JOANNE DIXON MURRAY & CHARLES DIXON
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INST I 91-342282
. J DEe :I.B~ :I. 991 L:N~G.t.}:~~~'j
91060110
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This Instrument Prepared by:
Plc-perty Appraisers Parcel Identification (Folio) Number(s):
Grantee[s) 5.S, #lsI:
SPACE ABOVE THIS LINE FOR PROCESSING DATA
SPACE ABOVE THIS LINE FOR RECORDING DATA ___
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mItis marrnntu ileeb Made the day of December, A.D, 19 91 try
JOANNE DIXON MURRAY, a 5/~j/-e-- woman and CHARLES DIXON, a single man
hereinafter called the grantor, to
CITY OF CLEARWATER, FLORIDA
whose post office address is
P.O. Box 4748, Clearwater, Florida 34617-4748
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hereinafter called the grantee:
(Wherever used herein the termJ. "gtoantor" and "grantee" inelude all th~ partiea to this ini:trumellt 'J.lld the
heirs, legal represeutative. and u8ign. or Individual., and t.he IUeee8l0n and ulign; of eorporaUo:tg)
lIitUts.adJy: That the grantor, for and in consideration of the sum of $ 10.00 and other
va,luu.ble considerations, receipt whereofis hereby acknowledged, hereby grants, bargains, sells, aliens, remises,
releases, conveys a,nd confirms unto the grantee all that certain land situate in Pine11as
County, State of Florida , viz:
Lots 8, 9 and 11 less south 50 ft. for street, Block 2, MOASE AND HARRISON'S SUB,
PH H-2, Pg. 85, Pinel1as County, Florida.
ALSO DESCRIBED AS: "
/less
Lots 8, 9 and 11 South 50 ft. for street, Block 2, MOASE AND HARRISON'S SUBDIVISION
of Lot 7 of R.H. PADGETT'S SUBDIVISION, according to the Plat thereof, as recorded
in Plat Book 2, Page 85 of the Public Records of Hi1lsborough County, Florida
of whichPinellas County was formerly a part.
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parcel no. 15/29/15/58338/002/0080
Grantors social sec. II;? h:J... ~~ -SS5lP (JOANNEL2t,3- 0{) - 5072-
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(CHARLES)
Property is not the principal residence of the Grantor~ she in fact resides at:
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Documentary Tax Pd. $_" / a n o..J
$ In!:;I''JIf,I'l Tax Pd,
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By
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KARLI:::EN F. DEBL.AKER, CLERK
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PINELLAS COUNTY FLA.
OFF.REC.BK 7762 ~G 260
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mogd4n. with all the tenements, hereditaments and appurtenances thereto belonging or in anyw1:se
appertaining.
mO lhtUf nub to )folb. the same l:n fee simple forever.
1\Ubthe grantor hereby covenants with sa1:d grantee that the grantor l:S lawfully seized of said land infee
simple; that the grantor has good right and lawful a.uthority to sell and convey said land, and hereby warrants
the title to said la.nd and will defend the same against the lawful claims of all persons whomsoever; and that said
land is free of all encumbrances, except taxes accruing subsequent to December 91, 19 91, ,and all
easements and restrictions of record.
IN WITNESS WHEREOF, the said grantor has signed and sealed these presents the day
and year first above written
Signed, sealed and delivered in the presence of:
liD
PrlnJ~= DTXON M(JRRAY
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Printed Slpalure
STATE OF FLORIDA
COUNTY OF PINELLAS
I HEREBY CERTIFY that on this day. before me. an officer duly authorized in the State aforesaid and in the County ofol'csaid to take
acknowledgments, personally appeared JOANNE DIXON MURRAY, a S I '1J )e-- 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 Stat last resaid this 11-t/1\ da of December . A.D. 19 91
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STATE OF FLORIDA
COUNTY OF PINELLAS
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 CHARLES DIXON, a single man
to me known to be the person described in
and who executed the foregoing instrument and he acknowledged before me th,t he executed the same.
WI1NESS my hand and official seal in the County and State last aforesajq this / 1-t"",; day of December
A.D. 19 91 .i ,I j. ..,:/ J-l l .'
YJ}/:.I!!JJ(JI- ;'J.i/It /1./7 !/uiu
ntl~Uj L L. cEJT (,E p-m A'/U
~ri'nW Notary Sig;,alure Y
My Comn.ooio" E xpi reo: Cl':J. L/ c; ~
SEAL
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RONALD (RON) E. SOMERS
President
1290 Court Street
Clearwater, Florida 34616
.'\"".'t;t.. Ilf Coni""'!
S'rEWAR'r "l"rrLE
OF CLEARWATER
P.O. Box 2756
Clearwater, Florida 34617
(813)441.2689
AUTHORIZATION AND ACKNCMLEDGEMENT FORM
Reference:
FILE NO.
91060110
LEGAL
LarS 8, 9 and 11, LESS S 50 I FOR STREET, ELK 2,
SELLER
JOANNE DIXON MURRAY
OOASE & HARRISON SUB
BUYER
CITY OF CLEARWATER, FLORIDA
We hereby approve and acknowledge receipt of a copy of the Statement and actual
cost (DISCLOSURE/SETrLEMENT STATEMENT - HUD FORM 1) and authorized disbursement
of funds as shown therein this 17 day of DECEMBER , 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 information available. If any changes are to be made 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 understood that Stewart Title Company of Clearwater,
Inc., cannot, at this time, assertain if there will be personal property tax on
subject property or an amount on which to base a proration. Any proration necessary
when tax bills become available will be hm1dled between the parties to this
transaction, outside of Stewart Title COITlpany Company of Clearwater, Inc.
Stewart Title Company of Clearwater, Inc., will be not held responsible.
'!HAT AIL UITLI'lY BllLS (WATm, ~, ELEX:'IRIC,
OR WIIL BE PAID uroN ROCEIPl' OF FINAL BllLS.
~-"-)
MAlNI'EIWn: FEES)
Pk?-
HAVE BEEN PAID
INITIALS
SELLER'S FORWARDING ADDRESS:
'tf/ C:;3C~ ~j~G,
sl-fl4,.,L 7 " F/_ '::3 7/,-
HCX'1E PHONE# <. 22z- J J 7..s
WORK PHONE# /V #-
BUYER'S FORWARDING ADDRESS:
HCl1E PHONE#
WORK PHONE#
THIS IS TO FURTHER AUTHORIZE
CHANGES NECESSARY TO THE CLOSING STATEMENT.
TO APPROVE.ANY
STEWART TITLE COMPANY OF CLEARWATER, INC.
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BY'YAl ido;l41"lJ7kl? .~.
TCI BE FILLED IN PERSONALL vi
BY SELLER OR BORROWER IN HIS OWN HANDWRITING
INDEMNITY AND AFFIDAVIT AS TO DEBTS,L1ENS, AND POSSESSION
USE SEPARATE FORM FOR EACH PARTY
JOANNE DIXON MURRAY
Seller or Owner-Borrower
LOTS 8/9 and 11, LESS S 50 I FOR STREET, BLK 2, MOASE & HARRISON SUB
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:
1. 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 fmancing statement, security agreement or otherwise except the
following: (If none, so state.)
NAME AND ADDRESS OF SECURED PARTY
~~()
Approximate Amount
.
2. No loans of any kind on said property except the following:
NAME AND ADDRESS OF CREDITOR
Approximate Amount
3. All labor and material used in the construction of improvements or repairs on the above described property
have been paid for and there are now no unpaid labor or material claims against the improvements or the
property upon which same are situated, and I hereby declare that all sums of money due for the 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 ~'Jl-RIALS Appro_.', Amouo.
At,A~ &
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
S. 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 thto.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.
hase same or lend money thereon unless said representations were made,
SWORN TO AND SUBSCRIBED BEFORE ME THIS
I
day of
DECEMBER
91
,19_.
PINELIAS
County, FLORIDA
My Commission EXPirf~Y-,,9~
Rev. 1/88
NOTE: Thas form is to be signed by seller in case of ule. Uno u&e, it is to be aipd by the owner-borrower. If there lJ any new con.truction. the contractor mUll alia join in this (orm
or si.n a sepanllc one
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S",,,'/il.y of ('Oll/rllrt
RONALD (RON) E. SOMERS
President
1290 Cou rt Street
Clearwater, Florida 34616
STEWART TITLE
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
LOTS 8,9 and 11, LESS S 50 I FOR STREET, BLK 2, MOASE & HARRISON SUB
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.
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W. ness
STATE OF
FLORIDA
COUNTY OF
PINELLAS
SWORN TO AND SUBSCRIBED BEFORE ME THIS
/7tb
DAY OF
DECEMBER
,19 91
0.;)//- /jd
My Commission Expires: 'l I .
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NON-fOIUUGN CEH'l'H'lCNl'.LON BY INIJ1VIlJUM, 'l'HJ\NSFEHOH
1.
Sectlon 1445 or the' Internal He venue Ccxle provides that n trd\lsfet-ee c;.f a United
States real pt'operty interest must withhold tax if the transferor is 1J foreigll 1)(3rsoll.
