BETTYE DIXON DWIGHT
INST :I!: 91...,3422B7
, /' 10 (en~lose seW ad<l,ressed stamjped envelope) I' Ii [C 1 f:)H~__l~')~ :I. :I. t -49 F' r1
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(0Add~O: L \ J \ \ STEWART TITLE OF CLEAH\\'\ fER
ld 'U f\n'\~ By: MIKELl, L, ST, GEPJ1hIN
~ 1290 ('ourt Slft!'t
This Instrument Prepared by: Cleal'w:i~e" FL Jt~J('
r,o L<!v 1'7%
PINElLAS COUNTY FLM.
1 OFF.REC.BK 7762 PG 267
Add,...:
C!elfp';i ~~le::. ,"1. .i~:d"7
Which IwmllmHli ""'"' l'{qmr~" ,':ii'j,'" ,"i
10 writiu:J; ~-,t :Ii Til!e h~~Ur;Hh:"; f\.'~'~';
&OfJJ
y
htJnr!:hln Tax Pet,
, k, P:-",,\I~s c"""ty
Deputy ClerJ:
ACE ABOVE THIS LINE FOR RECORDING DATA
Properly Appraisers Parcel Identification (Folio) Number(s):
Grantee[sl S.S. #[51:
SPACE ABOVE THIS LINE FOR PROCESSING DATA
'i" 1,,"::1 r
UlItis JIIIarrantu iJ.e.eb Made the / /3+{ day of December, A,D, 19 91 by
BETTYE DIXON DWIGHT, al /f1 {)/Z./U.e. J woman
hereinafter called the grantor, to
CITY OF CLEARhfATER, FLORIDA
whose post office address is P,O. Box 4748, Cleanvater, Fl. 34617-4748
hereinafter called the grantee:
(Whe....ver uaed herein the lerms .gmntor. and .grantee. Inelade all the pard.. to this instrument and the
hel.., lepl ....preoentatlve. and ...Igns or ladlvldaals, and the .aee...on and assigns or corporations)
.ftntlllld~: That the grantor, for and in consideration of the sum of $ 10,00 and other
valuable considerations, receipt whereof is hereby Mknowledged, 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:
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.
ALSO 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 COlmty,
Florida of which Pinellas County was formerly a part.
Parcel no. 15/29/15/58338/002/0080 Grantors soc, sec. II / oZ~~3<O.,,7 ..7)/"3 (BETTYE)
Property is not the principal residence of the Grantor, she in fact resides at:
I. I,,,/(P f(l, :t~a/r aceE/VI&' J/l.lv~-- 0MIr'XJNt/II(e. Fl~2UJ!l. __~_
- ,
ahJ\lt~Jrtr. with all the tenements, hereditaments and appurtenances thereto belonging orin anywise
appertatntng,
IDu :HaUl anb tn linlll. the same in fee simple forever.
.Anb the grantor hereby cavenants with said grantee that the grantor is lawfully seized of said land in fee
simple; that the grantor has good right and lawful authority to sell and convey said land, and hereby warrants the
title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land
is free of all encumbrances, except taxes Mcruing sU,bsequent to December 91, 19 911 and all easements
)n Bftntllll B~trtnf. the s~r~Ji~0!j.rta1)tg~1I J3fd feEfr1-~Ehese presents the day and year first abave
written.
(~igned, 1t~~i7Z:~esenu oj-
Signature wi tne s s Itl -.
, ~p-~b~ e.. L ' B ('Oo~
Printed Signat~
VSign~sf;fZ F""~
'Printed ;i!~....o..n E. Fo..w~-rt
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BETTYE DIXON DWIGHT
Prlated Signature ,
IJ)-~~ p.~ bauH- SCJh\C ~\)\\ve. ,_ w,_.,::
Poet eeA~rn~g.,v;.Q~\~/ iFil~.t}-d0~rJ'U',~' ;":
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Signature
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RECORDING
noe: STAr~PS
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Signature
Printed Signata....
