DEBORAH ANN SIMPSON AKA DEBORAH ANN WASHINGTON & LUCIUS SIMPSON
c~ c::
ijJhfs Barrantu IIttlW Made the 26th dall Qf August, A.D. 19 92 by <~;=
DEBdRAH ANN SIMPSO~ a married woman f /k/ a DEBORAH ANN WASHINGTON, joined by her :z::
husb~nd. LUCIUS SIMPSON, JR. and WILLIAM TuRNER, a,/ married man a/k/a WILLIAM -1;i _(
-7ieretnafter called tJie grantor, to EDWARD TURNER, SR. '-,,'
'T!
CITY OF CLEARWATER, FLORIDA
whose post office address is- P .6-. --B~-;-474S:-ciea-~ater~ Florida 34617
hereinafter called the grantee:
(Wherever oed herein the terms .grantor' and 'grantee' Include aU the parti.. to !hi. instrument and the
heln. legal repreoentatlveo and asolgu. of Individual.. and the oucceooon and asolgn. of corporation.)
.ftntlllltt~: That the grantor, for and in consideration of the sU.m of $ 10.00 and other
valuable considerations, receipt whereof is hereby fMknowledged, hereby grants, bargains, sells, aliens, remises,
releases, conveys and confirms unto the grantee all that certain land situate in Pinellas
County, State of Florida, viz:
North 60 ft. of Lots 12 & 13, Block 1, W.F. HUGHEY'S SUBDIVISION, according to the pIa
thereof, as recorded in Plat Book 1, Page 70 of the Public Records of Pinellas County,
Florida . ALSO DESCRIBED AS:
The North Sixty (60) feet of Lots Twelve (12) and Thirteen (13) in Block One (1) of
W.F. HUGHEY'S SUBDIVISION, according to the plat thereof, as recorded in Plat Book One
(1), Page Seventy (70) of the Public Records of Pinellas County, Florida.
Parcel no. 15/29/15/41688/001/0120
Grantors social sec. II rf\\9~-\\- 'd.~~",) (DEBORAH) / 2 6 '2~ 2 ~~7' 02/ (LUCIUS)
./ 2-{P2~3lf-S-IOc1 (WILLIAM)
unl[operty is not the homestead of William Turner he ln fact resldes at :1 ~,~ S r '/~**
<no,tt~tr. with all th tenements, hereditamflnts and appurtenances thereto belonging or in anywise
Oappertatning'!<'i<, ~ C w-~- L,
-== ,_ <nit _ 1I1t1lt an~ to olb. the same~n fee simplefor(fIJer.
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 wMmso(fIJer; and that said la.nd
_is free of all encumbrances, except ta;r:es ,fMcruing, SUbSeQ~'/,nt to December 91, 19 91, and all easements
'2. _.. andf:restn..c.tlons Qf recOY . .
.2Jn itntllll ",trrD. tM satd grantor has stgne and sealed these presents the day and year first above
written.
KARLEEN F. DEBLAKER. CLERK
STATE OF FLORIDA r' F '~('ll:~ n j,l I::' '::; .. I::' '[ I::' X' r:"" .t? /
"\...1..,.. .... ,...I,.!. .,.....1 '<1. ~
COUNTY OF PINElLASmnnmn__m __
I HEREBY CERTIFY that on this da:lo, befor.!l ro~. an Q.ffic~du}y,&lMtborized in the &tat~ aforesaid andJl}.thf! C~o.1Jc.Afo[.esaid to. take
acknowledgments. personally appeared VEBOJ:<llli ANN :s.iMPbUN, a marrlea woman, tl kl a V.l!;HuRAH ANN
ON, joined by her husband, LUCIUS SIMPSON, JR. AND WILL~e~~effit~'€\mWIIJeMMeJWl~D ,,'i<
who executed the foregoing instrument and they acknowledged before me that the executed th same.
WITNESS my hand and official seal in the County and State last aforesaid this h day of August. A.D. 19 92
** , a: i married man, who have produced their 01
Fl/oe(\nitdl' 'Dr I 0 .03 N.~- - I~~ as
a . cation and ~LoO an oath, RONALD E. SOMERS
S 51)..,-:5' - oS -7 -/ ~ <;?- 0 (k . ~. r RONALD E. SOMERS ;rinted Notary Signature
SSI~'-ll.ol 6:3-755-o(p.~,) NotarYPubli.c.St~teofFlo:~d.a My Commioolon Exph....: /
-r (l:J1t "(1 j.b ').~~' ~ [w - T.) J4y ~x*~.~c~ ~J4~ ,,;;., ~
eC,'6
.Ro ,~.rfM22
Return 10: (enclose .ell-addressed .tamped envelope)
. '\b~ ~
91~3 1
~:
:'
AUd,,,n:
..._Tl-.:', 14,:tmmem WlIr. prepllred :;y:
f;i~~.~'.'~i~r 'i;~r;__.E nF f:;..i~r\.~:~r;':.,"I_'C?~
Fy: MI~!:._L~...._S~~_".9.~~~~
,/ Lt"~:ti Cf.JU':1'l StH'\"~
This Instrument Prepared by: , Ckmv,il(?. FiL 3".16
, J I' "\ ,.. ...,,, ,
Addr...: 0 \-4, l\j~ Ck~: ;:~(,,':'::,;: .' -~~fl.~ :
"'- Q.."\ l.}/ XfJ - 'Whkh liI!tmm"!11 "'~, IW?P:al'cd iildden"at
- \ ....... to wnti/ll: of II Tltk lllMmmce Polic}
Proper_tv Appraisers Percel Identification (Folio) Number(s):
Grantee!s! S.S. #lsI:
SPACE ABOVE THIS UNE FOR PROCESSING DATA
"1'\
1, ,r:v "
\ ...." ,-,-j
i) ';,' \ j
')/\' .
i
'/"\
J
O{~
I' WARRANTY DEED
INDIVID. ;:~ ;:~.;IVI::. ? 2 ..l!.~:.; 0 ::.'.; :::.; B
AUG 27, 1992 4:53PM
~';.;;.)''';!:'-~~''\
3 3~~~
...
~~:~~~--~ -
:", < ;
-
.".'~' . .
~ -::."
:.: ..:.."
.;. :
;:Q r--
:7: :'1>
SPACE ABOVE THIS UNE FOR RECORDING DATA
1-:-:
OJ:;.
:::> .:-
c::
Il.U
~
CLW. ,
/Slgnat~I{G~ ~ mD
,-- rfi~~---'- ~0~~L-
. Prin Signatu.... WILLI EDWARD - , SR.-
'l~ o1,i~
\)
/, ''"',
\,' .:
/~1, ,.
!.....~, ,
I
I
10:
FR(M:
RE:
CI1Y OF ~
Interdepartmental COrrespondence Sheet
Cynthia E. Goudeau, City Clerk
Janis M. Przywara, Senior Legal Staff Assistant ~
City's purchase of ~arts of Lots 12 and 13, Block 1,
VV. F. Hughey's Subd1vision (Simpson/Turner)
October 5, 1992
D<\TE :
Enclosed for your records is the original warranty deed regarding the above
purchase. The original title policy and other documents were forwarded to you
on August 27, 1992.
/ jmp
Encl os ur e
fij)~@~llWlr@(
~ OCT 0 51992 -~
CITY CLERK OEPT.
