000.00 1, Name of Insured: CITY OF CLEARWA~IER, FLORIDA 2, The estate or interest in the land which is covered by this policy is: Fee Simple 3, Title to the estate or interest in the land is vested in: CITY OF CLEARWATER, FLORIDA 4, The land referred to in this policy is described as follows: Lot 18 of a Re-subdivision of Lot 5 of R.H. PADGETT'S SUBDIVISION, according to the Plat thereof, as recorded in Plat Book 4, Page 32 of the Public Records of PINELLAS County, Florida. ALSO DESCRIBED AS Lot 18 of resubdivision of Lot 5, of R.H. PADGETT'S SUBDIVISION, REVISED MAP OF PLAT, according to the Plat thereof, as recorded in Plat Book 4, Page 32 of the Public Records of PINELLAS County, Florida. ALSO DESCRIBED AS Lot Eighteen of a re-subdivision of Lot Five of R.H. PADGETT'S SUBDIVISION, according to the revised map or plat thereof, as recorded in Plat Book 4, Page 32 of the Public Records of PINELLAS County, Florida. REG, 00012 Page 2 STEWART TI~"I..F~ GUARANTY COMPANY AL T A OWNER'S POLICY I ordel No. 91090037 " SCHEDULE B 2111 Policy No.: O~16602 This policy does not insure against loss or damage by reason of the following: delete 1, ~~~,t~H~8~x~~,t~~~~~KX delete 2, ~2~~R~k~~~R~2~f~' 3. Encroachments, overlaps, boundary line disputes, or other matters which would be disclosed by an accurate survey and inspection of the premises, delete 4, A~~~x~x~~k~Rdxlm~~kWMKS!K:~~~xR~~ft~~~ ~}tM~~R~i<k~1i!~, delete 5,x~~)t}(M~~K}OO{'~~~~~~~g~~~~x~~~~!l@:f>f thJIDt~. delete 6. 1dlb~~~x~R~~~~~RSlxR\{bt~x!tmH&_4~M~xW~~~, ~R~K~~~i;xX<Kxt~x1ti11E!Rx~x~l€lMt~~OOdR~~~xIK<K:\t~IDex~ ~~R}@!'~~~~~~~x1~x~kRead 1~~~~~~~~~x1~kt~~~~~k~K:~~~KKXXXXX: 7, Taxes for the year 19 92 and thereafter. 8. Subject to facts of survey by EVANS LAND SURVEYING, dated September 13, 1991, which shows the CONCRETE DRIVEWAY and the WALKWAY encroaching into adjacent Lot 19 to the easterly boundary. 2113 Page 3 STEWART TITLE GUARANTY COMPANY ~ - . '.. . I I CONDITIONS AND STIPULATIONS Continued (continued and concluded from reverse side of Policy Face) (a) The liability of the Company under this policy shall not exceed the If a payment on account of a claim does not fully cover the loss of the least of: insured claimant, the Company shall be subrogated to these rights and remedies (i) the Amount of Insurance stated in Schedule A, or, in the proportion which the Company's payment bears to the whole amount of (ii) the difference between the value of the insured estate or interest the loss, as insured and the value of the insured estate or interest subject to the defect, If loss should result from any act of the insured claimant, as stated above, lien or encumbrance insured against by this policy. that act shall not void this policy, but the Company, in that event, shall be l!1.) (This paraaraph removed in Florida policies,) required to/ay only that part of any losses insured against by this policy which (c) The Company will pay only those costs, attorneys' fees and expenses shall excee the amount, if any, lost to the Company by reason of the impair- incurred in accor~ance with Section 4 of the Conditions and Stipulations. ment by the insured claimant of the Company's right of subrogation, 8. APPORTIONMENT. (b) The Company's Rights Against Non-insured Obligors, If the land described in Schedule A consists of two or more parcels which are The Company's right of subrogation against non-insured obligors shall exist not used as a single site, and a loss is established affecting one or more of the and shall include, without limitation, the rights of the insured to indemnities, gua- p,arcels but not all, the loss shall be computed and settled on a pro rata basis as ranties, other policies of insurance or bonds, notwithstanding any terms or condi- If the amount of insurance under this policy was divided pro rata as to the value tions contained in those instruments which provide for subrogation rights by rea- on Date of Policy of each separate parcel to the whole, exclusive of any son of this policy.. . improvements made subsequent to Date of Policy, unless a liability or value has 14, ARBITRATION otherwise been agreed upon as to each parcel by the Company and the insured Unless prohibited by applicable law, arbitration pursuant to the Title Insur: at the time of the issuance of this policy and shown by an express statement or by ance Arbitration Rules of the American Arbitration Association may be demanded an endorsement attached to this policy, if aareed to by both the Company