Printed Signature
TnTL\i ~
Signata....
POIt Office Add......
CHEer:.. Aif1T:: TENDERED~
,:H;6N~E;
:r':'::J ::~. = ..;. ;_;
Printed Signatu....
STATE OF FLORIDA
COUNTY OF / -.Kj1~.~
I HEREBY '-'~x that on thIS day, before me, an officer duly authorized in the State aforesaid and in the County aforesaid to take
acknowledgments, personally appeared BElTYE DIXON DHIGHT, a or m " ~ ~ \ 1:- I> 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 h_and offici{ll seal in the County and State last aforesaid this '/13"fQ day of December, A.D, 1991,
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Notary 81 are
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Printed Notary SignatBre
My Commission Expil...: /Rotary Public. Staff of F!oriJ<<r
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KARlEEN F. DEBLAK~Rv CLERK
FiECDRD (.)EF:IFIED J.:{"j' ~ <;jtt-
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NON-FOHEIGN CEH'l'lFIC^,!'.LON BY INIJ1VIUU^L 'l'HJ\NSP'EHOlt
1.
SecU.on 1445 of the Internal He venue Ccxle provldes that a tn:f\lsferee 1;>[ a United
States real pL"operty interest must withhold tax if the transferor is {j f~reigll persoll,
In order to 111[onll the transferee that wIlhholdillg of: Lox is 110t requIred upon Lhe
(UsposltJoll hy BETIYE DIXON IMIGdT:.:
2.
of the UnJ.ted Slates real pmperty uescd.ood as f:ollows:
LCYI'S 8, 9 and 11, LESS S 50 I FOR STREET, BLK 2, MOASE & HARRISON SUB
the undersigned transferor certifies and declares by means of this certification, the
following:
(a) I (We) am (are) not Bon-resident alien(s) [or purposes of Ullited States income
taXa Hon and,
(b) My Ullil c<l SLates Laypapet identifying nlllllber(s) (Social Security Number) is/are I
NN-1E SOCI1\L S~"'CUlU'1Y NUNDEH
I
BETIYE DIXON DWIGHT IIV"' ~6f...?---..3 0-" 7s-f 3
II
It
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(c) My hOllle mklreos J8
(u llachC<.l addi.Uonal lXlge If lIecessm:y)
(d) There ore no OUlf.:!!: persons who hove on owne,:shlp lntet"est in Lhe oLove-descr.i.l:ed
property oth8r than Lhose persons set forth above 111 subpar.agraph (b).
J. 'J1,e \lJlders.l.gned hereby fut.ther cert.i.fles OIKl declares:
(a) I (We) understand that the purchaser of the above described property intends
Lo r.ely on the (OI~egoing r.ept-esentatlons :1.11 connection with Lhe lIn.i.l:ed Slales
l"umlgn Inveslment ill Ueal Property Tox J\ct. (94 Statute 2G02 as tlIllellded).
(b) :I. (wn) under:sLUlld lids cerLJ.f.tcat.i.oll II\1Y be disclosed to L1m Il1te\:"nal Hevetlue
Serv.l.ce by transferee anu that any false sLaLement contained in Lhis certi.f1catioll
1lI<.lY 1J0 11Ill1.1.sh{!t) by LlJm, .I.\Ilpd,solll\1ollt or both,
Ullder penalUes of perjury I (we) declare I (we) have examined carefUlly this certl-
ficotion Gnd it is true, correct and complete.
" "... f
IJate DECEMBER /~'t.'1 1991
~/ Pd~~
Witness . ~ . ""--
~~.~~
('Ihis dOClUT18nt must be retained wll:.1l the end of the fifth taxable year following the,;
taxable year JI1 wh.lch the transfer takes place).