In onlet" to 111(01;111 Lhe transferee Lhat wiLhho.ldlllV or Lox 1s 1I0t required upon Lhe
tl.lspos.l.t.l.olI hy JOANNE DIXON MURRAY
2.
of the United StoLes reill property uoscdbeu os [ollows:
LarS 8, 9 and 11, LESS S 50' FOR Sl'REEI', BLK 2, MOASE & HARRISON SUB
Lhe ullllersigne<l transferor certifies and declares by means of this certification, the
following:
(a) I (We) am (are) not Hon-resident al1en{s) (or (XJrposes of United Stotes income
taxa Lion ond,
(b) My Ullil c.(] States taypape.r identifying 1l1lIllber{S) (Social Security NWlloor) is/ore:
N1\MB SOCI1\L S~"'CUlU'l"i NtJlllUEtt
JOANNE DIXON MURRAY
II ~ ~:1- .n - ~S-3 ~
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(c) ~1y homE! oddrco9 1s
(attached otldJU.ollal l~ye .i.r lIecessary)
(d) There ore no oLhel: lJOt:S01l9 who hav13 Oil OWII13J:shJp Jllterest ill tlte oIXJve-descd.bed
property oLlll)r L1mll UIOS13 1)(3);50IlS set forth obove ill sub[Xlt:flgroph (l>).
J. '.l1\e undersigned hereby further cert.tfles OIxl declot-es:
(a) I (Wp.) understand that the 1X1rchaser of the above uescribed properly illLends .
lo r131y Oil the roregoinu r.epreselltat1ons In c0l1l1ectlo11 wilh Lhe l1n.l.ted Stoles
ForelUII Il1veslmcltt ill Heal Properly '1'ax l\cl. (94 Slalute 2(,02 as lllllelldetl).
(IJ) :I. Cwo) ulld13t:slnlld Lids cerU.ncaUolI IIny l;e tUsG.losed to L110 JlIlernal Hevellu8
Service by It:allsferee olld that OilY false statement contained ill this cerlJ.f.i.callon
llIi.lY 1J0 lJ111.1sltec1 hy [.1.110, JmprJBolllllOllt ot" lXJtlt.
Ulldet" ponalties or perjury I (we) declare I (we) have exomined carefUlly this certi-
fication ond it is LnJe, correct and complete.
1991 at
PI
County,
;' f, Itj,.
, ~. \L+J. ~
JOANNE DIXON MURRAY. .. 7
FLORIDA
WHile
,",',
('lhis dOClU1lellt must be retained until the end of the fifth taxable year following the .,1
taxable yeor JI1 whlch the transfer takes ploce).
CONSUlJl' YOun J\'lTOIlNI!:Y l\NIJ/OIt 'l'J\X l\IJVlson - NO HEPHESu'Wl'J\'l'lON on llECQIIlI'IENlJ1\'l'lON IS NI\lJB UY
STu'W1\lfl' '1TJ'LI~ INSIJH1\NCI~ C{l\IPl\NY 1\NIJ/OH CONCEHNJNG TilE
LEGi\I.. SUH;'JCJI::NCY J\NIJ/on 'l'i\X CONSQUI!.'NCES QLit 'I1US 1XX.'Uf'11!N1'. YOU Ni\Y BE lH~QUlIll!U TO nu~
i\ COpy Ol" TillS IXX:lJf'W:N'1' W.I'111 'l1"~ IN'i'EltNi\r, ImV~:NlJl~ SI~nVICE:. 'nll!:Sl~ l\1U~ QUI~S'1'10NS Icon YOun
1\'l'1'OnNJ~Y Olt 'l'i\X l\lJV ISUH.
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ST1\TE OJ~
COUNTY m'
FLORIDA
PINELLAS
I IIEIU!:OY Clm'l'H'Y that 011 LIIls day, before lIIe, all officer duly authorized ill the State
aforesaid and in tlte County af;oresaid to lake aclmowledgtllents, personally (lppeared
JOANNE DIXON MURRAY _
to me Imown to be the pel:slJtlS described in and who executed Lhe foregoing I11stnullent
and they acknowlroyed Lefore hie that they executed the SOllie.
WI'l'NESS my hand and official seal in the County nnd Slate last aforesaid lids 17111. day
of DECEMBER , 19 91
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INFORMATION FOR REAL ESTATE 1099-S REPORT FILING
Section 6045 of the Internal Revenue Code~ as amended by. the Tax
Reform Act of 1986, requires the 'reporting of certain information on
every real estate transaction. From the information you provide
below, a Form 1099-S will be produced, a copy of it will be furnished
to the I.R.S. and to you no later than January 31 of the next year,
and a copy may be sent to other third parties. If you fail to furnish
adequate information (in particular, a taxpayer ID number), then you
will be subject to all I.R.Sj Regulations, including the possible
withholding of twenty percent (20%).,of the current sales price.
File Number: · 910601110
Taxpayer ID Number: Seller 1:<&;:l--~-5~~~
Seller 2
Taxpayer ID Type:
2
.( 1'= business, 2=individual)
SELLER 1 NAME:
Last:
MURRAY
First & Middle:
JOANNE DIXON
SELLER 2 NAME:
Last:
First & Middle:
MAILING ADDRESS (as of January 31 of next year)
SELLER 1:
Street:
State:
PI
Zip Code 3~7 /1
City:
SELLER 2:
Street:
City:
State:
Zip Code:
TRANSACTION INFORMATION
Closing Date (MMDDYY):
12/17/91
Contract Sales Price: Seller 1 -
10,000.00
Seller 2 -
(If multiple sellers please allocate the sales price among the sellers)
Description of Property:
Street Address: 1127 & 1139, BROWNELL STREET, CLEARWATER, FL 34616
Legal Description: Lars 8,9 and 11, LESS S 50' FOR STREET, BLK 2, MOASE & HARRISON SUB:
under penalties of perjury, I,
JOANNE DIXON MURRAY
(Name of Seller (s))
certify that the number shown on this form is my correct Taxpayer
Identification Number and that the other information is correct to the
best of my understanding and I understand that it will appear on a Form
1099-s that will be sent to me and to the Inte a Revenue Service.
Date:
Seller - 2 Signature:
Date: 1c:J-- /7- q/
Seller - 1 Signature:
CLOSING AGENT INFORMATION (to be completed by closing agent)
Name:
STEWART TITLE cn-1PANY OF CLEARWATER, INC.
Mailing Address:
1290 COURT STREET
City:
CLEARWATER
State:
FL
Zip Code:
34616
Taxpayer ID Number:
59-1433918
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OMB No. 2502"0265
--->.--.--- U.S. DEPARTMENT OF HOUSING AND URB" N DEVELOPMENT -------- -
A 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 91060110 NUMBER
8 MORTG INS. CASE NO
C. NOTE: This form is furnished to sive 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. I
D. NAME OF BORROWER: CITY OF CLEARWATER, FlDRIDA
PO BOX 4748
ADDRESS: I FTr. 14f117
E. NAME OF SELLER: DIXON, et. al
ADDRESS: SELLER TIN:
F. NAME OF LENDER:
ADDRESS: CASH TRANSACTION
G. PROPERTY LOCATION: LCYI'S 8,9 & 11, LESS S 50' FOR STREET, BLK 2, MJASE & HARRISON'S SUB OF
LCYI' 7 OF R.H. PADG~ I S SUB
a/k/a 1127 & 1139 BROWNELL STREET, CLEARWATER, FL 34616
H. SETTlEMENT AGENT: STEWART TITLE COMPANY OF CLEARWATER, INC. SETTlEMENT AGENT TIN: 59-1433918
ADDRESS: 1290 COURT STRE~ I
CLEARWATER, FL 34616
PLACE OF SETTlEMENT: STEWART TITLE COMPANY OF CLEARWATER, :]:ETTl!ME.T DATE, --
ADDRESS: 1290 COURT S'I'RE~ DECEMBER 17, 1991
CLEARWATER FL 34616 351st DAY OF YEAR/14 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. Conlracl sales price 130,000.00 401. Conlracl sales price 130,000.00
102. Personal properly ~02 Personal properly
103. Seltlemenl charges 10 borrow (/ine 1400) 43.00 403
104. 404
105'JIWAR[6 SEIlER) Uffi]N; CIl3IS 2,750.75' 405. CREDIT FRJVI H.J'iER CN Uffi]N; CIEIS 2 750.75
Adjustments for items paid by seller in advance: Adjustments for items paid for seller in advance:
106. CityflovlI' laxes 10 406. Cily flown laKes 10
107. Counly taxes 10 407. Counly laus to
108. Assessmenls 10 408. Assessmenls 10
109 10 409 to
110. 10 410 10
111. 411
112 412
120 GROSS AMOUNT DUE FROM BORROWER: 132,793.75 420 GROSS AMOUNT DUE TO SELLER:: 132,750.75
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SEllER:
201. Oeposil or earnest money -0- 501. Excess deposil (see Inslructionsl
202. Principal amounl 01 new loan(s) 502. Sel11ement charges 10 seller lI,"e 1400) 12 600.50
203. Exisling loan Is) laken subjecllo 503 Existing loanls) laken sublec! 10
204. 504. Payol! ollirsl mortgage loan
205. 505 Payol! 01 second morlgage loan
206. ~. 1990 REAL ESTATE TAXES * 1 303.00
207. 507. PAYOFF JUDGEMENT/BERNARD DIXON 1 345.08
206 508. PAYOFF JUDGEMENT/JOSEPH DIXON 14 132.90
209. 509.