and the insured, Arbitrable matters may 9. LIMITATION OF LIABILITY. include, but are not limited to, any controversy or claim between the Company (a) If the Company establishes the title, or removes the alleged defect, lien and the insured arising out of or relatina to this policy, any service of the or encumbrance, or cures the lack of a right of access to or from the land, or _ _ _ cures the claim of unmarketability of title, all as insured, in a reasonably diligent Company in connection with its issuance or the breach of a policy provision or manner by any method, including litigation and the completion of ,any appeals other obliaation, Arbitration pursuant to this policy and under the Rules in effect therefrom, it shall have fully performed its obligations with respect to that matter on the date the demand for arbitration is made or, at the option of the insured, and shall not be liable for any loss or damage caused thereby, the Rules in effect at Date of Policy shall be bindina upon the parties. The award (b) In the event of any litigation, including litigation by the Company or with may include attorneys' fees only if the laws of the state in which the land is the Company's consent, the Company shall have no liability for loss or damage located permit a court to award attorneys' fees to a prevailina party, Judament until there has been a final determination by a court of competent jurisdiction, upon the award rendered by the Arbitrator(s) may be entered in any court and disposition of all appeals therefrom, adverse to the title as insured, havina iurisdiction thereof, (c) The Company shall not be liable for loss or damage to any insured for h I f h f hid h I b d h I liability voluntarily assumed by the insured in settling any claim or suit without the T e ow 0 t e situs 0 t e an s allapp y to an or itration un er t e Tit e prior written consent of the Company, Insurance Arbitration Rules, 10, REDUCTION OF INSURANCE; REDUCTION OR TERMINATION OF A copy of the Rules may be obtained from the Company upon request, LIABILITY. 15, LIABILITY LIMITED TO THIS POLICY; POLICY ENTIRE CONTRACT. AII/ayments under this policy, except payments made for costs, attorneys' (a) This policy together with all endorsements, if any, attached hereto by fees an expenses, shall reduce the amount of the insurance pro tanto, the Company is the entire policy and contract between the insured and the Com- 11, LIABILITY NONCUMULATIVE. pany, In interpreting any provision of this policy, this policy shall be construed as It is expressly understood that the amount of insurance under this policy a whole, shall be reduced by any amount the Company may pay under any policy insuring (b) Any claim of loss or damage, whether or not based on negligence, and a mortgage to which exception is taken in Schedule B or to which the insured which arises out of the status of the title to the estate or interest covered hereby or has agreed, assumed, or taken subject, or which is hereafter executed by an by any action asserting such claim, shall be restricted to this policy, insured and which is a charge or lien on the estate or interest described or (c) No amendment of or endorsement to this policy can be made except by referred to in Schedule A, and the amount so paid shall be deemed a payment a writing endorsed hereon or attached hereto signed by either the President, a under this policy to the insured owner, Vice President, the Secretary, an Assistant Secretary, or validating officer or 12. PAYMENT OF LOSS. authorized signatory of the Company, (a) No payment shall be made without producing this policy for endorse- 16, SEVERABILITY, ment of the payment unless the policy has been lost or destroyed, in which case In the event any provision of the policy is held invalid or unenforceable under proof of loss or destruction shall be furnished to the satisfaction of the Company, applicable law, the rolicy shall be deemed not to include that provision and all (b) When liability and the extent of loss or damage has been definitely other provisions shal remain in full force and effect, fixed in accordance with these Conditions and Stipulations, the loss or damage 17, NOTICES, WHERE SENT. shall be payable within 30 days thereafter. All notices required to be given the Company and any statement in writing required to be furnished the Company shall include the number of this policy and shall be addressed to the Company at P,O. Box 2029, Houston, Texas 77252, 13. SUBROGATION