CONSUIJl' YOun J\'1TOrtNI~ 1\NU/OIl 'r1\X J\I)VlSOH - NO HEPHESENl'J\'1'10N on ltECOMNEND^TION IS NI\l)E UY
ST~W^ltT 'J.'l'lU~ INStJHJ\NCg C(l\1Pl\NY J\NIJ/OH CONCErtNING '1'1 IE:
LEG1\lJ SUn~JCIENCY 1\NIJ/OH 'l'J\X CONSQtJI~'NCI!:S Oli' '11US lXX:UNI~N'l', YOU ~1l\Y BE HEQUlHI!n '1'0 nLE
1\ COPY Ol~ TiltS OO;UMJi;N'l' Wl'Ll' '1111~ IN'l'EHN^'~ Hl!.'Vr~tJl~ SI~HV.tCI!:. '.11 m:Sl~ 1\1U~ QUES1',LONS Fan YOun
1\'lT()nNI~ on 'mx 1\lJV loon.
3
a~
:Pc.{ Y"A L
County,
FLORIDA
<(~~.~ j}k>J{j/4
BETIYE DIXON DWIGHT '
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S'l'J\'l'E OJ!'
COUNTY Oli' ?
FLORIDA
Dvv/.\L
I 11E1U!:OY CI::n'l'H.Y that 011 L1tLs day, before lI1e, an officer duly authorized ill Lhe State
aforesaid alld in the Coullty oforesaid to take oclmowl.ec1glllentB, personally nppeared
BETIYE DIXON IMIGHT
to me Imown to be lhe persollS described in and who executed Lhe foregoing lnslrulIlcllt
and they Gckllowlrogeu before me that they executed the sallie. 'i
--- / It::
WITNESS my hand and official seal in the County ond State last aforesaid lhis "3 ' day
of DECEMBER , 19 ,91.
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3 - _ 7J1~ ~~"r
Nal'ARY PUDJJJ. cl -- , ", ~\lI't of f\oridd
MY CCl'l'lISSION EX~nE~!",!~Il;'~:~irCis Apri\ 13, 1994
u~ (o\TIUl".n, r f I .1nW,gnce ~...
1ft" ~..HhlV lrD1 . n
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SfHlt.'/ilV 0/ COrl/fllrt
RONALD IRON) E, SOMERS
President
1290 Court Street
Clearwater, Florida 34616
STEWAI~~' ''I'rl'LE
OF CLEARWATER
P,O, Box 2756
Clearwater, Florida 34617
(813) 441-2689
D I S C LOS U R E
We, the Owners of that certain real property located at
LarS 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.
~ V-: ra~/~L_~~
W1 tness --
1_4!!i::~/ k->~'k-
B DIXON DWIGHT
~2-,~~
STATE OF ~
v
FWRIDA
Of/r,\l-
COUNTY OF
y
SWORN TO AND SUBSCRIBED BEFORE ME THIS J;- /.3 n::
DAY OF
DECEMBER
, 19 91.
My
\..
Commission Expires:~ ~
",...- Wolary hb'lt, Stott of F1or1dcr
My (cmmnzJil)n !Expire1 .1113,1994
Bonded Thro Troy fain' In.uran.. In..
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:ot~
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S'f~\
.
Td BE FILLED IN PERSONALL ~
BY SELLER OR BORROWER IN HIS OWN HANDWRITING
INDEMNITY AND AFFIDAVIT AS TO DEBTS, LIENS, AND POSSESSION
USE SEPARATE FORM FOR EACH PARTY
BE'ITYE DIXON DWIGHT
Seller or Owner-Borrower
Lars 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 financing statement, security agreement or otherwise except the
following: (If none, so state.)
NAME AND ADDRESS OF SECURED PARTY
\ Approximate A,r>>--
...- ,d d ~ e....--
.
2. No loans of any kind on said property except the following: (If none, so state.)
NAME AND ADDRESS OF CREDITOR ~') Approximate Am~
...... AI", ,v' e---c::
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 MA TERIALS! Approximate A~Ufltl'
_ Nf?4~jk_
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.
r.J
I realize that the purchaser and/or lender in this transaction are relying on the representation contained herein in purchasing
same or lending money ereon and would n<!t purchase same or lend money thereon unless said representations were made.