I
I
CITY OF CLEARWATER
Interdepartmental Correspondence Sheet
TO:
Cynthia E. Goudeau, City Clerk d )
M. A. Galbraith, Jr., City Attorney ~
city's purchase of part of Lots 12 and 12, Block 1,
W. F. Hughey's Subdivision (Simpson/Turner)
FROM:
RE:
DATE:
August 27, 1992
This property purchase was completed on August 26, 1992, and
enclosed are the following documents:
Contract for Purchase and Sale
Settlement Statement
Survey
Title Commitment # 0-2111-24270 issued by Stewart Title
Guaranty Company
Copy of warranty deed
I will forward the original warranty deed and title policy when I
receive them.
MAG: jmp
Enclosures
Copy:
Daniel J. Deignan, Finance Director, w/copy of settlement statement
,~ ~ _~ ~,~.IT W,'M" ~ 1'1\
I r, '} r " ... Inl
,.,~.r II : ~, ~
CIlY CLERK OEPT.
PARTIES: Deborah A. Washj nCJ~n !=:; mp!=:l"\P I ("~"l,
01 Clearwater, Floridc:t- (Phone),
and Ci t~ of Clearwater, F lor ida ("Buyer"I,
01 P. - . Bo F . da 1 (Phone I.
IIOIulJy agree Ihal Iho Sc~ler shall sull and Buyer shalllJuy Ih., lullowinll leallKopcrly ("Renl Pro erl ") and personal properly ("personal~"I(cOIIOClivOIY "Properlv"l upon lho following
lurms and cond.hons, WhICh INCLUDE lho Slandards lor Roal Eslalo Transaclions ("Slandan s ") lKinled on lhe revcrse or allllChod a. anv Riders and Addenda 10 Ihis inslrument.
I, DESCRIPTION:
(a) Legal descriplion 01 Real Properly Iocaled in P; n E'> 1 1 i'l ~ County, Florida:
L~~~ l? a~~ ~~ ~;~~~;'~. F. H_qhey'!=: ~UbdiViSjo~ i'l~
PagE'> Puhli~ Records of PinelIas co~nty~ ;i~;i~
(b) Slreel address, city, zip, oIlhe Proporly Is: Ma d i ~on A ven ue. C le a :r;wa t:.e r r F 1 or i d i'l
(c) Personally: NonE'> - Vi'l~i'lnr Lor
CONTRACT FOR SALE AND PURCHASE
;~~ ~~:~h ~o ~~;r n~
fPr.oropo in Pli'lr Rnnk
II. PURCHASE PRICE ...... ........ ..,........ ...........:. ................................ ......... ..... ..............................,........ ..,.............. $
PAYMENT:
(a) Deposll(s)10 bEl held In escrow by ~t:.pwa r t Tit Ie Co. In 'he amounl 01 .. $
(b) Addilional oscrow deposil wilhin - 5 - days oller ElIeclive Dale in the amount of ......,.,........................................... $
(C) Subjecllo AND assumption 01 morlgage In good Slanding in lavor 01
having an approxlmale present principal balance 01 , . $
(d) Purchase money morlgage and nole, bElarlng annual inlerosl al " (see Addendum) In amounl 01 ....................,..........,.. $
(e) Olher: $
(I) Ba/ance 10 close (U,S. cash, LOCALLY DRAWNcerlified or cashier's check), subjocllo adjuslmenls and proralions .......................,... $ 4 4 : 0 0 0 0 0
III. TIME FOR ACCEPTANCE; EFFECTIVE DATE; fACSIMILE: 1/ lhis oller Is nol execu/ed by and delivered 10 all parlies OR FACT OF EXECUTION communicated in wriling
belween lhe par lies on or belore _..8 / 1 / 91 , 1110 deposil(S) will. al Buver's opIion, bEl relurned 10 Buyer and Ihis olfer withdrawn, A facsimile copy of Ihis
Conlracl lor Sale and Purchase ("Conlracl") and anv signalures hereon shall be considered lor all purposes as originals. Tho dale of Conl/acl ("ElIective Date") will be lhe dale when
Ihe lasl one ollhe Buyer and Seller has signed lhis oIfer,
IV. FINANCING: Not Applicable
(a) II Ihe purchase price or anv ..E.arl of II Is 10 bEl Ilnanced by a Ihird.pa/ly loan, lhls Conlract is condilioned on lhe Buyer oblaining a wollen commitmenl for (CHECK (1)
or (2) or (311: (1) 0 a IIxed, (2) U an adjuslable or (3) 0 a IIxed or adjuslable role loan withln_ days aller Elfeclive Dale alan iniliallnleresl rale not 10 exceed_ %,
lerm 01 years and lor Ihe principal amounl 01 $ . Buyer will make application within days aller ElIeclive Dalo and use reasonable
diligence to oblain the loan commitmenl and, lherealler, 10 meet lhe lerms and condilions of lhe commitment and close lhe loan. Buyer shall pay all loan expenses. II Buyer
lails to obtain ,Ihe commitment or lails 10 waive Buyer's righls under lhis subparagraph wilhin Ihe lime lor oblaining the commilmenl or aller diligenl ellorl fails 10 meel Ihe
lerms and conditions 01 tho, commitmenl, lhen eilher parly thcreallor by prOll1pI wrillen nolice 10 Ihe other may cancel the Contract and Buyor shall be relunded lhe depOSil(sl.
(b) The exisling mortgago dllscribed in Paragraph lI(c) above has (CHECK (I) or 1211: (I) 00 vari;Jble inleresl ralo or (2) 0 a lixod inlercsl rate 01 % per annum.
4R 000 00
-0-
4,000.00
AI lime 01 .illo lransler some lixod inlereslrales are SUbject 10 increase. II Increased, 1110 role shall nol oxceed % per annum. Seller shall, wilhln <lavs aller
ElIective Dale, lurnish slatemenls Irom all morlgagees slaling princip.,' balances, melhod of payment, Inleresl ralo and slalus 0/ mortgages. II Buyer has agreed \0 assume a
morlgaQl! which requires approval 01 Buyer by lhe morlgagee lor aSSUIJlllion, lhen Buyur shall promplly oblain all required applicalions and will diligenlly complele and relurn
Ihem 10 lhe morlgagee, Anv morlgagee charge(s) nol 10 oxC;ood $ shall bo paid by (il not Iilled in, equally divided), II Buyer is nol
accepled by morlgagee or Iho requlremllnls lor assumption aro nol in accordance wilh lho lorms 01 Ihis Conlrllcl or morlgagee makes II charge in excess 01 lhe slated amounl,
Seller or Buyer may rescind Ihla Conlrnel bv prompl wrillen nolice to Ihe oIher parly unless eilher elecls 10 pay the increase In inlereal rale or excess mortgagee chargos.
V. TITLE EVIDENCE: AI/east -1 5 - days belore clOsing dale, Seller shall, -al Seller's expense, deliver 10 Buyer or Buyer's ellorney. in accordance with Slandard A,
(CHECI< 11) or (2)): I I) 0 abstracl ollille or (2) Xllille insurance commitmcnl and, after closing. owner's policy ollille insurance.
VI, CI.OSING DATE: This transaction shall be closed and tho deed and other closing papers delivered on R / /7 / q 1 ,unless exlended by olher provisions 01 Conlracl.