Adjustments for items unpaid by seller: Adjustments for items unpaid by seller:
210. Cily flown taxes 10 510. City/town taxes 10
211. County laxes 10 511. Counly laxes 1/1/91 10 12/17/91 * 1 321. 32
212. Assessmenls 10 512. Assessmenls to
213 to 513. 10
214. 514. WELFARE LIEN/CHARLES DIXON R"OO
215. 515. MR. GEORGE CROPPS/CLEANING * lS.00
216. 516. ATTORNEY FEES/GRAY GIBBS * 425.30
217 517. JEAN CRANNEY/REIMBURSE TAXES * 2 000.00
218. 518 MRS. ErMAN WRIGHT/CLEANING * lS.00
219 519. REIMBURSE JOANNE DIXON/UPFRONT 150.00
220. TOTAL PAID BY/FOR BORROWER: -O- SlO. TOTAL REDUCTION IN AMOUNT DUE.lSElLER:~c..::l 33,356.10
300 CASH AT SETTLEMENT FROM/TO BORROWER: 600. CASH AT SETTLEMENT TO/FROM SELLER:
301. Gross amount due from borrower (line 12{]) 132,793.75 601 Gross amount due to seller (line 420) 132,750.75
302 Less amounts paid by /for borrower (line 220) -0- 602. Less total reductions in amount due seller (line 520) 33,35g.1Q
303. CASH IIXFROMI~BORROWER: 132,793.75 603. CASH IOnOllomtlMKSELLER: 99,394.65
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 t(1 be reported and the IRS
determines that it has not been reported. '
SELLER INSTRUCTION.lf this real estate was your prinCipal residence, liIe form 2119, Sale or Exchange 01 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 numbel, 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
! , I
. '. . I
rAGE 2 or OMO No. 2S0202f,S
PAID FROM PAlO FROM
L. SETTLEMENT CHARGES BORROWER'S SELlER'S
FUNDS FUNDS
700. TOTAL SALES/BROKER'S COMMISSION Based on prlel S 130,000.00 @ 't,= 10,000.00 AT SETTLEMENT A T SETTlEMENT
Division or commission (line TOO) as lollows: -----.-
701 S * 7,249.26 10 SLAN-EDWARDS REALTY , INC.
702. ~ 10
700. Commission paid al selllemenl * LESS S2750.74 '!WARDS SELLER CLOSING COSTS * In nnn QQ
70t
800 ITEMS PAYABLE IN CONNECTION WITH LOAN.
801. loan Originalion ree %
802. loan Discount 'f,
800 App,aisal Fee 10
804. C,edil Re~orl 10
80S lender's Inspeclion lee
806. Morlgage Insurance applicalion lee 10
807. Assumption Fee
808.
809.
810.
811.
900 ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE,
901.lnle,eSI lrom 10 @s Iday
902. Morlgage inSUla nee premium 10' mo. 10
903 Ilazard insurance p'emlum 'or yrs.lo
904. YIS. 10
90S.
1000. RESERVES DEPOSITED WITH LENDER
1001. Hazard Insurance mo.@S per mo. ':' ~~</'; ~ i?,: f~'~'~t~.rf,y,g'!} \~:' ,;~:'~ "!
1002 Morlgage Insurance mo. @S per mo. ~>~I~r.!*: t~~~,:~v}!l~"r. :'~"':~J:j...
1003. Clly properly laxes mo.@S per mo. . 'i?,}:~~i(~~~'I,:~,f?;o;~7~, t~,~:~~~.:,;.'.:~,
1004. Counly properly laxes mo.@S per mo. .:..:'.",.....;,..;... _':.. . ~. ,f:"
1005. Annual assessmenls (Malnl.1 mo.@S per mo. ~ ri i ~:~:~/.~~~~~':!t.~;~~'\ l_~>.:~.~ -, .'-' ~
1006. mo.@S per mo ?::~D~{tl~;!'!~~~:, (:. j'()f:.: 'k :.' .::{ ~',
1007. mo.@S permo. ;~~~t:~~~'!1~~.;~~.,~fJl: ~: ~~:t?~~~, I~ ;,~ ': ~
1008. mo.@S per mo. :~,!~~. !~!~lf~~~%~~,~ ~.f;J~>~-~, 'it~:_ :";~:',;:\:.
rf.~~' '~~, ~':,f ~~,~: { ..~? '~"~~-(~~ ,i':: :f~, ~~~-~-~~ -:',,'
1101) TITlE CHARGES:
1101. 5elllemenl or closing fee 10
1102. Abslracl or tille search 10 STC * 300.00
1100. Tille examinalion 10
1104 'ille insurance binder 10
1105. Documenl p,eparallon 10
1106. NOlary fees 10
1107. Allomey's lees 10 10
(inclUdes above items No.: ''''f*.r~'f.!~~ffi~~W~~: ~~. < ~1:'Y.I:rr...tilj
t.;: .
1108. Tille Insurance (1101) 10 STEWART TITLE COMPANY OF CLEARWATER INC. * 1. 210 .00
(includes above items No.: ;:; ('(-:-;'::';::I;\~'?;t'.;f~(~"r.I! "'" . _:~\'"'".."
~~).\ .... ':t*..J, .,~ ~"'....,t,~....'
... '~. .', " ", ,,,....~ ,~' 'r, . .,
Il09.lender's coverage S tt;':~We;.... ii~tJ:m1>Jt'1'i m\i ." '.. ;~'iN~~,~I!t~
' ~":.: ",;,~",':1:~
Ilia. Owner's coverage S 130 000.00 ,..tl~!.~~~~t.t?t~\; .. ~"r. ..'. ,M~1~~':1
1111.
II 12.
1113.
1200 GOVERNMENT RECORDING AND TRANSFER CHARGES
1201. necordlng lees: Deed S 43.00 Morlgage S Releues S 6.00 JUDGEMENT /MYRI( t:K 43.00 6.00
1202. Cily/county lax/slamps: Deed S MO,lgage S
1203. 51ale tax/slamps: Deed S 780.00 Morlgage S * 7RO.nO
1204. RECORD AFFIDAVITS! cttl\RLES. DELORES. JOSEPH. JEANETTE
1205. 4 @ 6.00 1:'A,." ?4 00
1206. RECORD SATISFACTION OF JUDGEl1ENT I.TOSRPH . nTXON 10 "in
1300. ADDITIONAL SETTLEMENT CHARGES
1301. Survey 10 EVANS lAND SURVEYING POC
1302. Pesl inspection 10 Nar , ED OR RFnUIRED
1303. MAILAWAY PREPARATION/COURIER 265.0(1
130t CITY OF CLEARWATER-LIEN SEARCH * 5.00
1305 -......
1400 TOTAL SETTLEMENT CHARGES (entered on lines 'fJJ.-S-ectlon J ani/502, SectIon KJj A'l ()() l? hnn r;n
ATlFICA lIOIl: I hive clre'ully rtvlt~:~~ E~~}\lllml(ii4;;~lftdbeHlf.R'lltrvI~;-:llm~IO~ ~IIP~ Ind dlld ~nll midi on my lecount 0' by mlln Ihll Irl"ucllon. lIe, Ih.. cer1l1y
It' hlvl recllved I e~ ~ AA ,.A
oy: L:1TY Vi" I . v I I. 11\1 MTTDD"AA I
OHOW'" mkZ: !:elllll CHARLES DI~c~
To Ihe besl 01 my knOW'dli?,'h?,UD-lsellle~en!~la~mll1 ~ch I ha-,!~~r.ed)s a lrue and aCCU'lle"ICC~ olllle lundl which were received and have been or will be dlsbulSed by Ihe undersigned a)far17''ihe selll.me~0hls Ira"SAC I /
-/7 '// /,.-'L,'7,'I{' or' 'i./A/ /}.~/? ~7' 'J , , 1. / , ,-::1::11. 7 JJ ~ A /-:';-rd T \ /G/ r7Y
Orlem,"1 A8en~ ,Cll' . , . 0111 <--' u<. -;;:;r, I
l EA' AN /0 PUR ASER'S IUTEMENT SIIIIr'1 Ind PUlchlser'. "gnalurl hlrlon leknowledgeehllllhelr Ipprovllollu prorlllonSlnd slgnllln Ihllr undl'slandl"g Ihal pro,allonl WI.I based on lUes 10' Ihl p.ecedl"~ . or ulima I..
Ihl eurrlnl yur, Ind In thllVlnl 0' Iny ching. lor Ih. eurrlnl Yllr, 111 necllUry adlullmenl. IllU!t be midi betwlln Selllr Ind Purchlur; lIk1wllf Iny dl'lull '" dellnqu.ntl.... will b. relmburs.d 10 Tille Compeny br, t . Seller.
