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CLEARWATER NEIGHBORHOOD HOUSING SERVICES INC -,~-" 1#: 2006403900 BK: 15457 PG: 2056, 11/02/2006 at 02:07 PM, RECORDING 2 PAGES $18.50 KEN BURKE, CLERK OF COURT PINELLAS COUNTY, FL BY DEPUTY CLERK: CLKDMC6 .' ?~ ./ \t>. - 0'(\ ~'~ ./ RFTlJRN TO' Somers TiUe Company 1290 Court Street Clearwater, FI. 33756 File No. 06090022C .' .... ):.11 THIS SPECIAL WARRANTY DEED II Made thj$':;~~ day of October 2006 by the CITY OF CLEARWATER, FLORIDA, a Municipal Corpora#6~ of the State of Florida hereinafter called the "Grantor", to CLEARWATER NEIG.HSORHOOD HOUSING SERVICES, INC., a Florida not for profit corporation, whose posfQffi4e 'address is: 608 North Garden Avenue, Clearwater, Florida 33755, hereinafter called thf,ti'q ~ntee": : '; ".' (Whe';"vai uiedherein the term 'grantor" and 'grarrtee' ircll.de all the parties to this instrument and the heirs, legal representatives and assigns of individuals, and the /~~,\. N_./ i;JJCC8ii;<o,s'lOnd assigns of corporations) ...... .,.......:.~ i~~,W'itnesseth, that the grantor, for and in consideration of $10.00 and other valuable ','(x)Msiderations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, "'remises, releases, conveys and confirms unto the grantee, all of the following parcel of real "'property situate in Pinellas County, Florida, viz: PLAZA PARK ADDITION, Block D, Lot 6 and west half of vacated alley adjacent on the East, according to the map or plat thereof as recorded in Plat Book H5, Page 53, Public Records of Pinellas County, Florida. Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining, To Have and to Hold, the same in fee simple forever. Subject to nondelinquent ad valorem taxes and current installments of special assessments not yet due and payable, to highways, rights-of-way, licenses, easements and restrictions of record generally, zoning ordinances and other governmental limitations, or others which might be disclosed by an accurate inspection and architectural survey. And the said Grantor does specifically warrant the title to said land and will defend the same against the lawful claim of all persons claiming by, through or under Grantor except taxes for the year 2006 and subsequent, and subject to the matters hereinabove mentioned. In Witness whereof, the grantor has caused these presents to be executed in its name, and its corporate seal to be hereunto affixed, by its proper officers thereunto duly authorized, the day and year first above written. Page 1 of 2 Parcel No. 10-29-15-72000-004-0060 U;\CITY SELLS\SPEC WARR DEED -CNHS 100306.doc PINELLAS COUNTY FL OFF. REC. BK 15457 PG 2057 Signatories - Special Warranty pe;epi City of Clearwater to Clear.yat~t~.~ighbOrhOod Housing Services, Inc. Countersigned: ~- '., .", ." CITY OF CLEARWATER, FLORIDA . - . ., i , ...,f ~..-K!~,/~- F~k V. Hibbar9,;~~~of/ ,., J ,., '.. ;' , ~ "~'..:'-""" ,. ,..' ./ .~~ .'-.... ".~~. ,. " ..":...... STATE/QFJ:<l,.ORIDA : 55 COUNTxOF PINELLAS ,; . ""~ .... ,-.. " ".:"(3EFORE ME, the undersigned, personally appeared Frank V. Hibbard, Mayor of the City ,of,C1e~rwater, Florida, who executed the foregoing instrument and acknowledged the execution <.ttl~y:eof to be his free act and deed for the use and purposes herein set forth, and who is ".J>~rsonally known to me, WITNESS my hand and official seal this.fi day of October 2006. ~;V~ ;;.~ Notary Public - Sta~ Florida ~ A.A Print/type name: ~4"t!!