VII, RESTRICTIONS; EASEMENTS: UMITATIONS: Buver shalllako 11110 subjecllo: zoning, reslriclions, prohibilions and olher requiremonls imposed by governmonlal aulhorily; restriclions
nnd rnallors appearing on the pial or olherwise common to Ihe subdivision; public ulilily oasemonls 01 record (easemenls ore 10 be Iocaled conli\JUOUS 10 Raal Properlv lines and
nol lTlOfe Ihan 10 'eol in widlh aa 10 the rear or Ironl lines and 7 Y, leel in witllh as 10 .he Bltkl lines. unloaa olhorwiso slaled herein); IlIxea lor year 01 closing and subsequenl
years; assumed mortgages and purChase money mortgages, il any; olher:
; provided,
Ihal Ihere exists at closing no violallon ollhe loregoing and none 01 them prevenls use 01 Real Properly lor CJ e n era 1 ~ ornmp rc ii'll purposels),
VIII, OCCUPANCY: Seller warrants lhal lhere are no par lies in occupancy olher Ihan Seller; buI, if Property is inlended 10 be renled or occupied bElyond closing, Ihe lact and lerms
lhereol shall be slaled herein and 1110 lenant(s) or occupanls disclosed pursuanl 10 Standard F. Sollor agrees 10 delivcr OCcupancy 01 Properly at limo 0' closing unless olherwiso
slated herein. II occupancy is 10 be delivclOd lJelore closing, Buvor assumes all risk 01 loss 10 Properly Irom dale 01 ocCU/)ancy, shall bo res,)onsil>/e and 'ialJle lor mnilllenancu lrom
Ihal dale, and shall be deemod 10llavo accepled Properly In ils oxislinll condillon as 01 lime 01 laking occupancV unloss olherwise slaled homin or in a separate wrlling.
IX. TYPEWRITTEN OR HANDWRITTEN PROVISIONS: Typewrillen or handwrillen provisions shaY conlrol all prinllld provisions 01 Conlraclln conflict wilh Ihem.
X. RIDERS: (CHECK il any ollhe lollowing Riders are applicable!!!!! are allachad 10 Ihis ConIract):.
lal 0 COASTAL CONSTRUCTION CONTROl. LINE RIDER Ie) 0 FOREIGN INVESTMENT IN REAl. PROPERTY TAX ACT RIDER
Ibl 0 CONDOMINIUM RIDER . (dl 0 INSULATION RIDER
leI 0 FHANA RIDER
II) 0 OTHER:
XI. ASSIGNABIUTY: (CHECK ( 1) or (2)1: Buyer ( 1) m may assign or (2) 0 may nol, assign lhis eoniracl.
XII. SPECIAL Ct,AlJSES: (CHECK (1) or (211: Addendum (1) 0 Is altached or (2) t]>lhere is no Addendum.
XIII. TIME IS OF THE ESSENCE OF THIS CONTRACT. BUYER'S INITIALS
XIV. DISCLOSURES: Buyer 0 acknowledges or 0 does noI acknowledge I8caipl oIlhe agency/radon/compensallon and eslimaled closing cosls 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
Approval does not conslilu'e an cpinion 'ha' any 01 ,he 'arms and condilions in lhis COI'lItacI should be accepled by Ihe parlies in a p8Ilicular ltansaclion. Terms
and concJi'ions should be nego/iaIed basad upon Ihe respoc'ive inleros's, ob/oclives and batgaitling posilions 01 all inleresled persons.
COP T 1991 BY THE FLORIDA BAR AND THE FLORIDA ASSOCIATION OF REALTORS
ORIDA C-
_ <ji)'/'il Dale
Y-~cM~nager;' ' ~ orah A. W!lll!Jh~ngton
, , !?J , /7' I Date Social Security or Tax 1.0. #
, . CJ. e; elt::L k
r1' /7/ Dale
bmrrus s ~one / / (Seller)
&\ 1 -.t .. ..'.. 8/ I. 9/ Date Soclal Securlly or Tax 1.0,#
A ~a '~a~ t 1.. 1-'-- At.tornev
sil under P"aragraPrlI'(a, .Iecei~d; ", TfIA'N CASH, THeN SUBJECT TO CLEARANCE. .
BROKER'S FEE: (CHECK ANO- COM&~E T~ QW=: APPUCABLE) By:
o IF A LISTING AGREEMENT ISCURRENl'lV IN EFFECT:
seller agrees 10 pey the Broker named below,lnclKlinll cooperaling sub-agenls named, according to lhe lerms 01 an existing, separale Ilsling agreement:
OR .
e1 IF NO LISTING AGREEMENT IS CURRENTLY IN EFFECT:
Seller agrces 10 pay Ihe I3'roker named below, alUme of cloSlng,lrom Ihe dlsbursemenls of Iho proceeds ollhe salo, compensation in tho amounl 01 (COMPLETE ONLY ONE)
JJL ~ 01 gloss purchase price or S lor Brokor's services in cllocllng the salo by lindinlllho Buyer ready, willing nnd able 10 purchase pursuanllo Ihe lo,egoillg
CoulrllCl. II Buyer lails 10 perlorm and deposil(s) is rlllained, 50% Iherool, IJuI nol oxceedinll 1110 Broker's lee above provided, shall be paid Broker as lull consideration lor Broker's
services. includin cosls expe y Broker. and lhe balance shall bEl paid 10 Seller. II lhe Iransllclion shall not close lJecause 01 relusal or 'ailure 01 Seller 10 perlorm, Seller shall
pay Ihe lull 10 10 Broke, on ema . In any liligallon arising oul 01 Ihe Conlracl concernillg e oker's 100, Ihe prevailing parly shall recover reasonable ollornev's leos and cosls,
JBR 0 R INC. JB 0 CL TER, I C. DEBORAH A. W. .SIMPSON
(linn n mo ~. i~), ' , C\. '\... , '
~ -~c.~'~\.\\\\.'f~
'r
\.\\-<\\
Simpson '
Dale
Date
(Escrow Agent)
r.n'nan",".... ,.,"". '"' .._..