TII'. Complny. In III elPlcIIT, II hcrow Aglnt. II Ind hIS beln luthorlud 10 dlpolllllI lundl It rlCllvlS In Ihl.lrlnllellon In Iny IInlncllllnslllullon, whllhl' alllllated or nol Such IInanclal Inslllullon mAY provide '" e Company compul"
counlln, and audll servle.. d ,eelly or Ih'OU~h I lepl.ale Intlty which, "I"'"aled with TlIlICompany, mllchl,glthl 'Inlncllllnllllullon'luonlble and proeer com~ensalion Iher,'ore a"d rllaln any prolilS therefrom. Any OWow lo.s ~Ald by any
IIV Invo vod In Ihls I.a",aclion shalloo'y hi o. chockw,llIng Ind Inpullothe compullr., bul nollo, I'olln d lecountl Ind ludllllrvlces. Tltlo Complny shal nol bo lablolo. any Inloreslo' othor charg., n" tho .arnosl man. a"d !hall 0 uod" no
I 10Inveslorrelnvo,lIund.holdb IIllan Iimo.SolllSlndrurcha!IIShereb Icknowlod undc n,onll Ih de , cr w n I IIn I I TlI man ha!nrmo AVO . .
, V Y Y
""011110 Ih. retonllon by TlIII Company and lor 115 af
C'ow ;If,r.o''nl~
111, l'Allie. hove road the ahovo, to cu. eta
UCha!",,~o,,:w.rCl'rY' !
--~. --
~R.I".: II Is I c,lmo 10 knowingly mlkllll.. slalements I. Ih
.y goo I PO~IO Ihees 0 mo oy n Incial nslllutlnnswllhwhch leCo p Y yh olh"banklng'OrA"O"Shlp"n"'urtl1"
les 01 any and all beneh!! (Including advantag,ouI Inllr..llallSOn loan.) 1It1. Compan a . elve from such finanelallnshtullon. by reason 01 their mAinlo"AnCO of said
f
o sarno. and IICOg"'lI ompa, ~~~hl same
(/ S.II,!!- .~,,- nr:rm,I\RD AON ___
ed SlallS on Ihis or any olher similar lorm. Plnall~n conviction can Includ. a 'Illllnd imp.lsonmlnt. for dllalls... TIIII 18 US r.nd. ~.rhnn 'M. 'ft" .""ft_ 'n,n
.'
'..-
I
I
MIS LDr
700. TOTAL SALES/BROKER'S COMMISSION BI18d on price S 130,000.00 @
Division 01 commissIon (Ime 100) as lollows:
....=
10 000.00
PAlO FROM
BORROWER'S
FUNDS
AT SETTLEMENT
PAGE 2 OF OMS No. 2502026'
PAID FROM
SELLER'S
FUNDS
AT SETTLEMENT
""
L. SETTLEMENT CHARGES
701$
702. $
* 7,249.26
to BIAN-EDWARDS REALTY, INC.
to
703 Commission paid al selllement
* LESS $2750.74 TOWARDS SELLER CLOSING COSTS
*
1 n nnn m
704.
800 ITEMS PAYABLE IN CONNECTION WITH LOAN.
801. Loan Origination lee
802. Loan Discount
803. Appr aisal Fee
804. Credit Report
805. Lender's inspection fee
806. Mortgage Insurance application fee
807. Assumption Fee
%
%
to
10
10
808.
809.
810.
811.
900 ITEMS REQUIRED BY LENDER TO BE PAlO IN ADVANCE.
901.lnteresl Irom
to
@s
/day
902. Morlgage insurance premium tor mo. to
903 Hazard insurance premium 'or yrs. 10
904. yrs. 10
905.
1000 RESERVES DEPOSITED WITH LENDER
1001. Hazard insurance
1002 Mortgage insurance
1003. City property laxes
1004. County properly taxes
1005. Annual assessments (Maint)
1006.
1007.
1008.
mo.@S per mo.
mo.@S per mo.
mo.@S per mo.
mo.@S per mo.
mo"@S per mo.
mo.@S per mo.
mo@S per.mo.
mo.@S per mo.
,,:'.:'.,
'.t?::;'<;;!f'i;~:~"'rf~~~.~'~'~~."
. :;~t:I~!:~~;~1f:~':"~?~\;':~,
'., <:,;:,,,',,,;';'
t,:~,!.;
~W,<.:'.
1100. TITLE CHARGES:
/:~tt}~.:~~,.~i;~~(~1'~~~:~'~*1i,!~ :
:..'M~~:-t!?~ 'I~~:t~~~::~~~:,~'
1~"r~'!1~.~~~~*'f~~l
1101. Settlemenl or closing fee
1102. Abstract or lille search
1103. Title examination
1104. Tille insurance binder
1105. Documenl preparation
1106. Notary 'ees
1107. AIlorney's lees to
(includes above ilems No.:
10
10
to
10
10
10
to
SIC
*
300.00
1108. Tille Insurance
( 1101 )
t!~; .
s
S 130,000.00
,;, .." vt:. o;:~.
* 1 210.00
;;~i~,i:;'~f+~':!:i(;!;;"r..;i;1%fiji .;._.: '., ".~. . . "#9\:
w.-:,s.k.,tw!. ' "ii," ~li-~'}1~,~ " t ( . ',~ ~~i& ~..., .
"'{'~f":'::1{~.1;I."l.~,_I~'" d'..~.~'~!~~
~~'~!~~ ,...?'. ,c' '11'" '.. ~ ',. ,
,- > /'. ,'. ~
(inCludes above ilems No. .
1109. Lender's coverage
1110. Owner's coverage
1111.
1112.
1113.
toSTEWART TITIE COMPANY OF CLEARWATER. INC.
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES
1201. Recording fees: Deed S 43 . 00
1202. City/county lax/stamps: Deed S
1203. Stale tax/stamps: Deed S 780.00
RECORD AFFIDAVITS/CHARLES DELORES. JOSEPH. JEANETrE
4 (CI 6.00 Yi'AI"U
1206. RECORD SATISFACTION OF JUDGEMENT/JOSEPH
1300. ADDITIONAL SETTlEMENT CHARGES
Mortgage S
Mortgage S
MOrlgage S
Releases S
6.00
JUDGEMENT /MYRI X
III XI IN
43.00 6 00
* 7RO.00
24.00
In SO
POC
')c;c nn
1< C). 00
1204.
1205.
1301. Survey
1302. Pest inspection
1303.
1304.
to EVANS lAND SURVEYING
10 Nor ~I' II w'-'TED OR RFnUIRED
MAILAWAY PREPARATION/COURIER
CI'IY OF CLEARWATER-LIEN SEARCH
1305.
1400 TOTAL SETTLEMENT CHARGES (entered on lines 103, SectIon J and :xJ2, Sect/on K) / Lt, nn 1') hnn c:;n
CERTlFICA TlOIl: 1 have c.alt'UIlY reVI!~thy(y/J~, SelllelRan Slalemenla'l1tO!he beslol my knowledoe and ballef, It Is l'rUI Ind ~Ilement 0' all recllptsed di~~r~emenls made on my ~nt% by me In this transacllon.llv;ther certify
thatlhav"eceIVedaco~1JZ;em~leme E- IU. jll -r1-- / //IIA/,{ /i A"TJ//~..A1 / J-f f,4/ ~ /_
oy: L.ITY U1" LJ...fJ\ ;Xr. K { ( 'I<:Ar 'l(111\Y l/.!AA ...; ,~ ~. '-
~~;~ewb~s~ 01 my ,,"owledge,t~U6'1 settl:ment Slate~ I have~redli a Irue and accurate account 01 the lunds whlcl1 we~:~::ived an/J.e been or will be disbursed by Ihe undersif:ed as pa~~~I~~~f Ih~ ~~n.
/'1 . , .
; "7 lt2' 1 , ,..' , ~ "~
/~.'/' ",1{..J' .. ),K,. '.I V7ae-/... ~ UEC.l2V1Jjt'J{ 1), 1~~1
SetllemJnl A.lIenl L.. -- - Olte
SElLER'S AND/OR PURCHASER'S STATEMENT Seller's and Purcheser'l Ilgnatult herlon acknowlldges hlllthllr approval oltn prorallons and Ilgnllles Iheir undlrstandlng thaI prorallons were basld on ta~es for Ihe preceding year, or eslimat.s
lor the currin I year, and In thl eVlnl of any change lor Ihl currlnl year, III necessary IdJustmenls must ba made between Sell.r Ind Purcheser; likewise any default In dellnquentl..es will be reimbursed to Till. Company br, Ihe Seller.