UPON PAYMENT OR SETTLEMENT. (a) The Company's Right of Subrogation. Whenever the Company shall have settled and paid a claim under this pol- icy, all right of subrogation shall vest in the Company unaffected by any act of the insured claimant, The Company shall be subrogated to and be entitled to all rights and reme- dies which the insured claimant would have had against any person or property in respect to the claim had this policy not been issued, If requested by the Com- pany, the insured claimant shall transfer to the Company all rights and remedies against any person or property necessary in order to perfect this right of subro- gation, The insured claimant shal! permit the Company to sue, compromise or settle in the name of the insured claimant and to use the name of the insured claimant in any transaction or litigation involving these rights or remedies, STEWART TITLE GUARANTY COMPANY ," - --- --- - - - - -- - - - - - -- -- -+- -- --- -- - - -- --- --+- -+- -- -+- --+- ~ en )> ." m -I < ,,:D om en :DC") o ~ s:C) o OZ Z)>~N )> -<cn-lm 2 S:CO:r:O O~)>Z )> CZZ)> s: ~G)O)j m <: 00 =i -<Z :r: m)> )>r :Dr en-< (/J. ~ otrj ~ ~~ ~~ g~ ~~ ~~ ~~ ~ trj 2 C") o :D '"tJ o :D )> -i m o m en -i )> co r en :r: m o -" 0) co (j) co o 0) - - - - -- --- - - - --+- - -- -- - --+- --+- -- - --- -- - --- --+- - --+- --+- - - --- --+- --+- --- --+- - -- -- --+- --+- - -- --- --+- --- --- --- - -- ,;,-j (/J. ~ J: otrj 0 ~~ 0 c: ~ en :-c ... 2. 0 9 ~> .~ <~ -lOJ ~~ ~ CD 0 C', X X '" III I'.) g~ '" en ~ 0 .....1'.) ~~ " .....cc "' I'.) U1 ~~ I'.) ~~ ~ trj -- -- -- -- -- -- -- -- - - -- --- --+- - - --+- -- - --+- -- /<, ~ ~ ~ - ~ ~ ~ ~ - -- -- --+- -- -- ~ - -- -~ --'+'- --- -'+- --- -, -- -- - z en -t "tJ c: - 0 :JJ -t 0 r- :J> r- Il - Z m 0 0 -< m I I,~ t i 003 ~ r:~A.[ ~ ~ (I'~'"l <?~(>.- ~(I' -> (I ~ (> ...~ MLS ENDOR;f.ME~T J"O ;ITLE ~ ~lpder SERIAL NUMBER C-9912-762574 CHARGE ~ $ .. No. 91090037 ISSUED BY STEWART TITLE Proposed Insured: GU ARANTY COMPANY HEREIN CALLED THE COMPANY CITY OF CLEARWATER, FLORIDA Lot 18 of RE-SUBDIVISION of Lot 5 of R.H. PADGETT'S SUBDIVISION Legal Description: Owner of Record: JACQUELINE PETTIFORD SAID BINDER IS HEREBY M1ENDED TO READ: Schedule B, }hnnber 4 shall be added to read: Subject to facts of survey by EVANS LAND SURVEYING, dated September 13, 1991, which shows the CONCRETE DRIVEWAY and the WAI1~AY encroaching into adjacent Lot 19 to the easterly boundary. ALL OTHER, MATTERS CONTAINED THEREIN SHALL REMAIN THE SAME. This Endorsement is made a part of said policy and is subject to the schedules, conditions and stipulations therein, except as modified by the provisions hereof. Nothing herein contained shall be construed as extending or changing the effective date of said policy, unless otherwise expressly stated, Signed under seal for the Company, but this Endorsement is to be valid only when it bears an authorized countersignature, this the 23rd day of October, 19 91 STEWART TITLE rJ'-j /, ) /!-'7~~ GUARANTY COMPANY '<::J~ ///<9".....0/ t::"'~E";" ....' ....-..IJ.."'- '- ~..., ... .....;f,. '\ (' ~/ ("G'POltof" \, ~ \ ~:~ -*- ~:-<I ..-e -II"")' ~ "'\ 1 9 0 8 9:,''''',,' '- .... .*. ..; ~, PreSident Endorsement Serial No, E-9904- 1060681 American Land Title Association Commitment, 1966 , T~ I I 1 ''''~C'='''''~=='=='='='='''''.==='=''='=7~=.C= '=-==='======'==========-===========4='- c!OMMITMENT FOR TITLE INSURAN~E ISSUED BY ---_._------_._~------- . n .m..__________________... -. -....=====11 I' 'I 91090037 STEWART TITLE GUARANTY COMPANY STEWART TITLE GUARANTY COMPANY, A Texas Gorporation, herein called the Company, for a valuable consideration, hereby corilmits to issue its policy or policies of title insurance, as identified in Schedule A, in favor of the proposed Insured nall'led in Schedule A, as owner or mortgagee of the estate or interest covered hereby in1:he land described or referred to in Schedule A, upon pay, ment of the premiums and charges therefor; all subject to the provisions of Schedules A and B and to the Conditions and Stipulations hereof. This Commitment shall beeffectiv~.(jnl>Y'\iVgerftnejq~~tity of the proposed Insured and the amount of the policy or policies coml1}it~~f()rhaV(;)~~(:!ninse~tEld in Schedule A hereof by the Company, either at the time oftheiS$!