- G. '-'al1r}, : SS ~T~ ~ Jl.M" ,. "'~~d". (4Q1) 3llll-01113 DIANE E MANNI MY COMMISSION # 00526033 EXPIRES: 101".6,21110 Florid. Notary_oom STATE OF FLORIDA COUNTY OF PINELLAS BEFORE ME, the undersigned, personally appeared William B. Horne, II, the City Manager of the City of Clearwater, Florida, who executed the foregoing instrument and acknowledged the execution thereof to be his free act and deed for the use and purposes herein set forth, and who is personally known to me, WITNESS my hand and official seal this .5' day of October 2006, ~*G.~ Notary Public - Sta~lorida <::: /Y) Print/type name: "-.-l./ 14 rle... F, L.-/..d /)A ~f~ DIANE E MANNI 1M MY COMMISSION /I DD5260Ji3 ~~I EXPIRES: M.r.6,21110 f4OTl-.<Jl63 F_ NoCory_com Laura Lipowski, sistant City Attorney Page 2 of 2 C:\Documenls and Settings\Laura.Lipowski\Local SellingslTemporary Internet FilesIOLK3\sPEC WARR DEED -CNHS 100306.doc ('rHd o~ Oct 25, 2006 @ 11: 13) , .'\.. e US Department of Housing and Urban Development SETTLEMENT STATEMENT e OMB No, 2502-0265 ~ . NOTE: This form is furnished to give YOll a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. !term marked 'poe were paid outside the closing: they are shown here for infOImation 1lIjlQ>' ' D. l\AME AND ADDRESS OF BORROWER: Clearwater Neighborhood Housing Services, Inc., a Florida Corporation 608 North Garden Avenue Clearwater, FL 33755 Eo NAME AND ADDRESS OF SELLER: _c;,ity of Clearwater, a Municipal Corporation of the State of Florida P.O. Box 4748 Clearwater, FL 33758 J~. l\.AME AND ADDRESS OF LENDER: 6. File Number: 06090022c 7. Loan Number: G. PROPERTY LOCATION: --1!H Pennsylvania Avenue Clearwater, FL 33755 H. SETTLEMENT AGENT: SOMERS TITLE COMPANY 727-441-1088 Contact: MARIANNE ~:CHAFFER J. SETTLEMENT DATE: 10/30/2006 PLACE OF SETTLEMENT: 1290 COURT STREET CLEARWATER, FL 33756 DISBURSEMENT DATE: 10/30/2006 Ci'. SUMMARY OF BORROWER(S) TRANSACTION 100. GROSS AMOUNT DUE FROM BORROWER: I K. SUMMARY OF SELLER(S) TRANSACTION 400. GROSS AMOUNT DUE TO SELLER : J91. Contract sales price 40,000.00 401. Contract sales price 40,000.00 ] 02. Personal Property 402. Personal Property 1-- ] 03. Settlement charges to borrower (line 1400) 403. I- 104. 404. 1--' 105. 405. I-~-' .1~dLustments for items paid by Seller in advance Adiustments for items paid by Seller in advance .196. City/town taxes 406. City/town taxes ] 07. County taxes 407. Countv taxes 1--- lOS, Assessments 408. Assessments 1--- 109. 409. 1--- 110. 410. -- ] 11. 411. -- 112. 412. -- J~O. Gross Amount Due From Borrower 40 000.00 420. Gross Amount Due Seller 40 000.00 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER : 201. Deposit or earnest money 501. Excess deposit (see instructions) 1-- 202. Principal amount of new loan(s) 502. Settlement charges to seller (line 1400) 498.50 -- 203. Existing loan(s) taken subiect to 503. Existing loan(s) taken subiect to -, 204. 504. Payoff of first mortgage loan -,--, 205. 505. Payoff of second mortgage loan -,--, 206. 506. 1--' 207. 507. -- 208. 508. -, 199. Exchange Value 40,000.00 509. Exchange Value 40,000.00 Adj u;,tments for items unpaid by Seller in advance Adjustments for items unpaid by Seller in advance -- , 1JO. City/town taxes 510. City/town taxes 21 ] . County taxes 511. County taxes -- 212. Assessments 512. Assessments -- 213. 513. -- 214. 514. -- 215. 515. -, 216. 516. I---- 217. 517. 1---- 218. 518. t--' 219. 519. 