<U M
TIE DIX
......
" . ",.
SWORN TO AND SUBSCRIBED BEFORE ME THIS
I :J 7J. day of
\,
~ JI1~ ~
Notary Publi . and for...... U- .uAJ.-
"
<.
County,
DECEMBER , 19 ~.
(Notary Publle. StatuI Florf. --
My Cf,MMI1~~ian Elijlirl,lG Allril13, 1994
M C .. E l'res'ond.d 'j~ru Troy Fal" -In...,o_ Ine.
y OmmlSS10n Xp .
FLORIDA C - \.:'
/, C'.r-I
Rev, 1/88
NOTE: This form is 10 ... siped by ICller in calC of sale, If no ...., it is 10'" sipod by I'" owne,-bonowe,. If lhere is any new conslruclion, Ih. .oalracto, mUll .110 join in Ihis form
or lian . teparIJe one.
,-'
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RONALD (RON) E, SOMERS
President
1290 Court Street
Clearwater, Florida 34616
s'rEWAIl.'r'l"rrLE
OF CLEARWATER
P,O, Box 2756
Clearwater, Florida 34617
(813) 441,2689
AUTIIORIZATION AND ACKNOWLEDGEMENT FORM
Reference:
FILE NO.
91060110
LEGAL rms 8, 9 and 11, LESS S 50' FOR STREET, BLK 2, MOASE &
HARRISON SUB
SELLER BE'ITYE DIXON DWIGHT
BUYER CITY OF CLEARWATER, FLORIDA
We hereby approve and acknowledge receipt of a copy of the Statement and actual
cost (DISCLOSURE/SETI'LEl'1ENT STATEMENT,- HUD FORM 1) and authoriz~<l disbursement
of fnnds as shown therein this 17 day of DECEMBER , 19 . 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 nnderstood that Stewart Title Company of Clearwater,
Inc., carmot, at this time, assertain if there will be personal property tax on
subject property or an amonnt 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,
'!HAT ALL Ul'TI..ITY BILLS (WATER, ~, EI:.EClRIC,
OR WIU.. BE PAID UPON REX:EIPl' OF FINAL BILLS.
MAlN'I'fNJ\R:E FEES)
tIl!=
HAVE BEm PAID
.d ,4~~ -#..jm b#
T ' E'ITYE DIXON DWIGHT
INITIALS
SELLER I S FORWARDING ADDRESS:
BUYER'S FORWARDING ADDRESS:
1/ /516 !(ctt7-at!- J(1&Vlc/ l/JRJ~
~gad.s()NV;/iJ Ff 32ZlJR
HQ\1E PHONE#,.... tjtJ{- 7~.Ff/ld ~
MJRK PHONE#/ fd '/- 1r 1''' D /J
HQ\1E PHONE#
WORK PHONE#
THIS IS TO FURTHER AUTHORIZE
CHANGES NECESSARY TO THE CLOSING STATEl\1ENT.
TO APPROVE:ANY
STEWART TITLE ca-1PANY {)F CLEARWA1'ER, INC.
BY:
I 1
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.S. Regulations, including the possible
withholding of twenty percent (20%) of the current sales price.
File Number:
91060110
Taxpayer ID Number: Seller 1 /' ~~ ~ 3<0~- ~.JiY Seller 2
Taxpayer ID Type:
2
(1 = business, 2 = individual)
SELLER 1 NAME:
Last:
DWIGHT
First & Middle:
BEITYE DIXON
SELLER 2 NAME:
Last:
First & Middle:
MAILING ADDRESS (as of January 31 of next year)
SELLER 1: - /J ,/_ - /J
Street:.,/" /5 tJ~ K ~ia-d-Ir JC&IJ!L ~ ,-1//2-1 rP ./
city:JJtd(-.5()N I/O-c State: f1o~~ Zip Code: iJ2-:k-O f
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 BROWNEIL STREFI', CLEARWATER, FL 34616
Legal Description: LCYI'S 8,9 and 11, LESS S 50" FOR STREET, BLK 2, MOASE & HARRISON SUE
Under penalties of perjury, I,
BEITYE DIXON DWIGHT
(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 Internal Revenue Service.