\isnc:e()fthisGoll'lrnitmentor by subsequent endorsement. This Commitment is preliminarytoth~.i~$l,Iarlc~rcjfs~PnPQlicY9r policies of title insurance and all liability and obligations hereunder shalJcease and terminate six months after the effective date hereof or when the policy or policies committed for shall issue, whichever first occurs, provided that the failure to issue such policy or policies is not the fault of the Company. Signed under seal for the Company, but this Commitment shall not be valid or binding until it bears an authorized Countersignature. IN WITNESS WHEREOF, Stewart Title GuaranttS~mpany has caused its corporate name and seal to be hereunto affixed by its duly authorized offic(;)rscmthedate shown in Schedule A. STEWART TITLE ~1111J/~~E//6~.' ",l~\\~, \.,,~.., .,.".., .,., ,..""ll,'-t" ,,',... '%.,,"".""'. "ff......,..' ..,':0 li..~~~~"POIf"~\.1\ ..,j'"", ....:, ,","", -,,*, -",",'. ,~',',:~,'.',',",' ,.Ir-:- " . ' , ' ,'.f"j ''''\ 190 8..:c::. ~, .... . *. it..~' , .'. "~......\ "I~,", ' .'" ..EX~JlJlIII~ e1~$~ ~~ '--hc~ c Counter' ed by: GUARANTY CUMPANY President Company City, State Serial No, C. 9912.7 6 2 5 7 4 005N Rev, 3/78 ) , mIs' SCHEDULE A Commitment No. Effective Date of Commitment: Yost N~.~ 12 76257 4 91090037 Prepared For: CITY OF CLEARWATER, (}{j;f( 3 f, 11' 9 Inquiries Should be Directed to: MIKELL L. ST.GERMAIN Stewart Title Company of Clearwater 1290 Court Street Clearwater, Florida 34616 (813) 441-2689 , . Policy or Policies to be issued: Amount (a) D ~ TA Owner's POlicy $ h 0 , OJl.O........D 0 Proposed Insured: CITY OF CLEARWATER, (b) D ALTA Loan Policy $ Proposed Insured: 2. The estate or interest in the land described or referred to in this Commitment and covered herein is a Fee Simple. 3. Title to said estate or interest in said land is at the effective date hereof vested in: JACQUELINE PETTIFORD 4 The land referred to in this Commitment is located in the County of PIN ELL A S State of FLORIDA and described as follows: Lot 18 of a Re-subdivision of Lot 5 of R.H. PADGETT'S SUBDIVISION, according to the Plat thereof, as recorded in Plat Book 4, Page 32 of the Public Records of PINELLAS County, Florida. ALSO DESCRIBED AS Lot 18 of resubdivision of Lot 5, of R.H. PADGETT'S SUBDIVISION, REVISED MAP OF PLAT, according to the Plat thereof, as recorded in Plat Book 4, Page 32 of the Public Records of PINELLAS County, Florida. ALSO DESCRIBED AS Page 2 of 5 Continu~~~l.R~~ITLE 2552 GUARANTY COMPANY I I CONTINUATION SHEET SCHEDULE_ A Commitment Number: Order Number: 91090037 C-9912-762574 PROPERTY DESCRIPTION CONTINUED: Lot Eighteen of a re-subdivision of Lot Five of R.H. PADGETT'S SUBDIVISION, according to the revised map or plat thereof, as recorded in Plat Book 4, Page 32 of the Public Records of PINELLAS County, Florida. Page _ 3 of 5 STEWART TITLE 0055 GUARANTY COMPANY , "0 I SCHEDULE B t ORDER NO: 91090037 'C"'"9912-762574 Commitment Number: I. The following are the requirements to be complied with: 1, Instruments necessary to create the estate or interest to be insured must be properly executed, delivered and duly filed for reco~, Valid photo identification (ie: Driver's License, Passport) and a) social security numbers required of all parties to the transaction by the Insuror. b) Satisfaction of that certai e from JACQUELINE PETTIFORD, a married woman in favor D COMPANIES LIFE INSURANCE COMPANY, filed July 30, Official Record Book 5227, Page 1433 in the principal t of $10}900.00, of the Public Continued on next page 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: II. 1, Defects, liens, encumbrances, adverse claims attaching subsequent to the effectivedate here state or interest or mortgage thereon covere r m s, if any, created, first appearing in the public records or , r to, the date the proposed I nsured acquires for value of record the s Commitment. par les In possession not shown by the public reco (b) Easements, or claims of easements, not shown b the ublic records, c Encroachmen s r a s un ar ne is utes, or other matters w and inspection of the premises, to a lien, for services, labor, or material her eafterfurnished, imposed by law and notshown by r s, so 0 ym IVI (f) Any titles or rights asserted by anyone including but not limited to persons, corporations, governments or other entities, to tide lands, or lands comprising the shores or bottoms of navigable rivers, lakes, bays, ocean or gulf, or lands beyond the I ine of the harbor or bulkhead lines as established or changed by the United States Government or water rights, if any, 3. Special Exceptions: (a) Taxes. Subject to Taxes for the year 1991 and subsequent years, which are not yet due and payable. Parcel No. 15/29/15/65214/005/0180 Gross Tax for the year 1990, $612.71. k f,VtL/I~ 0~~ -f..OACJ- ~~u~JLt)ut -t r..u ~ui1-LJ (] 2153 4 of 5 Page~X STE'\VA,H,T TITLE GUARANTY COMPA?'iY . . Order Number: 91090037 SCHEDULE B - PART I Records of PINELLAS I I CONTINUATION SHEET SCHEDULE_ B Commitment Number: C-9912-762574 c) Warranty Deed to be execut married woman, joined by Page ----5 of 5 0055 JACQUELINE PETTIFORD, a usband to CITY OF CLEARWATER. STEWART TITLE GUARANTY COMPANY I I .. L 1 ,. CONDITIONS AND STIPULATIONS 1. The term mortgage, when used herein, shall include deed of trust, trust deed, or other security instrument. 