Till. Company, In Its capacity as Escrow Agenl, Is and hes been aulhorlzed to deposll all 'unds II recllv8I1n this Iranlacllon In any IInanclallnstllullon, whelher alflllated or not. Such lInanclallnstltutlon may provldl Til e Compeny computer
accounting and ludlt services directly or through a leparale enlily whlch,lIa1llllatld with Title Complny, maycharglthe IInanclallnstltullon reasonable and pro r compensation therefor I and retain any prolits therefrom. Any escrow lees paid by any
partv Involved In this Iransaclion shalf only be for check writing and Inpulto the computerl, but not lor aloresald accounllng and audit lervlces. TIlle Company sh 01 belfabl. for any Inl.resl or other charg.s on the earnesl money and shall be und.r no
duty to invest or relnvesl funds held by It at any lime. lIer. and Purchasers hereby acknowledge.nd consenllo Ihe deposit 0' the eScrow money In flnlnclall II Ions wllh which TltI. Com ny has or may hlv. oth.r nklng relalionships ond Iurlh.,
co"..nllo the r.tention by TI.tle Company and/or It a i1late~ol a and all benefits (Including advantageouslnlllest rates on loans) Tille Complny and/or . al latls mlY r.ceive from s flnan~iallnsll'ullons b ason olth.lr m~int nance 0' soid
flSCIOW accounts
lh. pRrties hove read the abov a ree to sam., and recognize litll Company IS relying ~ __
Purchasers~o,,~w.r SllIers
WARNINB, Ills a crime 10 knowingly make 'alse .'alements t
~ '
I
,
I
S,,,,,"t;l.t of (',"'tro,"t
RONALD (RONI E. SOMERS
President
1290 Court Street
Clearwater, Florida 34616
s'rE"\-VAI{'r'rI'I'I.JE
OF CLEARWATER
P.O. Box 2756
Clearwaler. Florida 34617
(813) 441,2689
Atrl'IIORIZATION AND ACKNOWLEDGEMENT FORM
Reference:
FILE NO.
91060110
LEGAL
LarS 8, 9 and 11, LESS S 50 ' FOR STREET, BLK 2,
MOASE & HARRISON SUB
S~ER
BUYER
CITY OF CLEARWATER, FLORIDA
We hereby approve and acknowledge receipt of a copy of the Statement. and actual
cost (DISCLOSURE/SEITLE1v1ENT STATEMENT - BUD FORM 1) and authorized disbursement
of funds as shown therein this 17 day of DECEMBER / 19~1 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 lIude 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 understood that Stewart Title COlnpany of Clearwater,
Inc., cannot, at this time, assertain if there will be personal property tax on
subject property or an amount on which to base a proration. Any proration necessary
when tax bills become available will be handled 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.
'lHAT AIL tJITLI'lY BILLS (WATm, SE1im, ELEI:lRIC, MAlNl.>>mNCE FEES) HAVE BEEN PAID
OR WILL BE PAID UPON REX::EIPr OF FINAL BILLS. vu./l/
INITIALS a INITIALS
17>: -c~ ~~41f1u~ *-
SEILER'S FORWARDING ADDRESS:
BUYER'S FORWARDING ADDRESS:
Po. &y: -I7f?
~~.~ 316td
HG1EPHONE#
HOME PHONE#
hURl< PHONE#
WORK PHONE#
t/G 7- -C;7 (,0
'!HIS IS TO FURTHER AUTHORIZE
CHANGES NECESSARY TO '!HE CLOSING STATE1'1ENr.
'1'0 APPROVE: ANY
S'l'EWARf TITLE c:a1PANY "OF CLEARWATER, INC.
BY:
]
1
RONALD IRON) E. SOMERS
President
1290 Court Street
Clearwater, Florida 34616
S"","li/._ "I f.'()t."nrL
S'rE'VAl{'r 'rI'l~J...E
OF CLEARWATER
P.O. Bo)( 2756
Clearwater, Florida 34617
(813) 441,26B9
AUTHORIZATION AND ACKNOWLErx:;EMENT FORM
Reference:
FILE NO.
91060110
LEGAL
LarS 8, 9 and 11, LESS S 50 I FOR STREET, BLK 2,
IDASE & HARRISON SUB
CHARLES DIXON
SEILER
BUYER
CI'IY OF CLEARWATER, FLORIDA
We hereby approve and acknowledge receipt of a copy of the Statement and actual
cost (DISCLOSURE/SETI'LEMENT STATEMENT - fRill FORM 1) and authorized disbursement
of funds as shown therein this 17 day of DECEMBER , 19~1 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 infonna.tion available. If any changes are to be made 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 understood that Stewart Title Compa.ny of Clearwater,
Inc., cannot, at this time, assertain if there will be personal property tax on
subject property or an amount on which to base a proration. Any proration necessary
when tax bills become available will be hillldled 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.
'llIAT ALL l1ITLITY BilLS (WATER, ~, ELEX:lRIC, M1\lN'I'EXl\NCE FEES) HAVE BEEN PAID
OR WIlL BE PAID UPON RFX::EIPl' OF FINAL BilLS.
ChV/lL
CHARLES DIXON
/j ;/trl
I
~.
C/D.
INITIALS
SElLER I S FORWARDING ADDRESS:
BUYER'S FORWARDING ADDRESS:
HCX'1E PHONE#
HQ\1E PHONE#
hDRK PHONE#
WORK PHONE#
'TIUS IS TO F1JR'l'HER AU'llIORIZE
CHANGES NECESSARY TO 'IHE CLOSING STATEMENT.
TO APPROVE; ANY
S
INC.
BY:
" 2c..'/....
TolBE FILLED IN PERSONALL vi
BV SELLER OR BORROWER IN HIS OWN HANDWRITING
INDEMNITY AND AFFIDAVIT AS TO DEBTS, LIENS, AND POSSESSION
USE SEPARATE FORM FOR EACH PARTY
CHARLES DIXON
Seller or Owner-Borrower
LOTS 8,9 and 11, LESS S 50 t FOR STREET, BLK 2, MOASE & HARRISON SUB
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:
1. 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
fO.llowing: (If none, so state.) I
NAME AND AD~ SS 0 E RED PARTY C I ( Approximate Amount
following: (If none, so state.)
Approximate Amount
3. All labor and material used in the construction of improvements or repairs on the above described property
have been paid for and there are now no unpaid labor or material claims against the improvements or the
property upon which same are situated, and I hereby declare that all sums of money due for the erection of
improvements or repairs have been fully paid and satisfied, except: (If none, so state.)
NAME AND DRESS OF UPPLlER OF LABO SE CES OR MA TERIALS Approximate Amount
· yo
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
S. 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 th~.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 AITORNEY'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.
I realize that the purchaser and/or lender in this transaction are relying on the representation contained herein in purchasing
sa or len~in~ money th reon and would ~t pUfchase same or lend money thereon unless said representations were made.
'- C ~l ..J l}V--
CHARLES DIXON
S\\?;;~TO JND Sl!BSCRI~:;~ORE ME THIS
7/( . f/II,I~ J(fl(./,;z,'2 /J/// I" /~ My Commission Expires: '1'-:) Lj':7'c7
Notarr ublic in and~ ' PINEILAS CountY'F1DRIDA
NOTE: Thi. form is to be signed by teller in case of ..Ie. II no ..Ie. it it 10 be lilftCd It)' the OIllMr.bonOMr. If there it any new conl.ruetion. the contractor mull al.o join in Ihit form
or .ian a separate onc.
lTl
J day of
I
DECEMBER
91
,19_.
Rev. 1/88
1
1
S"''''/;I.y "I ("III/,,,rt
RONALD (RON) E. SOMERS
President
1290 Court Street
Clearwater, Florida 34616
S~'EWAlI'I. ~'rrLE
OF CLEARWATER
P.O. Box 2756
Clearwater, Florida 34617
(8131 441.2689
D I S C LOS U R E
We, the Owners of that certain real property located at
LarS 8,9 and 11, LESS S 50 I FUR STREET, BLK 2, MOASE & HARRISON SUB
broker, the selling broker, and any prospective buyer.
t
1tness
~itlODjiu~
Witn ss
(! lAA LV ~11'^-
GlARLES DIXON
STATE OF
FLORIDA
COUNTY OF
PINELIAS
SWORN TO AND SUBSCRIBED BEFORE ME THIS
/7Ul
DAY OF
DECEMBER
,19 91
My Commission Expires: tJ.;;. (-9d-
/)?d.?~
'I
I
NON-fOIHUGN CEH'l'.LF'lC^'1',LOH /Jy HIIJIV lUUM, 'l'Il1\NSrEHOH
1. Sectioll 11\45 of; Lhe IllLerllal Hevel1ue Cwe pruvJ.uen lhnt n tni\,sfel:ee 1,'( 0 United
Slates I:eal pt'operly illle.;est IIIUst wIlhhold lox if the tt'ollsferor is /J foreiyn lJersol1.
2. III onJE!I: to .lllrOUn the tnlllsferee Lhot wlLhho.LdlllV of tax 113 !lot required upon Lhe
ll.lSpos.l.Uoll hy CHARLES DIXON
of tile Ul1lled Stutes reo1 property uescrlbed os follows:
LarS 8,9 and 11, LESS S 50 I FOR STREEI', BLK 2, MJASE & HARRISON SUB
the unuel-signeU transferor certifies ond declares by means of Lhis certification, lhe
following:
(a) I (We) OJn (ore) not Iloll-resident a11ell(s) [or (XJrposes of Ulliled Stoles illcollle
laxa U,on on(l,
(b) t1y Un!l c'<l States
N1\NE
-
CHARLES DIXON
taYPt,pe.r identifylllg Illllnoor(B) (Social Security NUllIbn-) is/are:
SOCl/\f.. S~X:UIU'I"l NLJIIlIJEIt
/-, t ? - (;77- 5'-;) ~ 7 :J.