1----- 220. Total Paid By/For Borrower 40,000.00 520. Total Reduction Amount Due Seller 40,498.50 40,000.00 40,000.00 0.00 603. Cash 40 000.00 40,498.50 498,50 ~lIBSTITUTI<?N FOR.M 1099 .SEL~ER ST~TEMENT: The information contained in Blocks E,G,H and I on line 401 (or if 401 is asterisked, line 403 and 404) is !mi)Ortant tax rnf?rm~tl?n a~d IS b~rng furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction will be Irnposed on you If thiS Item IS reqUired to be reported and the IRS determines that it has not been reported. SELLER, you are req~ired .by law to provide the settlement agent with your correct taxpayer identification number. If you do not provide the settlement agent with your correct taxpayer Identification number, you may be subject to civil or criminal penalties imposed by law. Under penalties of perjury, I certify that the number shown on this statement is my correct taxpayer identification number. I (Prinkd on Oet25, 2006 @ 11: 13) US Department of Housing and Urban Development OMB No. 2502-0265 L, , e SETTLEMENT CHARGES - , Paid from 700. Total SaleslBroker's Commission based on price . Paid from Borrower's Seller's 701. Listing Realtor Commission Funds at Funds at f-- Settlement Settlement 7\12. Selling Realtor Commission f-- 703. Commission paid at Settlement f- 704. Il[lO.lTEMS PAYABLE IN CONNECTION WITH LOAN ~~_I"oan Origination Fee 802. I "oan Discount -.-- ~'l!.I_LAppraisal Fee 804. Credit Report 805. Lender's Inspection Fee 806. \10rtgage Application Fee ')(10. lTEMS REOUlRED BY LENDER TO BE PAID IN ADVANCE 901 Interest from 902. Mortgage Insurance Premium for 903. lIazard Insurance Premium for 1--. 904. 905. 1000. RESERVES DEPOSITED WITH LENDER 1001. Hazard insurance 1--- ~102. Mortgage insurance 1003: City property taxes f-- ~!04 County property taxes IU05, Annual assessments IU06, IU07 ---. 1008, Aggregate Accounting Adjustment ....;.." 1100. TITLE CHARGES 110 I, Settlement or closing fee To: STC 100.00 1: 02. Abstractor title search To: STC / A. Gatliff 100.00 1.03. Title examination To: STC 50.00 I :.04. Title insurance binder 1 :05. Document preparation f-- 1106. Attorney's Fees 1107. FL Risk Rate f-- 'IIncludes above item numbers: ) -'----. 230.00 1 :08, Title Insurance To: STC lIne ludes above item numbers: ) 1. ] 09. Lender's coverage @ I] 10. Owner's coverage40,000.00 @ 230.00 f-- lIt 11.12. 1113,. . 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES ~~OL Recording fees: Deed $18.50 Mortgage $0.00 Releases $0.00 To: Clerk of the Court 18.50 I :~02 City/county tax/stamps: EXEMPT 1203,. State tax/stamps: EXEMPT f- 1204.. f-. 1 :~05. DOO. ADDITIONAL SETTLEMENT CHARGES ~~OL Survey ___!.L02. Pest inspection C,03 . r-'--' 1:04. 1:05. ~OO. Total Settlement Charges (enter on lines 103 Section J and 502 Section K) 1 0.00 I 4911.';01 I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knOWledge and belief, it is a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction. I further certify that I have received a copy of HUD-1 Settlement Statem:~ BORROWER(S): SELLER(S): .4'/-.l~ '" '~ --........... Clearwater Neighborhood Housing Services, Inc., a Florida Corporation City of Clearwater, a Municipal ~oration of the State of Florida The HUD-1 Settlement Statement which I have prepared is a true and accurate account (\f this transaction. I ha\(e caused orwill cause the funds to be disbursed in accordance with this stat3ment .." ~lf) k . / <-"'/. 'I /..7/, / -~ /[ 1/ /~ .,., Ai /1'./ h/~ S .!~ ~;~:e ",_nuP ANY Date ,. . NOTE: T es"ha been prorated based on taxes for the year. Any re-proration will be handled between the buyer and seller. All utility bills (water, sewer, electric, cable and maintenance fee~;) have been paid or will be paid upon receipt of final bills. WARNI'~G: It is a crime to knowingly make false statements to the United States on this or any other similar form. Penalties upon conviction can include a fine or imprisonment. For details see Ti11e18 U.S. Code Section 1001 and Section 1010.