2. If the proposed Insured has or acquires actual knowledge of any defect, lien, encumbrance, adverse claim or other matter affecting the estate or interest or mortgage thereon covered by this Commitment other than those shown in Schedule B hereof, and shall fail to disclose such knowledge to the Company in writing, the Company shall be relieved from liability for any loss or damage resulting from any act of reliance hereon to the extent the Company is prejudiced by failure to so disclose such knowledge. If the proposed I nsured shall disclose such knowledge to the Company, or if the Company otherwise acquires actual knowledge of any such defect, lien, encumbrance, adverse claim or other matter, the Company at its option may amend Schedule B of this Commitment accordingly, but such amendment shall not relieve the Company from liability previously incurred pursuant to paragraph 3 of these Conditions and Stipulations. 3. Liability of the Company under this Commitment shall be only to the named proposed Insured and such parties included under the definition of I nsured in the form of policy or policies committed for and only for actual loss incurred in reliance hereon in undertaking in good faith (a) to comply with the requirements hereof, or (b) to eliminate exceptions shown in Schedule B, or (c) to acquire or create the estate or interest or mortgage thereon covered by this Commitment. In no event shall such liability exceed the amount stated in Schedule A for the policy or policies commined for and such liability is subject to the insuring provisions and the Conditions and Stipulations and the exclusions from coverage of the form of policy or policies committed for in favor of the proposed Insured which are hereby incorporated by reference and are made a part of this Commitment except as expressly modified herein. 4. Any action or actions or ~ights of action that the proposed I nsured may have or may bring against the Company arising out of the status of the title to the estate or interest or the status of the mortgage thereon covered by this Commitment must be based on and are subject to the provisions of this Commitment. STE"\VART TITLE GUARANTY COMPANY All notices required to be given the Company and any statement in writing required to be furnished the Company shall be addressed to it at P.O. Box 2029, Houston, Texas 77252, and identify this commitment by its printed COMMITMENT SERIAL NUM, BE R which appears on the bottom of the front of the first page of this commitment. CEB'l'1Fl.fJJ '10 & Ci ty of C arwater PREPARED FOR: stewart Tl tIe Corcpany of Clearwater, stewart Title Guarantee Carpany I 17 29 S. I~E. Inc. SEC. - lWP. - RGE. -' t 6ouc...D STR-EE.. T , - ~"-1;"-' . . .":~~,~~~.}~ 0.,0 + I 1:1. t.:J I , ~ lff~ \1.l " J o "1 Vl w DI~ ~ ~ ~ ~. '-' 1'<\ 0\ ...1 ~ ". 'I' .. - ~"1 ,,/ J~~ /[/ ~~ ~l;.l(jq :' ".... '~l ~ 1 / ~ ~ (j\ ~ '-J , '-1.0.? d) " J t{1~ J ,1 o \ll '" ') ~ 4: ~ ~ ~ ~ ~ ' ~~ ~i\~ ~~ ~~\J \\) \ ~ ~ ~ ~'t ~~t\ ~" ~ ~ ~ ~ & ~ \ :\ ~ ~ ~I ~ ~~~~ '!S ~\I~~ \i~ [\ ~~~~ ,0J ~ l~ ~ ~ ~~ ~ ~~ ~ ~ ~ ~ ~ ~~ ~ ~ ~ ~ ~ ~~ o o ~ VJ--< \,'b ~ 0 o ~ ~t '0. iO (MEJlo6..) \O"~\) tl~ 0 "0.0 (f'l.A.T) .: \ ---~,. 78 - ~",..al] t>Q \....~tU) f'fE" .. /' ~~ ~\~ 001/)150' J lO'\O I o.oS'w,) ~ . ~, ,.- I lif" '1'--" ",:- jUB. 'J " . ,-. I.-h, ~ ,.. I:; ,,} I ,.... - I . Lot 18 of a Re-subdivision of Lot 5 of R.H, PADGETT"S SUBDIVISION, according to the Plat thereof, as recorded in Plat Book 4, Page 32 of the Public Records of PINELLAS County, Florida ALSO DESCRIBED AS Lot 18 of a resubdivision of Lot 5, of R.H. PADGETT"S SUBDIVISION, REVISED MAP OF PLAT, according to the Plat thereof, as recorded in Plat Book 4, Page 32 of the Public Records of PINELLAS ' County, Florida.' ALSO DESCRIBED AS Lot Eight.een of a re-subdi v is ion of Lot Five cd' H, II, l'AJ)(~ETT' S SUBDIVISION, according to the revised map orpl<:1+ t.herenf, .')s recorded in Plat Book 4. Page 32 of the Public Hecol'r1r:; 1,1 PINELL^S County, Florirla. " I HERE8Y CERTIFY THAt tHE ,SURVEY ~EPRE$ENTEDHEREON MEETS tHE MINIMUM REQUIREMENTS OF CHAPTER 21 'HH-6, OF THE FLORIDA AOMINIStRATIVE CODE.. DATE: 9-13-91 50v rJ D,o.. g,.. 