ST!DARDS FOR REAL ESTATE TRANSA!TIONS
A. EVIDENCE OF TITLEl (11 An ab~lrucl 01 lillo propared or brou<,Jh1 currunl by II repulable and oxisling obslracl linn (il nol exisling lhen cerlilied os correcl by an exisling Ihm)
purpOrling 10 be an accuralu synopsis 01 lho inSlrumenls allocling lillu 10 Ihu ntllll Propurly recordud in lhe public records 01 Iho counly wherein Roal Properly is 10CUI"d Ihrouljll
Elleclive Dale am! which shall commence wilh Ihe earliesl public records, or such later dale os may bu cuslOrruJry in the counly. Upon closing 01 Ihis lrunsaclion, Ihe abslracl shall
become lhe proporly 01 Buyer, subjecl 10 Iho righl 01 relenlion Iherool by lirsl mo,lgageo unlit tully paid. (2) A lillo insurance commitmenl issued by a Florida licensed lillo insurer
.\lJreeing 10 issue 10 Buyer, upon recording 01 the deed 10 Buyer, un owner's pOlicy 01 lille insuranco in the amounl 01 Ihe purchase price insuring Buyer's lille 10 tho Real Properly,
suviecl only 10 liens, encumbrances, exceplions or qualilicalions sel lorlh in Ihis Conlracl and Ihose which shall be dischmgtid by Seller al or belore closing. Seller shall convey
markelable lille sublect only 10 liens, encumbrances, exceplions or qualiliculions specilied in Ihe Conlracl. Marketable lillu shall be del ermined according 10 applicable Tille Slandards
adopled by authority ot The Florida Bar and in accordance wilh law. Buyer shall have 30 days, il abslrucl, or 5 days, iI tille commilmenl, Irom dale of receiving evidence oi lille
10 examine il. II lille is lound deleclive, Buyer shall, wilhln 3 days, nOlify Sellur in wriling sllecifying delccl(!>). II Ihe delecl(s) ronder \ille unmarkelable, Selle.. will havo 120 days Iram
receipl .01 nolico wilhin which 10 remove lht! delccl(sl, lailing whiCh Buyer shall haw Ihe oplion ot eilher accepting Ihe lille as il Ihen is or demanding a relund 01 dopasil(s) paid
whicll shall inllnedialely bo rolurned 10 Ouycr; IIlUIUUfJOn, Buyer wul Solie.. tihull ruleastl ono nnalher 01 ull'lurlhor oLJhoalians ulldor Ihe Contracl. Sollur shall, illith, is lound unmarkelablu,
utiC u.ligenl ollar I 1.0 corrocl delecl(s) in Ihe lille wilhinlhe lime providlld Iherolor, including Iho brinying 01 necossmy suils.
B. PURCHASE MONEY MORTGAGE; SECURITY AGREEMENT TO SELLER: A purchaso money mortaago and morlgage nolo 10 Sollor shall pravide lor a 30.day grace period in
11m event 01 delaull il a firsl morlgauo and u 15-day grace periOd il a second or lusser morluago; shall pr.ovide lor righl .01 prepayment in whole or in pml wilhoul penally; "hall
nal per mil accelellllion or inleresl adjusll..unl in evenl .01 ,.esalu 01 neal Properly; shall require all prior liuns and encumbrances 10 be kept in good slanding and farbid modilicallons
alar lulure advances under p..ior mortgage(s); and Ihe marlgage, noto and security agreement slmll be .otherwise in lorm and canlenl required by Seller; bul Seller Iflay only require
clauses cuslomarily lound in morlgages, marlgage nates nnd securily agreemenls generally ulilized by savings and loan inslitulians or slale or national banks Iocnlod in Ihe counly
wherein Real Properly is localed, All Personally and leases being conveyed or assigned will, at Selle,'s option, be subjecl 10 Ihe lien 01 a securily agreemenl evidenced by recorded
financing slalemenls. II a ballaon martgage, lhe linal paymenl will exceed Iho periodic paymenls lhereon.
C. SURVEY: Buyer, at Buyer's expenso, wilhin limo allowed 10 delivar evidence 01 lille and 10 oxamine same, may have Real Properly surveyed and cerlilied by a regislered Florida
surveyor, II survey shows encroachmenl on Real Properly or Ihal improvemenls localed on Real Prapelly ellc.-oach on selback lines, easemenls, lands .01 olhers or violalo any restriclions,
Canlracl covenallls .or applicable governmenlal regulalian, Iho samo shall con!>lilule a Iillo delecl.
O. lERMITES: Buyu... al Ouyur's expunse, wilhill Iimu allowud 10 dulivur uvidullcu 01 lillu lIIKJ 10 oxami'KJ samll, may havo nual ProrJorly inspecled by a Florida Cc::rlilied Post Conlral
Ul'e,alUr lu .Il!lClllllno il Ihmo is .lIly vi~iblo active lormitu illluslalian or vi~ilJlu exi:;till\J d<1If1aljU 11'0111 IU"'llitU inlu:;lalioll in Iho improVtJlllunts. II eilher or holh aro 10Ulld, Eluyur will
h.lvo 4 days hOIll dale 01 wnllun nolice 1I1C"eol within which 10 Ilavu all d~lmuye", whether 'visiblo or nol, inspeclod afl(J estimated by a licensed builder or yenuwl conlraclar. Seller
~hall pay vahd cosls .01 Irealmanl and ropuir 01 all damage up 10 2% 01 purcha:;e prica, Should such cusls oxceed Ihal llmounl, Buyer shall have Ihe option 01 cancelling Cbntmcl
wilhin 5 days aller receipt 01 conlraclo..'s repair estimale by giving wrlllen nolice 10 Seller or Buyer may elecl 1.0 proceed wilh the transaction, in which evenl Buyer shall receive
a credil al closing 01 an amounl equal 10 Ihe lalal 01 the Irealment and repair eslimalo not in excess 01 2"10 01 the purchase price. "Termites" shall be deollJed 10 include all wood
deslroying organisms required 10 be reparled under lhe Florida Pesl Control Acl;
E. INGRESS AND EGRESS: Seller warranls and represenls thai Ihere is Ingress and egress 10 Ihe Real Property sulliclent lor Ihe Inlended use as described in Paragraph VII hereol,
lille to which is in accordanco wilh SIandard A.
F. LF.ASES: Seller shall, nol less Ihan 15 days belare closing, lurnish 1.0 Buyer caples 01011 writlen IclOsos nnd esloppellellers Irom each lenanl specifying Iho nalure and dural ion
.of 1110 lonanl's occupancy, mnlal rulos, advanced ronl and securily deposits paid by lunanl, II Soll"r is unablo 10 ololain such loller Irool each lenanl, the salllo inlormalion shall bo
lurni~IICU by Seller 10 Duyar within Ihat limu periOd in lho lonn 01 a Sollor's ullidavil, and Buyer may Iherualler canlacl lenanls 10 contirm such inlormalion. Soller shall, al clotiiny,
deliver and assign all originulleases 10 Buyor,
G. LIENS: Seller shall lurnish 10 Buyer al lime of closing an allidavit allesling 10 Ihe absonce, unless olherwise provided lor herein, 01 any Iinancing slalemenls, claims 01 lien .or
palenliallienors knawn 10 Seller and lurlher allesliny Ihal Ihere have been no improvemenls or repairs 10 Iho Properly lar 90 days immedialely preceding dale 01 closlllg. II Prope,Iy
has been improved or repaired wilhin Ihal lime, Seller sholl deliver releaslils or waivers 01 mechanics' liens execuled by 'all general conlraclars, subconlraclors, suppliers ,Ind'malerialmen
in addilion to Seller's lien allidavit selling lorlh Ihe names .01 all such general conlraclors, subconlraclors. suppliers and malerialmen and lurlher allirllJing Ihal all charyes lar improvemonls
or repairs which could serve as a basis lor a mechanic's lien or a claim lor dnmages hava buen paid or will be paid al closing ollhis Cantracl.
H. PLACE OF CLOSING: Closing shall be held in Ihe counly wherein Ihe Real Properly Is located al the 011 ice of the allorney or olher clasing agent designaled by Seller,
I. TIME: Time poriads herein 01 less Ihan 6 days shall In Ihe compulation exclude Saturdays, Sundays and slale or national legal holidays, and any lime period provided 1.01' herein
whiCh shall end on Salurday, SU'llIay or a logal holiday shall exlond 10 5:00 P,IlJ, 01 Iho 1I0xllJu!>ines:; day,
J. DOCUMENTS FOR CLOSING: Sellor sllalllurnish Ihe deed, bill 01 sale, mech:lIlic's lion alliduvil, ussignmenls 01 leases, lenanl and mortgagea osloppellellers and correclivo in~trumenls.