Date:./ /:2. - 13 - 0/ ( Seller - 1 Signature OJ-o>-T 4~ L,h-q!'I-
~~ DWIGHT
Seller - 2 Signature:
Afttd>!-
./
Date:
CLOSING AGENT INFORMATION (to be completed by closing agent)
Name:
STEWART TITLE ~ANY OF CLEARWATER, INC.
Mailing Address:
1290 COURT STREET
City:
CLEARWATER
State:
FL
Zip Code:
34616
Taxpayer ID Number:
59-1433918
MIS WI
I
L. SETTLEMENT CHARGES
700, TOTAL SALES/BROKER'S COMMISSION Baaed 1NI price S 130 000. 00
'-
PAID FROM
BORROWER'S
FUNDS
AT SETTLEMENT
PAGE 2 OF OMB No. 2502,0265
PAID FROM
SELLER'S
FUNDS
AT SETTLEMENT
@
%:
10 000.00
Oivision 01 commission (line 700) as lollows:
701$ * 7,249.26 to BLAN-EDWARDS REALTY INC.
702, $
703, Commission paid al selllemenl
704,
800 ITEMS PAYABLE IN CONNECTION WITH LOAN,
to
* LESS 2750.74 'lUVARDS SELLER CLOSING COSTS
*
801. Loan Origination lee
802, Loan Discount
803, Appraisal Fee
804. Credit Re~ort
805, Lender's inspeclion lee
806, Morlgage Insurance application lee
807. Assumption Fee
808,
809,
810,
811.
%
%
10
10
10
900 ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE,
90 I, Inlerestlrom
to
@s
Iday
902, MOrlgage insurance premium lor mo. 10
903 Hazard insurance premium lor yrs. 10
904, yrs, 10
905.
1000, RESERVES DEPOSITED WITH LENDER
1001. Hazard insurance
1002 Morlgage insurance
1003, Cily properly laxes
1004. Counly properly taxes
1005. Annual assessments (Main!.)
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.
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. . -, - ,'.J""').'..1,' ,j,-, <,,-, 'I~" ;:"~'.";!J':""" l
;>a,........\j;,..""'..."......J'~~,,_..........
~~~I:.m~0Z[;{~:i~r~(\~~j~~:':~~
~~li;~.:~~:;~.':i!t;~r~'it"~~M~;
~~!ci.l:~':;.,;;';~::~".~,&, t.x;
W.li'.8flli~~~.d
ID','..! .~~t'.;<.r-"...'.,~~'\.:'Iu.rI~.E,'
E~"~~:~~~'ti~:L~~:lL~~~
~.'''.~.'>;.''..,'~' " "#...~' .j.'..,
',>-I." "'l.:")."...Vlfl.'-..." ( "'k\:'
'ell: .,...,j,..tl.,'... ,.:l},;# ~
~~:t~ l~'~~;i:~,~~-:; ~,;tl~:,l;:~;~::titK~~
~~1~1~1&5i~;~.:~;~U!~~~~;~
,:~. . /~.,:j,.:'~:."',~~',.'::::1:':1~...~'~J1'";1:/!:r~.~:~f,,
. "..~",;" '::~:,1'.J....H'~~..;.I"'l."., ''l'('''l!~'t,J:,
, . i~.-,,~' ....*:t......HiU.1lI~..~~......I\"i.:.1
1100 TITlE CHARGES:
1101. Selllement or closing lee
1102. Abstract or tille search
1103, Tille examinalion
1104 Tille insurance binder
1105. Documenl preparation
1106, Nolary tees
1107 AlIorney's lees 10
(inc/udes above items No,:
1108. Tille insurance
(includes above items No,:
1109, Lender's coverage
1110, Owner's coverage
1111.