'I .su I!.. VI:. Y O,.J l- Y OWN. BY: I.f. ,. ~ INV. NO. I 9'-S'7.~ ON.. MAIN STREET - UNIT H DUNEDIN, FLORIDA 34698 PH: 734.. 3821 .. ,; Return ~G. (e.:,t,~loS'e self.addressed stamped envelope) . I 91090037 WARRANTY DEED LoONG FORM I RAMeo FORM 1 Name: ~ ,.. ~ This Instrument Prepared by: r . L..-* ,,~. ...., r:'i:' ":'_~ ;Yf: g ~'.~':.,;- :.,~.1, '!~.'.:.:~,:.': l' ~_;~ ;",.":.>\\,,.~rE~,~,-:" ~]': _.MIKELL.._L.,_.sT..__GERMAI~ .. " 'I: Ck~!"".;"""".~r, Fl. 14{:~() ~ 1.'.0, Ho~, :H% .. C!ellml!!rr,I'L ,Bo!7 t Which 1,.,~!runll'lI! W;)~ rr~p11rl'd incidentll~ to writing l.r afitll' Illsufllllcr Policy. '~ 8 i :::::~~ C~)!~r' Stn"J.fl Address: Address: Property Appraisers Parcel Identification (Folio) Number(s): Grantee[s) 5.5. #[sl: SPACE ABOVE THIS LINE FOR PROCESSING DATA SPACE ABOVE THIS LINE FOR RECORDING DATA mItis DIInrrantu lIeeb Made the"' ~ ~ JACQUELINE PETTIFORD, a married woman day of October, A.D. 19 91 by hereinafter called the grantor, to CI'lY OF CLEARWATER, FLORIDA whose post office address is P.O. Box 4748, Clearwater, Florida 34617-4748 hereinafter called the grantee: (Wherever used herein Ute terrm "grantor- and .grantee. inelude all the parties to this instrument and the heir8, legal representatives and &Ss.igns or individual" and the ,ueee(l(l.ore. and u8igm:, or corporations) lIIittltltltdlJ: That the grantor, for and in consideration of the sum of $ 10.00 and other valuable considerations, receipt whereof is hereby acknO'Wledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms 1fnto the gra?1-tee all that certain land situate in Pinellas County, State of Florlda, mz: Lot 18 of a Re-subdivision of Lot 5 of R.H. PADGETT'S SUBDIVISION, according to the plat thereof, as recorded in Plat Book 4, Page 32 of the Public Records of Pinellas County, Florida. ALSO DESCRIBED AS: Lot 18 of resubdivision of Lot 5, of R.H. PADGETT'S SUBDIVISION, REVISED MAP OF PLAT, according to the plat thereof, as recorded in Plat Book 4, Page 32 of the Public Records of Pinellas County, Florida. ALSO DESCRIBED AS: Lot Eighteen of a re-subdivision of Lot Five of R.H. PADGETT'S SUBDIVISION, accordin~ to the revised map or plat thereof, as recorded in Plat Book 4, Page 32 of the Public Records of Pinellas County, Florida. Parcel number 15/29/15/65214/005/0180 Grantors social security no. ~"J - 8&- lj.../d-t: (JACQUELINE) Property is not the principal residence of the Grantor, she in fact resides at: ( ;.) ~ 0 I" ~ () II '"' 3 b ro K-42. C-j--I i-h~ hfo ,I ri+ ) tV c... cd-?.:+ "-..S: to .. I I 1lo <ingtt4et. with all the tenements, hereditaments and appurtena,nces thereto belonging or in anywise appertaining. <in )Iaue anb tn ]\{nlb. the same in fee simple forever. .Anb 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, and hereby 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~ NOVEMBER 1, 199 and all easements and restrictions of record. In Witness .4ettnf. the said grantor has signed and sealed these presents the day and year first above written. I' , ) 'i' \ \',11' 1,_'\ ~Si~~~ ~~ f) l!.U ~ ~u-~~~)Q(-<\. s. ture itness ff2., .:S~n('\', \ ~ ( L_ C.o_\ \c\.V\O (\ Printed Signature d~~TTRT ,TNR PR'T''T'Ili'ORD Prin I ture .~.lClb ~()ll""'jbroke. e-l-,H;1f... Poet Office A ...... fb ~ n-t IJC ~1d-bS Signature Signature l!.U Printed Signature Printed Signature Signature Poet Office Address Printed Signature STATE OF NORTH CAROLINA COUNTY OF .,.. ~"':I+-. .~ 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 JACQUELINE PETIIFORD, a married woman to me known to be the person described in and who executed the foregoing instrument and she acknowledged before me that she executed the same, WITNESS my hand and official seal in the County and State IlIBt aforesaid this .(' a..-f'l.:!!- day of October A.D. 19 91 . ,,\'Ie"\\ ~ ~........L.~ /1 ~' S ~. CO? \c Notal)' Sign~ture/ '-.- . SE u.f'GV' ~'l \,u0\.. 'l ~c oew'~\O'\ 1\ U~'\' \" \) cO ~feS r o? ~1.\l GU\\.. \Ss\O(\ , co{1'l{1'l l,j.'2..gl\. ~ Do.... c: \A..J" N. Sfe-. ce-v- rintro Notal)' SJ,alure , ~CE.R My Commi..ion EXPuou~SJ1'-~Lfc NOTARY PU~L GUILFORD CoUNTY, He " Expires commISSion 5.2-94- I , I ......