Buyer shalllurnish clasing slalemenl, morlgage, morlgage nota, securily agroernenl and linancing stalemellls.
K. EXPENSES: Documentary staml>s on lhe deed and recording corrective inslrumenls shall be paid by Sellar. Documentary slamps, inlangible laK and recording purchase money,
1II0rlgago 10 Seller, deed and linancing statemenls shall bo pnid by Buyer.
L PllORATIONS; CREDITS: Taxes, assessmenls. renl, inlerosl, insurance and olher expenses and revenuo 01 Properly shall bo proroled lhrough day bolore c1osino, Buyer shall havo
llle oplion of laking aver any exi,;lin(J policios of intiurance. il as:;umablo. in which evonl p,emiums fllmll bo 11,orallld. Cash at cia sing shall be Incremlod or dec'o..s....d as Inay be
,,;<(uired by pramlions. Promlians will bo mauu Ihrouah day priar 1.0 occupancy iI oCCl~mllcy occurs bolore closing, IILIvunce renl lIIkl securily dnposils will be cfl)fJitcd 10 Buyer and
escrow deposils held by 'Ilarlgagoe will bo creulled 10 Sullor. Toxes shall ba. proralod b~med on Ihe currenl year's lax with duo allawanca madtl lar nKlximum nllownblo disca"nl.
homl!~;lead and olher Ilxemplian!;, II clasilllj occurs 01 a dale whon Iho cunonl your's milln(Je is nal Iixed nnd curronl year's assessmenl is IIvailablo, laxus will uo prurnled "asud
upun s'K:h assessmellt and Ihe prior year's millage. II currenl year's assessnu!!ll is nol availablo, lhen laxus will bo proraled on lhe prior year's lax. II Ihere aro con.plcled imfllove,m:llts
an Ihe Real Properly by January ls1 01 year .01 closing which improvemenls were nol in oxislence Oil Jnnuary ls\ 01 Iho priar year, lhen laxes shall be promled basc::d upon thu
11Iiar year's millago <lnd III un oquitablo ussossmenl 10 bo agreed upon belween thu parlios, lailinu which, requesl will be made 10 Ihu County Praperly ^ppmiser 101 an inlorrnal
assossnlenl laking inla consideralion available oxemplians, Any lax pruralian busud on all eslimale shall, at requesl ol either Buyer or Soller, be sobsequunlly readjusted upon receipl
01 lax bill on condilian Ihal a slalemenl 10 Ihal ellecl is in ,Ihe closing slalemenl. '
IVI. SPECIAL ASSESSMENT LIENS: Cerlilied, conlirmed and ratified special assessmenlliens as 01 dale 01 closing (nol as 01 Effeclive Dalel are 10 be r)aid by Seller. Ponding liens
..s 01 dale 01 closing shall be assumed uy Buyer, II Ihe improvemenl has beon subslantially compleled as 01 Elleclive Dalo, such pending lion shall ue considt.!red co.lilied. conli.llIod
.or ralilied and Seller shall, al closing, be charged an amounl equal 10 Ihe lasl t.!slimale 01 assosslllent lor Ihe illlprovemunl by Ihe public bady.
N. INSPECTION, f1EPAIR AND MAINTENANCE: Seller warranls Ihal, as of 10 days prior 10 closing, tho ceiling, roof (including the fascia and sollils) and exlerior ,lIld inlerior walls,
suawalls (or equivalenl) and dockago do nal l1avo any VISIOLE EVIDENCE 01 Imd.s, waler damage or slruclural dUlllage und Ihal Ihe seplic Iunk, pool, all "PI)liances, IIlech.lIlic;d
ih:IllS, heating, cooling, eleclrical, plumbing sysloms and machinery ow in WOIlI\lNG CONDITION, Buyer 1I10Y, at Buyer's exponse, havll intipoclions nlUde 01 IIlutio ilems by u linn
or individual specializing in hurne inspoclions and halding an occupalionallicun"n lor :.ud, PU,'ljlJSO (il lUql.lil....d) or uy all approrll'intllly licon"ed Florilla conha,;tu... Buy", shull, ",.iUl
10 OUYIlI'S occullancy or nol loss lllan 10 days prior 10 closin\!. which,!V....' UC(;Ur:J lir:,;I, 10pO' I in w,'ilil'j 10 ::;dl....r !>uch i10'1I5 IIml du nal mud Ihe alJuv<: :.I.llld:JI'lJs .." 10 del"e!:;,
Unlu:;s Buyer reporls such delects wilhin lhal limo, Buyor shall be d~onlf:d 1.0 havo waivod Seller'!> warralllil!s as 10 dl!lecls 11.01 ruporlod, II repaim or ruplacellll:lIls me ruqui,"ll.
Sl:ller shall cause such repairs to be made and shall pay up 10 3% 01 Ihe porchaso rJlict.! lor such rup.1irs .or replacetlll1nls as fIlay be rcrluired ill order 10 pl:lcU sllch ilollls ill WORKING
CONDITION II the cosl lor Guch repairs or replacemenl exceeds 3% .01 Iho purcha!>c prica. Buyer .or Seller fIlay elecl 10 pay such excess, lailing which uilho.. pa..ly llIay cancel
Ihis Contract II Seller is unable 10 correcl Ihe delecls plior 10 closing, Iho cosl Iherool shall be paid illlo escrow ul clesing, Soller will, Uflon l'OasOlluble 1I01ico. provide ulililie:; sf.!lvice
und access 10 Ihe Properly lor inspeclions, including a walk-Ihrough priar 10 closing. Belween EI/eclive Dulu nlld lho dale 01 closing, except lor IliIp:linl wC)uired Ily '"i:; Slalld.lld,
Soller shall maintain Properly, including, bul nollimitod la, Iho lawn and shrubbery, ill UIl' conditian heroin warrallled. .ordinary wear and lear exceplud,
O. H1SI( OF LOSS: II Ihe Properly is damaged by lire or olher C:lSually before c1o~itl<j nnd cosl 01 ronloralion does nol exceed 30/. 01 Ihe IIs!los!lod valuation 01 Ii'll! Pmperly so
damagucl. cosl 01 resloralian shall be an obligalion 01 Iho Soller nnd clo!>illg shall pla.;nO(I pursuanl to Iho IOllns 01 Conlruct wilh resloralioll COl;IG I:;a:rowed 01 clu,;ina, If Ihl! co,;1
"I m,.loralioll el<ceeds 3% .of Ihe assessod vI,lualion of Iho improvemelllG tiO dallla!JIlII, Ouyer ~hall haVll tho OptiOIl 0/ uilher lal.ing P,ope,ly a'l i:I, lo!sclh..,r will, oill.,,:r Ihe 3'1., Uf
.,ny ill~unlflCo plocuuds l)ayalJlu hy virluo 01 such loss or damauu, or 01 cancellin(J Ihi" CllI,lracl iIIK1 ,ur;eivill\! ,,,luIII 01 d"ptl!;il(!I),