"
H
"
"
(c) t1y hOIllE! {I<klnms Js
(ulloc!lCll addJUollal paye .i.f lIecessm:y)
(d) Thete ore lIO oLhm: persolla who have 011 oWlleJ:fjhJp Jlllercst ill lhl! uIJUvo-deucd.bed
properly olhor lImll lhose lJeJ:SOIIB set forlh obove 111 subpa.:ogrol~l (b).
J. '.11113 \lJlderslgllcd hereby [ut-ther cert.lfles and declares:
(0) I (We) underslolld that the (XJrchaser of the obove described properly Illtends .
to rely 011 the fotegoinU r.epreselllaU.oIlS 111 COllllecU_olI wJ.th lhe lhd,ted SLnLes
1''oreJy'' Illvesltllellt ill Heal Property 'l'ux l\ct. (94 Sh,tllte 2(;U2 us {lIl1ended).
(11) .I. Cwo) ullder:allllld Lids certJ.f.tcoUolI IIny 1)(J tUsc.1.oaed to Lhn llllemal Hevelllle
Ser.v.i.ce by transferee allu that OilY false stalelllent cOlltoined ill L1lls cerUf.i.caLlon
lIli.IY IJ(! lllllll.sl\(!c1 hy [Jlln, .lJllpt.l.nolllllOl1t 01: lx)th.
Under (x111ullles of perjury I (we) declare I (we) have eX811ulled carefully lIlls cerll-
f!callon and it is h-ue, cor.rect and complete.
lJa te
~Je
W tl1 BS
,'I',
('lhi doclUllent h1ust be retained w1l:il the end of lhe fifth taxoble year following the':
taxable year 111 wh.Lch Lhe transfer takes place).
CONSUJJl' YOUn l\'l'l'OllNI!:V 1\NIJ/OIl 'l'1\X 1\l)VlSOn - NO HEPHESl!.N'lWl'lON Oil HECOI'l'lENUNl'lON IS N1\IJI!: BY
STl!.WI\I t'l' 'J'l'J'LI~ INSIJH1\NCI~ c(l'IPI\N'f 1\NIJ/OH CONCgllNJNlJ '1'1 IE
LEGl\l.. sun;'JCJE:NCY 1\NIJ/OH 'l'1\X CONSQUI!:NC1!:S OLl' '1111S LXX:UNI~tlr:-voU NI\'f BE IlI~QUIHEU 'lD F..tLI~
1\ COpy or TilLS IXX:tJMliNl' W.I'lll '1'11I~ IN'l'EllNl\r~ IUW~:NlJl~ SI~IlV.LCl!:. '.11 m:s,~ 1\1l1~ OU'~Sr10NS FOil YOUIl
A'l'1DHNI~Y Oil 'l'1\X AIJV iWIt.
(}
FLORIDA
COUllty, ,
l e-1L 1)' ~! CTV\
CHARLES DIXON
1991 at
PINELLAS
I" ",'
S'l'A'm Ol~
COUN'lY m'
FLORIDA
PINELLAS
~~..~
::Jl
NOl'fll PUUI..J.C
MY C 1'1ISSION ~~xPllms l
7,-yy'-J:3
I'
I
INFORMATION FOR REAL ESTATE 1099-S REPORT FILING
Section 6045 of t~e Internal Revenue Code, as amended by.the Tax
Reform Act of 1966, requires the 'reporting of certain information on
every real estate transaction. From the information yOu provide
below, a Form 1099-S will be produced, a copy of it will be furnished
to the I.R.S. and to you no later than January 31 of the next year,
and a copy may be sent to other third parties. If you fail to furnish
adequate information (in particular, a taxpayer ID number), then you
will be subject to all I.R.S. Regulations, including the possible
withholding of twenty percent (20%).of the current sales price.
File Number: · 910601110
Taxpayer ID Number:Seller 1
, C;; ~t?f~ 72-- Seller 2
.
Taxpayer ID Type:
2
~1= business, 2 = individual)
SELLER 1 NAME:
Last:
DIXON
First & Middle:
CHAIRES
SELLER 2 NAME:
Last:
First & Middle:
MAILING ADDRESS (as of January 31 of
SELLER 1
Street:
Zip code:) If?/ f
City:
State:
SELLER 2:
Street:
City:
State:
Zip Code:
TRANSACTION INFORMATION
Closing Date (MMDDYY):
12/17/91
Contract Sales Price: Seller 1 -
10,000.00
Seller 2 -
(If multiple sellers please allocate the sales price among the sellers)
Description of Property:
street Address: 1127 & 1139, BROONELL S'IREET, CLEARWATER, FL 34616
Legal Description: LarS 8,9 and 11, LESS S 50' FOR STREET, BLK 2. MOASE & HARRISON SUBI
Under penal ties of perjury, I, GlARLES DIXON
(Name of Seller (s))
certify that the number shown on this form is my correct Taxpayer
Identification Number and that the other information is correct to
best of my understanding and I understand that it will appear on a
1099-S that will be sent to me and to the Intern ~le~~~ue ~ervice
Date: Seller - 1 Signature: It ~l ~
the
Form
Date:
Seller - 2 Signature:
CHAIRES DIXON
u-v---
CLOSING AGENT INFORMATION (to be completed by closing agent)
Name:
STEWART TITLE <XX'1PANY OF CLEARWATER, INC.
Mailing Address:
1290 COURT STREET
City:
CLEARWATER
State:
FL
Zip Code:
34616
Taxpayer ID Number-:
59-1433918
I
I
^ F F I 0 ^ V I T
STATE OF FLORIDA
COUNTY OF Pine1las
BEFORE ME, THE UNDERSIGNED AUTHORITY, personally appeared
CHARLES DIXON
who being by me first duly sworn deposes and says:
That he is not one and tlte same person as CHARLES L. DIXON,
CHARLIE L. DIXON,CHARLES L. DIXON, CHARLES M. nIXON,
CHARLES W. DIXON and CHARLES S. DIXON who i s n a m e din liens, judgrnen ts and
Tax liens
a s r e cor d e din O. R. Boo k . 4474
Page
266, **
Public Records of Pinel1as County, Florida.
Affiant further states that his Social Security Number is as
** 4501, Page 205; O.R. Book 5101, Page 720;
fol lows: O.R. Book 6101, Page 1144; O.R. Book 6174, Page
1619; O.R. Book 6681, Page 108; O.R. Book 7408,
Page 1669 and O.R. Book 7617, Page 802
Signed, sealed and delivered
in th presence of:
C(~L
CHARLES DIXON
b~~
~~u of A<1/;(}~[}w/~
Sworn to and subscribed before me this 17th day of December,
, 1 9 91
My Commission expires: 9dt/-'1;;J
This instrument prepared by:
MIKELL L. ST. GERMAIN
for: Stewart Title Co. of Clearwater
1290 Court Street P.O. Box 2756
Clearwater, Florida .346IG. 34617
AlTA-OWNEr;j'S POLICY - (4-6-90) WITH FLORIDA MODIFICATIONS
-
1
POLICY OF TITLE INSURANCE ISSUED BY
91060110
STEWART TITLE
GUARANTY COMPANY
~~ nr~
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
3. Unmarketability of the title;
4. Lack of a right of access to and
The Company wi II also pay the costs,
to the extent provided in the Conditions
IN WITNESS WHEREOF, Stewart T
duly authorized officers as of the Date
RAGE, THE E.PTIONS FROM COVERAGE CONTAINED IN
PULATIONS, STUART TITLE GUARANTY COMPANY, a Texas
of Date of Policil~hown in Schedule A, against loss or damage, not
Ie A, sustained or.~~curred by the insured by reason of:
Ie A being ve.d ~ther than as stated therein;
defense of the title, as insured, but only
this policy to be signed and sealed by its
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 (incl uilding and zoning laws, ordinances, or regulations) restricting,
regulating, prohibiting or relating to (i) the occupancy, use, or the character, dimensions or location of any improvement now or
hereafter erected on the land; (iii) a separation in ownership or 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 vio of inances or governmental regulations, except to the extent that a
notice of the enforcement thereof or a notice of 0 defect, lien orsencumbrance resulting from a violation or alleged violation affecting the land has been
d d. h bl' d 0 f P I' '. ancw)" ,If C ollfmn
recor e In t e pu IC recor s at ate 0 0 ICY. . ,
(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 CompanYI 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 c10imant prior to the date the insured claimant became an insured under this policy;
(c) resulting in no loss or domage 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 0
Policy . .