1112,
1113,
to
10
10
src
*
300.00
10
10
to
to
S
S
130 000.00
10 STEWART TITLE COMPANY OF CLEARWATER INC.
CERT/FICA lIOIl: I hive carefully reviewed thl HUD,I Selllemlnl SlItemenllnd 10 lIIe bella' my knowledge Ind bellel, Itllllrue and accurlte 1'1
thall have received a copy 01 HUD-l Selllemenl Slatement.
12oo,GOVERNMENT RECORDING AND TRANSFER CHARGES
1201, Recording lees: Deed S 43 ,00
1202, City/county lax/slamps: Deed S
1203. Slale tax/slamps: Deed S 780.00
RECORD AFFIDAVITS O-IARLES DELORES JOSEPH JEANETrE
4 @ 6.00 EACG
1206. RECORD SATISFACTION OF JUDGEMENT JOSEPH FRED I
1300 ADDITIONAL SETTLEMENT CHARGES
Morlgage S
Morlgage S
Mortgage S
Releases S
6.00
1204.
*
1205,
1301, Survey
1302, Pest inspeclion
1303,
1304
10 EVANS LAND SURVEYING
10 NOr ED OR UIRED
MAILAWAY PREPARATION COURIER
CITY OF CLEARWATER-LIEN SEARCH
POC
SllIe
red Is a true and accurale account al the lunds which were received and have been or will be disbursed by lhe undersigned as part al1he selllemenl ollhis Iransaclion
JJtA.:l~JYJJj):!;K 1 /, 1 ~~ 1
Selllemtnl AJlont ,'-,,,' l,"" Date
SEllER'. AND/OR PURCHASER'S IT A TEMENT Seller's Ind Purchlser'l Ilgnllurl hereon Icknowledges hlsllhllr appraval 01 lex prorallonl Ind lignifies their understanding Ihal prarallonl were based on tues for the preceding year, or esllmales
for Ihe current year, Ind In the eVlnl of any change for Ihe currlnl Ylir, all necessary Idluslmenls mUll be made between Seller Ind Purchaser; likewise Iny default In dellnquenltaxes will be reimbursed 10 Tille Company bY, the Seller.
Tille Company, In Its capeclly as Escrow Agenl, Is Ind hiS bsen aulhorlzed 10 deposit III lunds It recelvelln thlslransacllon In Iny lInancllllnslllullon, whelher aflilllted or not. Such lInanclallnllllullon may provide TIle Company com puler
accounling and audit services dlreclly or Ihrough a slperale enllly whlch,lI a"mltld with Tille Company, may charge Ihe 'Inancllllnslltullon reasonable and proper compensation therelore Ind relaln any praflls lherelrom, Any escrow fees paid by any
pa.'y involvod in Ihis transaclion shall only be tor checkwrlllng and Inpullo Ihe compulerl, but nol'., aloresald accounllng and audit services, TllIo Company shall nol be liable for any Inleresl or olhor chargos on Iho earnosl monoy and shall bo undor no
dilly 10 IOvosl or roinvosl funds hold by 1111 any limo, Sellers and Purchlsers heroby acknowledge and consenl 10 lIIe deposit ollhe escrow monoy In tinanclallnslllullons with which Tillo Company has or may havo olhor banking relalionships and 'urlhor
consonllo Ihe relention by Tille Company and/or ils alliliales of any and all benelils (Including Idvlnlageoulinleresl raleson loans) Tille Company and/or lIs Ill' 'ates may receive from such linan allnsltlullons by reason 0' Iheir mainlenance 01 said
escrow accounts. *,
1 he parltes have read Ihe above senlences, recognize Ihal the recllallons hlrein are ml'orlal, agreo 10 lime, Ind recognize Tltlo Company Is relyln
PU~,~h:.rsi~yJ:o~~!.~'Y 01" CLr~l{WAT~J~________ _ _ _______ _ Sellerl