1'. PIlOCEEOS OF SALEj CLOSING PROCEDUI1E; The deed shall be rocu,dllllul)On cluaranco of lu,d:;. II aLJslracl, ovidence, 01 lille :;hall ho conlinuud al lJuyel'" <JXPC::II::11 10 :;IIuw
hlle in Buyer, withaul any encumbrances or chango which would render Sellor's tiUll unlfta..kulable lroll' Iha dale 01 Ihe Iasl evidc::ncll, Procuod:; 01 11'10 Gtlle !>hall bll h.!I" in eS(;llIW
by Sollor's allorney or by such olher mulually nccoptable escrow agent lor a perioll 01 nol lonuer limn 5 days Irom ani.\" aller closi.,,] dale, II Sellnr's tille i:J ICIIlII)rud u.unmkelilhk"
IhroU\lh no laull 01 Buyer, Buyer shall, wilhin Ihe 5-day periad. nolily Seller in wrili'l<j of Ihll dulecl allll SullOf' shall havo 30 days Irom dato ul rucl,il)1 01 !Iuch nulili"..liull 10 CUfu
Ihe Ilelecl, II Sollor lails to limely cure Ihe delecl, all deposil(sl and closing funds shall, UI)all w,illen d"fllalfd by Buyer and wilhin 5 days aUnr dOlllallll, 1)0 fUlullled lu Ouyor .IIKI
sirllllllanOoutily wilh such repaymenl, Buyer shall roturn Persanally and vac"tCl Prof/OIly nncl reconvuy iI lu Sellllr hy speci,,1 warranly doud, II Ouyer luils III mul.o limoly demand 1<11
IOlund. Buyer shall lako lille as Is, waiviny all nghls agairmt Sullor ati 1.0 IIny Intnrvnnino dolecl OXCl!pt as may bo nVQilabltJ 1.0 Ouyer by virtuo 01 war ranlios conlainud in \1m deud
II a portion el Ihe purchase prlco is 1.0 be derived frolll instilutionnl linancing or rolilllfl.cin!), ruqulrolflonl!> of 11m klllding insliluli\ln liS to ,)llIce, Iilllo 01 day wllllllU.:odurus 10,. c1o~inlj
,,1\(1 lor disbursement 01 morlgago proceeds shall conlrol over conlrary provision in Ihis Conlmcl. Soller r.hall have llio rlghl 1.0 require Irom tho lending instilution a wrillen cammillllonl
I"at il willnal wilhhald disbu,slllllenl 01 morlgagoproceods as II ,u~ulI 01 any Iill.. ,kolllcl alhilJlda"lo 10 nuyu"'llIorlgnuor. Tho oscrow and cklflirllj rKlx;odufO rcqllirod by lhi!i Sla,"I,ln;
llI"y be waiwd illille agenl insuros advorso mailers pursuanlta Soclion 027.1UII I, F.:i.I1!)[)U),as lIInencJucl.
O. ESCROW; Any escrow agenl ("Aqenl") receiving lunds or equivalenl is aulhorized und agree!! by UC(;Olllancc 01 'Ihem 10 deposil Ihem pramplly, \Iokl ,;arno in oscraw and, su"jecl
10 clearance, disburse lhem in accardance wilh lerms and candilions 01 Conhacl. Failu..e 01 c1em-ancl: ul lunds shallnol excu~o Buyer',; per'ufIllance.-ll in duuul as ta ^genl's duli",
.or liabilities undor Ihe provisions 01 Conlracl, Agenl may, al Agenl's oplion, conlinue to hold Iho suhject malluf 01 Ihe escrow unlil tho "pnrliou mutuallyaureo 1.0 ils di~burslJ".unl
or until a judgment 01 a courl .01 competenl jurisdiclion shall cJelermine Iho righls 01 Ihe parlios or Agent may c1oposil samll. with Ihe clark 01 .Iho c.ircuil court having jurisllictio.
.01 Iho dispute, Upon nolilying 1111 parlies concerned 01 such aClion, allliubilily on Ihe pari 01 Agenl shall lully lerminale, exc~l"lo the exlenl .01 aGc:ounlinlj-lo,. any ilems previ')lIsI1
delivered oul aI, escrow, II a licensed real oslalo broker, Agonl will cOlllply wilh provisillns 01 Cllilplllr ,175. F.S, (IUUO). liS ;t)lla.ided, Any ?,ilholwoen!3uYllr a~K1 Sellor whCl'ein A(pJn
is made a parly because 01 acting as Agenl hereunder, .or in any suil wherein J\rjenl inlerpleads Ihu subjocl mailer olltlo.oscrow;Agonl shall ,'ecov(ioo ,..m~anablo allornuy's Ie."
and costs incurred wilh lho Illes and casls 10 be paid lrom and oul 01 the oscrowed lunds or uquivalent and charged (\fId. awa,.deda:;courl cosls iil hrl\J,.vl Iho prevmling pOlly
Parties agree Ihal Agenl shall noJ be liable 1.0 any parly or persen lar misdelivery 10 OUYllr or Sullor 01 ilonm sut)jecl 10 Ihi!! escrow; unless such misdiJ\W.iry rJ dul.' 10 willlul hoc:.c1
01 Ihis Canlrac' .or gross nogligence 01 Agent , " .
n. ATTORNEY'S FEES; COSTS: In any liligalion arising oul or Ihis Contracl, Iho prevailimJ Ilarly in ~ur.h liliY<llion which, lor dlo /lurpo~e!lol this Stnndurd;-Ghttll include Sell!.:r. CUi',,1
1i,.ling broker, Buyer's broker and any subagenls 10 tho lisling broker or B!Jyer's blOkor, slmll bo enlilled 10 n'l:IJvcr roasonalJle tJllorney's loes and cosls. .
:;. FAIl.URE OF PERFORMANCE: If Buyer 'ails 10 perlorm Ihis Contracl wilhin the lime spllcilicd. illr.lodhlCj paymenl 01 all rlepe$il(s), the df)posil(~l paid hy Ouyer and r1eP9"ilh
aylCed 10 be paid, may be relained by or lor Ihe accounl 01 S"lIer as a<jrood upon liQuiduled dam<l!Je:l. ,;oll"idt.!ralion lor Iho,ox",culiotl(}nllis Co,-.tracl ,"K1 ill lull sel Ill"lIenl 01 .111'
cl:rims: whereupon, Buyer and Seller shall be relieved .01 all obligations orKlt!r COlllracl; or Sullllr, :.1 SulkJI':; oplioll. Illay ,proceed in vQuilY to C'lllall;O Seller"1 l~,hls ullwr Ihiti COlllr;,ci
II. lor any reuson olher Ihan lailure 01 Seller 1.0 make Soller's lille markelable oller diligenl ellOrl, ~;ullur lails, ne!llllCls or rulu~es 10 perlonn Ihis Cunlracl, Iho Buyor may :iuuk spuc.li.
perlonllance .or elect 10 receive Iho return 01 Buyer's deposit(s) wilhout IhureLJy waiving any oc;lionlor <IalllaUlls J'U"ullill(J Irom Sullur's bruach.
.f. COl\rmACT NOT nECORDAOLE; PERSONS BOUNDj NOTICE: Neilhur Ihis Conlract, nor !lny nolice of ii, shall be ..ecorded in any I)ublic mcords. This Cunlmcl shull hillll ;,",
inure 10 Iho benelil 01 Ihe parlies and Iheir successors in inleresl. Whenever Iho call1uxl pCl'llIils, sinuular shall includo plural and .one genller shall inclU(lo all, N.olicu niv!.:1I hy ..