("".,;1.. of ('(),.flnrl RONALD (RONI E, SOMERS President S'l'EW AIl.'r 'rrl'IAE OF CLEARWATER P,O. Box 2756 Clearwater, Florida 34617 (B13) 441.2689 1290 Court Street Clearwater, Florida 34616 AUTHORIZATION AND ACKNOWLEDGEMENT FORM Reference: FILE NO. 91090037 LOr 18, OF A RE-SUBDIVISION OF LOr 5 OF R.H. PADGETT'S SUB LEGAL JACQUELINE PETTIFORD SELLER BUYER CITY OF CLEARWATER We hereby approve and acknowledge receipt of a copy of the Statement, and actual cost (DISCLOSURE/SETILEMENT STATEMENT - BUD FORM 1) and authorized disbursement of funds as shown therein this 1 day of NOVEMBER , 19 91. We further acknowledge that we understand utility bills are not included in this statement and that the proration of taxes as shown in the statement of actual cost is based on the latest infonnation available. If any changes are to be ma.de in this proration when the tax bill is received, it will be handled between the parties of this transaction. Stewart Title Company of Clearwater, Inc., will not be held responsible. It is further rmderstood that Stewart 'ritle Company of Clearwater, Inc., cannot, at this time, assertain if there will be personal property tax on subject property or an amormt on which to base a proration. Any proration necessary when tax bills become available will be hruldled between the parties to this transaction, outside of Stewart Title Company Company of Clearwater, Inc. Stewart Title Company of Clearwater, Inc., will be not held responsible. 'IlIAT ALL l1I'ILITY BIILS (WATER, S~, ELEX:'IRIC, ~ FEES) HAVE BEEN PAID OR WILL BE PAID UPON ROCEIPl' OF FINAL BIILS. ~ B. '. r) ~ ' , ' '-;/ j~ f'/V " JACQ INE PEITIFORD ~ L ~/ '~~ a~+ by: 'CITY OF/CLEAR TER SELLER'S FORWARDING ADDRESS: BUYER'S FORWARDING ADDRESS: .-" d ~ 0 1.0 Bo h r\J hrn I<;e. e:,i-, ~j ~ j h P ~ \ rd- I Ha1E PHONE# .,..( q I '1) WORK PHONE1V ( q I q ) J N L d. '7 d, bf; /' f! iJ I3tJf1 t/7L/1 /' t!10 ~1t/~ / 7 -L/ 7'-1 t $?~S-<6'7 g'1 J.f 5 4-- II d- b X do l.j:J.5 HCME PHONE# WORK PHONE# ;/ L/!o;J. t. 6- ~ 9 . . THIS IS TO FURTHER AUTHORIZE CHANGES NECESSARY TO THE CLOSING STATEMENT. TO APPRO\t'EANY STEWART TITLE COMPANY OF CLEARWATER, INC. 'ji "',/~/ " I, ,y /7?Y7 ~ BY: ,~/ /.::L//c,';' '/ .k7 k{!''hJJ1'.tJ / /c. TJ BE FILLED IN PERSONALL J BY SELLER OR BORROWER IN HIS OWN HANDWRITING INDEMNITY AND AFFIDAVIT AS TO DEBTS, LIENS, AND POSSESSION USE SEPARATE FORM FOR EACH PARTY , JACQUELINE PETTIFORD Seller or Owner-Borrower LOr 18, OF A RE-SUBDIVISION OF LOr 5 OF R.H. PADGEIT"S SUBDIVISION Contractor (if new construction) Purchaser 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: l. No unpaid debts for plumbing fixtures, water heaters. floor furnaces, air conditioners, radio or television an- tennae. carpeting, rugs, lawn sprinkling systems, 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 purchased 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 ADDRES OF SECURED PARTY --:J{\( ( u ( " '-Cc, <-\ .~ '.). t' I Approxlma,te A~~,t _ .jv f' P L . 2. No loans of any kind on said property except the following: (If none, so state.) NAME AND ADDRESS OF CREDITOR U r, " ..\~,d., ~ " :' y, \ f, (~ ., \ (-' ~ p. l>. (DO)( . ~ 4 '1 S ?- n td \ Q.S I J '" '1;5 ,;)..;1,:). -- 4- '7 5d- 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 erection of improvements or repairs have been fully paid and satisfied, except: (If none, so state.) NAME AND ADDRESS OF SUPPLIER OF LABOR, SERVICES OR MATERIALS 3....... A~~ate A*~ Approximate Amount ~..... ~f) 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 ADDRESS 6. I. the undersigned owner, further certify tht',t 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 improvements or repairs to said property are now completed and have been accepted by purchaser and/or owner-borrower. INDEMNITY: 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 AND A ITORNEY'S FEES THAT SAID PARTIES MAY INCUR IN CONNECTION WITH SUCH UNMENTIQNED LIENS, PROVIDED SAID LIENS EITHER CURRENTLY APPLY TO SUBJECT PROPERTY, OR A PART THERE- OF, OR ARE SUBSEQUENTLY ESTABLISHED AGAINST SAID PROPERTY AND ARE CREATED BY ME, KNOWN TO ME OR HAVE AN INCEPTION DATE PRIOR TO THE CONSUMMATION OF THIS TRANSACTION. \1 ,....... Tft SWORN TO AND SUBSCRIBED BEFORE ME TillS ().. <j - day of OCTOBER , 19~. E.NCt.R f\ / / f/ "'. S? \-. ~,i, C' ;1 ~ ' ~ \J~~"~~c ./ Notar/;~bt in":nd for:'" (--:---~~;;r'--r County, NORTH ~o~~;;ission EXPir~s~O \~O":GO ~l:O 'i\, c:c \ 1 GUIlfv, ., \1 ~ E.1-P { '550" NOTE: This, form is 10 be ,iplCd by ..lie, in ca.. of ...., If no ...., il is 10 be .iplCd by lhe owner-bonowe" If lhere is any new cOIIJlruction.lbc ~lr.