Serial No. 2111
~ ~ ~ ~ - ~ ~ ~ -
16650
211 (Rev. 4-6-90)
CONDITIONS AND STIPULATIONS
1. DEFINITION OF TERMS, (d) In all cases where this policy permits or requires the Company to prose-
The following terms when used in this policy mean: cute or provide for the defense of any action or proceeding, the insured shall
(a) "insured": the insured named in Schedule A, and, subject to any rights secure to the Company the right to so prosecute or provide defense in the action
or defenses the Company would have had against the named insured, those who or proceeding, and all appeals therein, and permit the Company to use, at its
succeed to the interest of the named insured by operation of law as distinguished option, the name of the insured for this purpose. Whenever requested by the
from purchase including, but not .limited to, heirs, distributees, devisees, survivors, Company, the insured, at the Company's expense, shall give the Company all
personal representatives, next of kin, or corporate or fiduciary successors. reasonable aid (i) in any action or proceeding, securing evidence, obtaining wit-
(b) "insured claimant": an insured claiming loss or damage. nesses, prosecuting or defending the action or proceeding, or effecting settle-
(c) "knowledge" or "known": actual knowledge, not constructive knowledge ment, and (ii) in any other lawful act which in the opinion of the Company may
or notice which may be imputed to an insured by reason of the public records as be necessary or desirable to establish the title to the estate or interest as insured.
defined in this policy or any other records which impart constructive notice of If the Company is prejudiced by the failure of the insured to furnish the required
matters affecting the land. cooperation, the Company's obligations to the insured under the policy shall ter-
(d) "land"; the land described or referred to in Schedule A, and imp,rove- minate, including any liability or obligation to defend, prosecute, or continue any
ments affixed thereto which by law constitute real property. The term \ land" litigation, with regard to the matter or matters requiring such cooperation.
does not include any property beyond the lines of the area described or referred 5. PROOF OF LOSS OR DAMAGE.
to in Schedule A, nor any right, title, interest, estate or easement in abutting In addition to and after the notices required under Section 3 of these Condi-
streets, roads, avenues, alleys, lanes, ways or waterways, but nothing herein shall tions and Stipulations have been provided the Company, a proof of loss or dam-
modify or limit, the extent to which a right of access to and from the land is age signed and sworn to by the insured claimant sholl be furnished to the Com-
insured by this policy,. pany within 90 days after the insured claimant shall ascertain the facts giving rise
(e) \ mortgage ': mortgage, deed of trust, trust deed, or other security to the loss or damage. The proof of loss or damage shall describe the defect in,
instrument. or lien or encumbrance on the title, or other matter insured against by this policy
(f) "public records"; records established under state statutes at Date of Pol- which constitutes the basis of loss or damage and shall state, to the extent possi-
icy for the purpose of imparting constructive notice of matters relating to real ble, the basis of calculating the amount of the loss or damage. If the Company is
property to purchasers for value and without knowledge. With respect to Section prejudiced by the failure of the insured claimant to provide the required proof of
l(a)(iv) of the Exclusions From Coverage, "public records" shall also include loss or damage, the Company's obligations to the insured under the policy sholl
environmental protection liens filed in the records of the clerk of the United States terminate, including any liability or obligation to defend, prosecute, or continue
--districtcourtforthedistriain-wnichthe land-is located. - - any litigotion,-with regard to the-matter_ol" matters requiring such proof oLloss or - -I
(g) "un marketability of the title": an alleged or apparent matter affecting damage.
the title to the land, not excluded or excepted from coverage, which would entitle In addition, the insured claimant may reasonably be required to submit to
o purchaser of the estate or interest described in Schedule A to be released from examination under oath by any authorized representative of the Company and
the obligation to purchase by virtue of 0 contractual condition requiring the shall produce for examination, inspection and copying, at such reasonable times
delivery of marketoble title. and places as may be designated by any authorized representative of the Com-
2. CONTINUATION OF INSURANCE AFTER CONVEYANCE OF TITLE. pany, all records, books, ledgers, checks, correspondence and memoranda,
The coverage of this policy shall continue in force os of Date of Policy in whether bearing a date before or after Date of Policy, which reasonably pertain
favor of an insured only so long as the insured retains an estate or interest in the to the loss or damage. Further, if requested by any authorized representative of
land, or holds on indebtedness secured by 0 purchase money mortgage given by the Company, the insured claimant shall grant its permission, in writing, for any
o purchaser from the insured, or only so long os the insured sholl hove liability by authorized representative of the Company to examine, inspect and copy all
reason of covenants of warranty made by the insured in any transfer or convey- records, books, ledgers, checks, correspondence and memoranda in the custody
once of the estate or interest. This policy sholl not continue in force in favor of or control of a third party, which reasonably pertain to the loss or damage. All
any purchaser from the insured of either (i) on estate or interest in the land, or (ii) information designated os confidential by the insured claimant provided to the
on indebtedness secured by 0 purchase money mortgage given to the insured. Company pursuant to this Section shall not be disclosed to others unless, in the
3. NOTICE OF CLAIM TO BE GIVEN BY INSURED CLAIMANT. reasonable judgment of the Company, it is necessary in the administration of the
The insured sholl notify the Company promptly in writing (i) in case of any claim. Failure of the insured claimant to submit for examination under oath, pro-
litigation os set forth in Section 4(0) below, (ii) in case knowledge shall come to duce other reasonably requested information or grant permission to secure reo-
on insured hereunder of any claim of title or interest which is adverse to the title sonably necessary information from third parties os required in this paragraph
to the estate or interest, os insured, and which might couse loss or damage for sholl terminate any liability of the Company under this policy as to that claim.
which the Company may be liable by virtue of this policy, or (iii) if title to the 6. OPTIONS TO PAY OR OTHERWISE SETTLE CLAIMS; TERMINATION OF
estate or interest, os insured, is rejected os unmarketable. If prompt notice sholl LIABILITY.
not be given to the Company, then os to the insured 011 liability of the Company In case of a claim under this policy, the Company sholl have the following
sholl terminate with regard to the matter or matters for which prompt notice is additional options:
required; provided, however, that failure to notify the Company shall in no case (0) To Payor Tender Payment of the Amount of Insurance,
prejudice the rights of any insured under this policy unless the Company shall be To payor tender payment of the amount of insurance under this policy
prejudiced by the. failure and then only to the ext~nt of the prejudice. together with any costs, attorneys' fees and expenses incurred by the insured
4. DEFENSE AND PROSECUTION OF ACTIONS; DUTY OF INSURED claimant, which were authorized by the Company, up to the time of payment or
CLAIMANT TO COOPERATE, tender of payment and which the Company is obligated to pay.
(0) Upon written request by the insured and subject to the options contained __ ~__ _ ~~~the exercise by the ~ompa~yo!~his ~l'ti<>.~,aJllia~ility and_ obligations
inSectici-" 6 of these Conaitions(ina'-sfiputaliol'f~~y,al itfowni:OSf - 10 the Insured under ThiS pottcy, OfIfer tl1an romare the payment requiflld, snatt
and without unreasonable delay, sholl provide for the defense of on insured in terminate, including any liability or obligation to defend, prosecute, or continue
litigation in which any third party asserts 0 claim adverse to the title or interest os any litigation, and the policy sholl be surrendered to the Company for
insured, but only os to those stated causes of action alleging a defect, lien or cancellation.
encumbrance or other matter insured against by this policy. The Company sholl (b) To Payor Otherwise Settle With Parties Other than the Insured or
hove the right to select counsel of its choice (subject to the right of the insured to With the Insured Claimant,
object for reasonable couse/ to represent the insured os to those stated causes of (i) to payor otherwise settle with other parties for or in the nome of on
action and shall not be liab e for and will not pay the fees of any other counsel. insured claimant ony claim insured against under this policy, together with any
The Company will not pay any fees, costs or expenses incurred by the insured in costs, attorneys' fees and expenses incurred by the insured claimant which were
the defense of those causes of action which allege matters not insured against by authorized by the Company up to the time of payment and which the Company
this policy. is obligated to pay; or
(b) The Company shall have the right, at its own cost, to institute and prose- (ii) to payor otherwise settle with the insured claimant the loss or dam-
cute any action or proceeding or to do any other act which in its opinion may be age provided for under this policy, together with any costs, attorneys' fees and
necessary or desirable to establish the title to the estate or interest, as insured, or expenses incurred by the insured claimant which were authorized by the Com-
to prevent or reduce loss or damage to the insured. The Company may take any pony up to the time of payment and which the Company is obligated to pay,
appropriate action under the terms of this policy, whether or not it sholl be liable Upon the exercise by the Company of either of the options provided for in
hereunder, and shall not thereby concede liability or waive any provision of this paragraphs Ib){i) or (ii), the Company's obligations to the insured under this pol-
policy. If the Company shall exercise its rights under this paragraph, it shall do so icy for the c aimed loss or damage, other than the payments required to be
diligently. made, shall terminate, including any liability or obligation to defend, prosecute
(c) Whenever the Company shall have brought an action or interposed a or continue any litiQation.
defense as required or permitted by the provisions of this policy, the Company 7. DETERMINATION, EXTENT OF LIABILITY.
may pursue any litigation to final determination by 0 court of competent jurisdic- This policy is a contract of indemnity against actual monetary loss or dam-
tion and expressly reserves the right, in its sole discretion, to appeal from any age sustained or incurred by the insured claimant who has suffered loss or
adverse judgment o,r order. 1_ damage by reason of.ratters insured against by this policy and only to the
. extent herein describe,
(continued and concluded 0':1 last page of this policy)
~.~
--
AL TA OWNER'S POLICY
./
I
I
mls
16650
SCHEDULE A
Order No.:
91060110
Policy N8:':'2111-
16650
Date of Policy:
December 18, 1991
Amount of Insurance: $ 130.r 000,00
1, Name of Insured:
CITY OF CLEARWATER, 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:
Lots 8, 9 and 11 less south 50 ft, for street, Block 2, MOASE
AND HARRISON'S SUB, PB H-2, Pg. 85, Pinellas County, Florida.