1.0 the allorney lor any parly shall be as elll.'clive as iI given by or 10 Ihal party.
ll. CONVIOVANCE: Sollor ,shall convey lillo to lhe Reul Properly hy slalulory wananly, Iruslee'G, porson.)1 reprusenlalivo's or ouardian's do....d, us uprlloprilllll 10 Iho ~~t;)lu', ",I ::':11..,.
subjecl only t.o mailers conlained in Paragraph VII and Ihose otherwise accopted uy Ouyer. Porsonally shall, al.equest 01 Buyer, bo Iranslerrod by an aLJflolule bill 01 ~;.d" wilh W'"h,III'
01 Iille, subjllcl only 10 such mailers as may be olherwise provided lor heroin.
V. OTIiER Al~nEEMENTS: No prior .or present agreements or representations Sl1.111 be binding upon [Juyer or Seller unless included in Ihis Contracl. No mollilic:llion or chall!J" i,
Ihis Cantracl shall be valid or binding upon Ihe parlies unless in wriling and execuled by tho I>arly .or parlies intended 1.0 be bound by il.
W, WI\lm."IHII!~;: Sellar war ranis Ihal Ihere are no lacls known 10 Seller IUlllorially allel:ling Ihe valuo 0/ Iho Recll Properly whiCh are nol readily obsorvahk, hy lluy", 1.11 whid
havo lIollmon c1isclo!>od 10 [ll.lyer.
"
-----'-- ' ,. OEPARTMENT OF HOUSING AND URBATEVELOPMENT -----umIHA 8, TYPE OF LOAN
A.
1. 0 FHA 3, 0 CONV, UNINS
4, OVA 5, 0 CONV, INS, X 8 . Cash
~- 6, FILE Y LOAN
SETTLEMENT STATEMENT NUMBER 91080003 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,
D. NAME OF BORROWER: C I T Y OF CLE~RWATER, FLORIDA
'ADDRESS:p . 0 . BOX 4748 CLEARWATER, FL. 34617
E. NAME OF SElLER: DEBORAH ANN SmPSON AND WILLIAM E. TURNER
ADDRESS: SELLER TIN:
-
F, NAME OF LENDER: CASH TRANSACTION
ADDRESS:
G. PROPERTY LOCATlON:N 60' OF LOTS 12 & 13, BLK 1 , W.F. HUGHEY'S
SUBDIVISION
(VACANT PROPERTY)
H. SETTLEMENT AGENT:STEWART TITLE OF CLEARWATER SETTLEMENT AGENT TIN: 59-,1433918
ADDRESS: 12 9 0 COURT ST. CLEARWATER, FL 34616
PLACE OF SETTLEMENT:S TEW ART TITLE OF CLEARWATER I. SETTLEMENT DATE:
ADDRESS: 1 2 9 0 COURT ST. CLEARWATER, FL 34616 Closing date: 08/26/92
239th DAY OF mE YEAR
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 48,000.00 401 Contracl sales price 48,000.00
102, Personal properly 402. Personal properly
103, Settlement charges 10 borrow (line 1400) 6.00 403
104. 404
105. 405.
Adjustments for items paid by seller in advance: Adjustments for items paid for seller in advance:
106. City /town laxes 10 406. Cily/lown laxes \0
107, County taxes 10 407. County la'.es 10
108. Assessments 10 408. Assessmenls 10
109 10 409. 10
110, to 410, 10
111, 411.
112, 412
120 GROSS AMOUNT DUE FROM BORROWER: 420 GROSS AMOUNT DUE TO SELLER::
.1A.006.00 .1A nnn nn
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER:
201. Deposit or earnest money 4,000.00 501. Excess deposit (see instructions)
202. Principal amount 01 new loan(s) 502 Settlement charges to seller (lint '400) B Rltn nn
203, Existing loan(s) taken subject to 503. Emting loan(s) laken sublecllo
204. 504. Payol! 01 first mortgage loan CITY OF cr.w R7n nn
205. 505 Pay oft of second mortgage I13'A RNR'T''T' h A~R ?q
206, 5061990 REAL E~.tMI' ------ L1t:\? nn
'A X t<:.'"
207, 507.1 q q 1 RR14 r. t<. 'T'h'llJ;'1::. J;1J; h?
208, 508r'T'''' T IrT'l'V ()'" rr.w ~?L1 ~1
209, 509C "I' F' I v ()J;' ror.W ?n1 h~
Adjustments for items unpaid by seller: Adjustments for items unpaid by seller: I,;
210, City /lown taxes to 510, Cityllown laxes 10
211 County taxes to 511. County taxes n 1 I n 1 I Q? to n ~ I ? h I Q ') ?7h ?1
212, Assessmenls to 512. Assessments to
213, to 513. to
214, 514.
215, 515.
216, 516,
217, 517,
218, 518'T'h'll T.JhOO IT.JTr r T"'" c.c.c: JlC
219, 519T A X WARR./WILLIAM TURNER 112.52
220. TOTAL PAID BY/FOR BORROWER: 520. TOTAL REDUCTION IN AMOUNT DUE SELLER:: -.
4.000.00 "19 n97 n9
300, CASH AT SETTLEMENT FROM/TO BORROWER: 600. CASH AT SETTLEMENT TO/FROM SELLER:
301. Gross amount due from borrower (line 12(J) 48.006.00 601, Gross amount due to seller (line 42(J) 48 nnn.no
302 Less amounts paid by /for borrower (line 22(J) 4.000.00 602, Less total reductions in amount due seller (line 520) 19 OQ7 nQ
303. CASHJO FROM)PDl BORROWER: 44.006.00 603. CASH 10 TO) J[DIGJI) SELLER: ?A qO? q1
""".
OMS 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.llnes 403 and 404) is important tax information and is being
furnished to t~e 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.lf 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 with your correct taxpayer identification number.
If you do not provide with your correct taxpayer identification number, you may be subjecllo civil or criminal penalties.
Under penalties of perjury, I certify that the number shown on this statement is my correct taxpayer identification number.
Seller
PIC1URE IDFmIFICATION RQJIRED
-=-=-' i SETTLE~ENT CHARGES FJ..le Y1Ul:lUUUj I
PAID FROM PAID FROM
L. BORROWER'S SELLER'S
- - c FUNDS FUNDS
700 TOTAL SALES/BROKER'S COMMISSION BIII8lII111 price S t1o,uuu.uu .l@.UU %= q,ouu.UU AT SETTLEMENT AT SETTLEMENT
IlfOrSion of commission (line TOO) as lollows:
701$ 4,l:lUU.00 to JBR Of' CLEARWATER, INC.
-..
702. $ to
703, Commission paid at settlement r 4,800.00
704.
800 ITEMS PAYABLE IN CONNECTION WITH LOAN,
801. Loan Origination fee %
802, Loan Discount %
803, Appraisal Fee' ' i 10
804. Credit Report to
805, Lender's inspection fee
806, Mortgage tnsurance application fee to
807, Assumption Fee
808,
809,
810,
811,
9OO.ITEMS REQUIRED BY LENDER TO BE PAlO IN ADVANCE,
901, Interest from to @$ /day
902, Mortgage insurance premium for mo, to
903. Hazard insurance premium for yrs, to
904, yrs. to
905,
1000. RESERVES DEPOSITED WITH LENDER
lOOt Hazard insurance mo,@$ per mo. . . .,.r..:-
~.