\";'~;~join in Ibis form or ~urn a ~t'",lHAI~ one Rev, I/RR I I SII",."t)' ill (:011/1""1. RONALD (RON) E. SOMERS President 1290 Court Street Clearwater, Florida 34616 STEWAIl.'I" "rrl'LE OF CLEARWATER p,o, Box 2756 Clearwater, Florida 34617 (813) 441,2689 D I S C LOS U R E We, the Owners of that certain real property located at LOT 18, OF A RE-SUBDIVISION OF LOT 5 OF R.H. PADGE'IT'S SUBDIVISION Pinellas County, Florida, do hereby disclose the following facts known to me which may materially affect the value or desirability of said property. I HEREBY CERTIFY that I have no knowledge of any facts or defects in said property which may materially effect the value or desirability of said property, except as set forth above. I acknowledge that this disclosure will be given to the listing broker, the selling broker, and any prospective buyer. - ~~A-(jJ .0--VY-eN.AJ Wi t s s '.~ ~~L tia~jJ JACQUELINE PEITIFORD ~.c~ STATE OF ') NORTH ~OLINA -..... COUNTY OF ~: ,~~ y ~ o....:!!- SWORN TO AND SUBSCRIBED BEFORE ME THIS- ~o DAY OF OCTOBER , 19 91 . I., ,., My Commission Expires:j(-)-1V ;. Ltu ;1. +~-T No~ Public .......'1 () R "') \\.\ SPENCE \ I~GtrIlS \.... OOu '1' 'f pUBUC Noil'\R UNi'f, NC ORO cO GUILr E~pires commission 5,2,91\. I , NON-l"Olm.LGN CEH'l'U'ICAT.lON BY INDlVIDUA'J TIU\NSL;'mton 1. Section ItJt1S of: tile InLenml Heve/lUe Ccxle provides t1mt a trdnsferee (If a United States real [>t-operty lnterest must withhold tax if the transf~ror is (j foreign person. 2. In 01:\]0.1:' to inform Lhe transferee Lhat withholding or Lax 1s not required upon the tlis[XJs.i. Lion by JACQUELINE PE'ITIFORD of lhe Un1tecl Stat~s real property descdbed as follows: LOr 18 OF A RE-SUBDIVISION OF LOr 5 OF R.H. PADGE'IT'S SUBDIVISION the undersigned transferor certifies and declares by means of this certification, the following: (a) I (We) alii (are) not non-resident alien(s) for purposes of United Stales income taxation an(,l, (b) ~1y Unil f.{] States taypaper identifying nUlIlber(s) (Social Security Number) is/are: N/\fI11~ SOCIATJ S~:CUIU1'Y NtJ111DEH JACQUELINE PE'ITIFORD I ~ il ;l to I - g 'l5 - '~ I d- ~ II II " (c) ~1y home address 1s (a ttachecl udc1i.tJonal puge if necessary) (d) There at-e no ulhe!: persons who have an ownership intel-est in lhe above-descd,t.ed property olll0.r lIlan those persons set forth above in sub(Xlragraph (b). 3. 'lhe lllKlers:i.gned hereby fUl"ther cert.i.fies and declares: (a) I (We) understand that the purchaser of the above described proper-ty inlends ' to rely 011 the foregoing representations :1.11 connection with the United States ForeJgn Investment ill Heal Proper-ty Tax Act. (94 Statute 2602 as amended). (IJ) I. (we) U1ldeJ~sllllld lhis cerU.ficat:i.on IIDY be disclosed to the Internal Hevellue Service by transferee and that any false statement contained ill this certification lllay be [Jllll.i.shml by [.\.II(~, :I.IIlpd,HOlllllOllt or lx)tlt. Uncler penalUes of perjury I (we) declare I (we) have examined carefully this certi- fication and it is true, correct and cOlllplete. Date d,'/ OCTOBER :J..~ 1991 3 ,/ at f_ \ \ r A NORTH CAROLINA ~I 11l~ County, 'f~ S#~_(J~~ L Pdll '. -ft- () L/ JACQUELINE PE'ITIFORD ~ W ness ,'" ('1 lis dOCLUlIent must be retained until the end of the fifth taxable year following the" taxable year 1n wh:lch the transfer takes place). CONSUlJl' YOun A'l'm'tN'~Y J\Nn/On 'I'l\X 1\DVISOH - NO HEPHESEN'l'A'l'lON on HEC()II1f\1ENDl\'1'lON IS Hl\DE; llY S'.L'~WAln' Tl'J'L"~ INs'mANCI~ C(~PANY AND/on CONCEHN.f.NG 'l'I1E LEGAl, SUH~JCIENCY ANIJ/OH 'J'AX CONSQUI~'NCI!:S m' '11US DOCU(\11~N'1'. YOU Ml\Y BE IU~QUIHl;J) '1'0 F'ILE A COpy OLi' TIlLS rxxJJMI~N'l' Wl'l1I '1'11I~ IN'l'ERNAl, H1~VI!:NlJl~ SJmVIC'~. '.I1I1~:Sr: AIm QUI~S'l'lONS FUH YOUll Nl'l'OHNJIT em TAX ^lJV lSOH. STNl'E OF' \" rjORTH CAROLINA COUNTY 01."'/ bev,' f~ ~ I IlEru~llY CI~:H'l'lL''Y that on lids day, before lI1e, an officer duly authorized in the State aforesaid and in the County aforesaid to lake aclmowleclgl11ents, personally nppeared JACQUELINE PE'ITIFORD to me known to be the persons described in and who executed the foregoing instrument and lhey acknowledged before lI1e that they executed the sallle.f) ',./''IJf WITNESS illY hand and oUicial seal in the County am] State last aforesaid this ;;z. ~ ~ay of OCTOBER ~\l ' 19 ,91. ~t.~e ~.S \c ~\)G\..I\S(\( ?U6\.: ~C \:IV o1"~ _",,~'l, ~ o~O~"\'/.9,(e. G\l'\..~ \S~\o(\ GO('(\('(\ 1J.'2.oc:lA- g~Ul~ ~__~ MY CCX\1I'1ISSlON EXPllH~S :s-- :;.. - '1 '1