ALS(:) DESCRIBED AS:
Lots 8, 9, and 11 less South 50 ft. for street, Block 2, MOASE
AND HARRISON'S SUBDIVISION of Lot 7 of R.H. PADGETT'S
SUBDIVISION, according to the Plat thereof, as recorded in Plat
Book 2, Page 85 of the Public Records of Hillsborough County,
Florida of which Pinellas County was formerly a part.
REG. 0 0012
Page 2
STEWART TI~'lI...I~
GUARANTY COMPANY
AL T A OWNER'~ POLICY
Order No. 91060110
I
I
SCHEDULE B
2111
Policy No.: O-n~-16650
This policy does not insure against loss or damage by reason of the following:
delete1. 1}lj~~SUCK~~~tt:*'x.~~~lOOt~~~RR~~
delet~. ~IllKaOODxISKK~Jl!meot~P{~g.
delete3. EnomE;&mmeotK)Cm~~nN5XlSig~Kil(Q~pmxMf19't~~~Wffi~~~P@C~~X(Ji~{q~
~iec~iospex:iilOXI~KI!lS.
delet~. A~xiooc~kx}6(~XlHIDliooopd2mm~xoox~~}ftef5KM5JC~Ml~d,
i~~J1ho~k!.wca~~ltktr~mxds.
deletE5.x~:pm~5~~~~~iC~~~~~~lC~N~t~ptka:N~)ci!fc~of
tR~~X
delet~. An)lotKmsclO[xN~~~WOC~~~~~~~:lq~:Xlf~WCKtIll~xoanpcKlI1tilOmqc
g~RKIeOtxxomclOtme.IOeatXlms\x1Ootidecxml!tg,x:m:x:lmIld6x&m~~~~XIllR~~f
nCN~X~~~!lUCJgtKjpondm:ld5xm~~Jl!xliJm:xXxItrexR:auOOoonc~x
lin~~~~R~~leXbmilt:~abat:a:be6~m~~KK~Y.
7. Taxes for the year 19 92 and thereafter.
2113
Page 3
STEWART TITLE
GUARANTY COMPANY
)
_____r .,.. _ ~ ,_
-- -
- ~ -.
--.......
-"..~
tONDITIONS AND STIPULATIONS ContinueJ
(continued and concluded from reverse side of Policy Face)
> .. -
(0) The liability of the Company under this policy shall not exceed the
least of:
(i) the Amount of Insurance stated in Schedule A, or,
(ii) the difference between the value of the insured estate or interest
as insured and the value of the insured estate or interest subject to the defect,
lien or encumbrance insured against by this policy.
(2) (This paraQraph removed in Florida policies.)
(c) The Company will pay only those costs, attorneys' fees and expenses
incurred in accor~ance with Section 4 of the Conditions and Stipulations,
8. APPORTIONMENT.
If the land described in Schedule A consists of two or more parcels which are
not used as a single site, and a loss is established affecting one or more of the
p,arcels but not all, the loss shall be computed and settled on a pro rata basis as
If the amount of insurance under this policy was divided pro rata as to the value
on Date of Policy of each separate parcel to the whole, exclusive of any
improvements made subsequent to Date of Policy, unless a liability or value has
otherwise been agreed upon as to each parcel by the Company and the insured
at the time of the issuance of this policy and shown by an express statement or by
an endorsement attached to this policy.
9, LIMITATION OF LIABILITY,
(a) If the Company establishes the title, or removes the alleged defect, lien
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
manner by any method, including litigation and the completion of any appeals
therefrom, it shall have fully performed its obligations with respect to that matter
and shall not be liable for any loss or damage caused thereby.
(b) In the event of any litigation, including litigation by the Company or with
the Company's consent, the Company shall have no liability for loss or damage
until there has been a final determination by a court of competent jurisdiction,
and disposition of all appeals therefrom, adverse to the title as insured.
(c) The Company shall not be liable for loss or damage to any insured for
liability voluntarily assumed by the insured in settling any claim or suit without the
prior written consent of the Company.
10. REDUCTION OF INSURANCE; REDUCTION OR TERMINATION OF
LIABILITY.
AII/ayments under this policy, except payments made for costs, attorneys'
fees an expenses, shall reduce the amount of the insurance pro tanto.
11. LIABILITY NONCUMULATIVE,
It is expressly understood that the amount of insurance under this policy
shall be reduced by any amount the Company may pay under any policy insuring
a mortgage to which exception is taken in Schedule B or to which the insured
has agreed, ossumed, or taken subject, or which is hereafter executed by an
insured and which is a charge or lien on the estate or interest described or
referred to in Schedule A, and the amount so paid shall be deemed a payment
under this policy to the insured owner.
12. PAYMENT OFLOSS.
(a) No payment shall be made without producing this policy for endorse-
ment of the payment unless the policy has been lost or destroyed, in which case
proof of loss or destruction shall be furnished to the satisfaction of the Company.
(b) When liability and the extent of loss or damage has been definitely
fixed in accordance with these Conditions and Stipulations, the loss or damage
shall be payable within 30 days thereafter.
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 c1aimont 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 transter 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 shall permit the Company to sue, compromise or
settle in the name of the insured c10imant and to use the name of the insured
claimant in any transaction or litigation involving these rights or remedies.
If a payment on occount of a claim does not fully cover the loss of the
insured claimant, the Company shall be subrogated to these rights and remedies
in the proportion which the Company's payment bears to the whole amount of
the loss.
If loss should result from any act of the insured claimant, as stated above,
that act shall not void this policy, but the Company, in that event, shall be
required tOlay only that part of any losses insured against by this policy which
shall excee the amount, if any, lost to the Company by reason of the impair-
ment by the insured claimant of the Company's right of subrogation.
(b) The Company's Rights Against Non.insured Obligors.
The Company's right of subrogation against non-insured obligors shall exist
and shall include, without Iimitotion, the rights of the insured to indemnities, gua-
ranties, other policies of insurance or bonds, notwithstanding any terms or condi-
tions contained in those instruments which provide for subrogation rights by rea-
son of this policy.
14, ARBITRATION
Unless prohibited by applicable law, arbitration pursuant to the Title Insur:
ance Arbitration Rules of the American Arbitration Association may be demanded
if aQreed to by both the Company and the insured. Arbitrable matters may
include, but are not limited to, any controversy or claim between the Company
and the insured arisinQ out of or relatina to this policY, any service of the
Company in connection with its issuance or the breach of a policy provision or
other obliQation. Arbitration pursuant to this policy and under the Rules in effect
on the date the demand for arbitration is made or, at the option of the insured,
the Rules in effect at Date of Policy shall be bindinQ upon the parties. The award
may include attorneys' fees only if the laws of the state in which the land is
located permit a court to award attorneys' fees to a prevailinQ party. JudQment
upon the award rendered by the Arbitrator(sl may be entered in any court
havinQ jurisdiction thereof,
The law of the situs of the land shall apply to an arbitration under the Title
Insurance Arbitration Rules.
A copy of the Rules may be obtained from the Company upon request.
15. LIABILITY LIMITED TO THIS POLICY; POLICY ENTIRE CONTRACT.
(a) This policy together with all endorsements, if any, attached hereto by
the Company is the entire policy and contract between the insured and the Com-
pany. In interpreting any provision of this policy, this policy shall be construed as
a whole.
(b) Any claim of loss or damage, whether or not based on negligence, and
which arises out of the status of the title to the estate or interest covered hereby or
by any action asserting such claim, shall be restricted to this policy.
(c) No amendment of or endorsement to this policy can be made except by
a writing endorsed hereon or attached hereto signed by either the President, a
Vice President, the Secretary, an Assistant Secretary, or validating officer or
authorized signotory of the Company.
16. SEVERABILITY,
In the event any provision of the policy is held invalid or unenforceable under
applicable law, the rolicy shall be deemed not to include that provision and all
other provisions shal remain in full fOrce and effect.
17. NOTICES, WHERE SENT,
All notices required to be given the Company and ony 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.
STEWART TITLE
GUARANTY COMPANY
.
STEWART TITLE
GUARANTY COMPANY
ESTABLISHED 1896
INCORPORATED 1908
A NAME
RECOGNIZED NATIONALLY
FOR MORE THAN 80 YEARS
AS BEING
SYNONYMOUS WITH
SAFETY
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"
SanClily of ConrraCl
STEWART TITLE
GUARANTY COMPANY
P. O. Box 2029
Houston, Texas 77252
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POLICY
OF
TITLE
INSURANCE
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