1002 Mortgage insurance mo,@$ per mo.
1003, City property taxes mo,@$ per mo,
1004, County property taxes mO.@$ per mo.
1005, Annual assessments (Maint.) mo,@$ per mo, "
1006. mO@$ per mo,
1007. mO,@$ per,mo,
1008. mO,@$ per mo. ,
1100, TITLE CHARGES:
1101. Settlemenl or closing lee to
1102, Abstract or title search 10 STC :lUU.OO
1103, Title examination 10
1104, Title insurance binder to
1105, Document preparation to
1106, Notary fees to
1107, Attorney's lees to to .~AX'T'nN GASKIN, III 2,880.00
(includes above items No,: . ,
1108, Title insurance to STEWART TITLE OF CLEARWATER 590.00
(inc/udes above ilems No,( 11 U 1 ) ; ,
1109. Lender's coverage 0.00 $ .
1110, Owner's coverage 48,000.00 $ 590.00
1111,
1112,
1113.
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES ,
1201. Recording lees: Deed $ 6.00 Mortgage S Reteases S 6 . 00 (EMPL. KJ'lUAL ) 6.00 6.00
1202. City/county tax/stamps: Deed S Mortgage $
1203. State lax/stamps: Deed $ 336.00 Mortgage $ 336.00
I~ECORD AFFIDAVIT/ DEBORAH ANN SIMPSON 6.00
I~ECORD AFFIDAVIT/ VTT,TTAV E. 1URNER 6.00
DTH CTF/H. WASHINGTON ~--- Ji1KlM VITAL '" I-AT S STICS & RFO>RD 11. 00
1300, ADDITIONAL SETTLEMENT CHARGES
1301. Survey to EVANS SURVEYING wr
1302. Pest inspection to
13ot..IEN SEARCH FEE to CITY OF CLEARWATER 5.00
1304, .,..
1305.
1400. TOTAL SETTLEMENT CHARGES (entered on lines 103, SectIOn J and 502, Sect/on K) 6.00 8 840.00
MIS~
PAGE 2 OF OMB No, 2502-0265
10 the best of my knowledge snd belief. Ills s
eme!!ts made on my account or by me In this Iransaclion.1 lurther certify
AUGUS! Zb2, l~'.? ~.'
. s.rlJ.rot ent . Date'
BEL Ell'll lOR PURCHASER' 8TATEME Seller's and Purchaser's signature hereon acknowledges hlsllhalr 1PIJI'0vat of lax prorations and signifies their understendlng that prorations were based on tues lor the preceding year. or eslimales
lor the curre ear. and In the event 01 any chenge for the current year, ell_sary adjustments _ be mada betWNn Seller and Purcheser' likewise any default In delinquent taxes will be reimbursed to TItle Company by the Seller,
Title Company. In Its capacity, a. Escrow Agent. Is and hes been euthorlzed to deposit all lundslt racelves In thlt transaction In eny flnanclallnslltutlon, whether affiliated or not. Such flnanclellnslltullon may provide Tille Company computer
accounting and eudlt services d reclly or through e separale entity which, If affiliated with TItle Company. may chargetha nnanelallnstltutlon reasonable end proper compensallon therelore and relaln any prollts therefrom, Any escrow fees paid by any
parly Involved in this transaction shall only be lor check writing and Input 10 tha compolers, but nollor aforesaid accounting and audit services, Title Company shall nol be liable for any Interest or olher charges on the earnest money and shall be under no
duty to invest or relnvesllunds held by It at any lime, Sellers and Purchasers hereby acknowledge and consent to the deposito' thaescrow money In lInanclallnstltutlons with which TItle Company has or may have other banking relallonships and further
consent 10 the retenllon by TIlle Com any and/or Its afflllales 01 any and all benefits (Including advantageous Interesl rales on loans) Tille Company and/or Its alflllat ay receive from such financlallnstllulions by reason of their maintenance 01 said
escrow accounts. ..
The parties have read the
Purchasers/Borrow
SEE PLANS IN FILE
~ftED 10
PREPARED FOR: c.rTY of G _ R.. \/VA TE.R-
STEWA~T llTl-E t.oMpA,.JV of CLEAeWATJ::.R, I,.JG.
STEWARI Tin€. Gl)A.R.A~TEE... LoMfANY
I 1 ..
Z7,f; \<\
0110)
\ oj"
~ ~ ---..
( 74-7)
...
+ 0_
I\')
I
2-7,. ?
I
I
W
:J,
'"2
~
~
F:J
7.
o
'"
-
Q
~
~
I
....
2
~ .
~
~/
SEC. .!2.. 1WP. 1.')5. RGE. !E!..
~ n Ii P^ 1'", ~ '----r'co'
,".J r\. ,,,. ....... ~ l,,:11~ t ,.,., ,..)
\Vy ,
I'
,
~ ~I
\ .
,-
SUB.
Sl~ 100,0 (P~T)
, \~(l ?oIO(ftAT)
~..
'9"
('28,=>2,.)
.f\~ :11' to .
,I 2,.
.
~:\
{),.,
loo.~7 (RE.L-O)
~ --- ~,O flAT
"":'
o
~
~
\i
Pl
v
o <'oJ
...g
j~
~
'\ }.
y
'50,0 (PlAT)
100:0 (PLAT)
---. ~
,
. \,~"".
5(,.0 (;"'T) ~ tl1.
/OO.?Z (fiE-I-{)) /"" i
. (\~li~' ~
\, 1,' ~~'f3-tljl
~~~~~"
\,O~c1~' "
0.'1 ~
Lt.
v
I-
-:z..
IJl
~
:)
7.
c
~
w"
~&-
~ 5''1~
1. 't &-
UJ ~ - ~
\9 ~OIX'
~,~ ~ ~
&~""
I' II II
.~ ~~
~~'^
~'?
~
lot.
~
~
'-I 0
o ,
. N
~lSl
IJ\
o
f'(\
l{)
I'"
1
llt..
"oJ
o
~
~
(J~!:/l+7)
?~.o (RAT) ___ __ so. o (t'LA-.}O.i5'W,\
/OO.O(plAT) 100. 4e (ffE.4..p) SIr{
- B~()""NE.LL - $~e.e:.T - ~-
A SURVEY OF TJ-lE.. NOR..TH (DO.O' of- Lof..s IZ.~ 13, 61...0'-'''- J., of W.F,
HLJ61-!I::.Y'S .suePIv't~'O,.J
AS RECORDED IN PLAT BOOK ~ , PAGE 70 , OF THE PUBLIC RECORDS
OF PINEllAS COUNTY, FLORIDA.
70NE. GJ ~. CrT'! of CLE.Af\'WATE.fo)
'. I HEREBY CERTIFY THAT THE SURVEY REPRESENTED HEREON MEETS THE MINIMUM
REQUIREMENTS OF CHAPTER 21 HH-6, OF THE FLORIDA ADMINISTRATIVE CODE.
DATE: e-oz.-~ I
OWN. BY: ~
I NY. NO. : ?I- 492.
EVANS LAND SURVEYING
?.5a:1 MAIN STREET - UNIT ...."V
DUNEDIN, FLORIDA 34698 PH: 734.3821
BOU,..JDA~,/ SUfC'-vs..y ON 1.'I
.~'