LENA V. JONES
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7 ~tepa;~d By: MELODY A. SAN~OS
tr' RECORD & RETURN TO:
SOMERS TITLE COMPANY
1290 COURT STREET
CLEARWATER, FL 33756
(727) 441-1088 ph. (727) 449-1359 fax
incidental to the issuance of a title insurance policy.
File Number: 05070042c
Parcel ID #: 03/29/15/01926/006/0010
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WARRANTY DEED
(INDIVIDUAL)
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This WARRANTY DEED, dated this ~ay of October, 2005 by
Lena V Jones, a single woman
whose post office address is:
KEN BURKE, CLERK OF COURT
PINELLAS COUNTY FLORIDA
INST# 200544171511/03/2005 at 12:43 PM
OFF REC BK: 14717 PG: 1038-1040
DocType:DEED RECORDING: $27.00
hereinafter called the GRANTOR, to
City of Clearwater, a Municipal Corporation of the State of Florida
whose post office address is: P. O. Box 4748, Clearwater Fl. 33758-4748
Attention: Earl Barrett - Engineering Dept.
hereinafter called the GRANTEE:
(Wherever used herein the terms "Grantor" and "Grantee" include all parties to this instrument and the heirs, legal
representatives and assigns of individuals, and the successors and assigns of corporations.)
o WITNESSETH: That the GRANTOR, for and in consideration of the sum of $10.00 and other valuable considerations,
~ receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms
8 unto the GRANTEE, all that certain land situate in Pinellas County, Florida, viz:
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(Y) Parcel No. 03-29-15-01926-006-0010
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~Portion of Lot 1, Block "F", AVONDALE, according to the map or plat thereof as recorded in Plat Book 7, Page
eJ 40, Public Records of PinelJas County, Florida, more particularly described as follows:
~
~ Beginning at the Northeast corner of Lot 1, Block "F" , AVONDALE, as recorded in Plat Book 7, Page 40, Public
~Records of Pinellas County, Florida, for a POINT OF BEGINNING; thence assumed South 28035'29" East along
d the East boundary of said lot, a distance of 9.94 feet, to a point on a curvature on a non-tangent curve; thence
~ along a curve to the right having a radius of 59.00 feet, a central angle of 35005'34", an arc length of 36.14 feet, a
CJ) chord bearing S 55052'00" West, a chord distance of 35.57 feet, to a point of reverse curvature; thence along a
~ curve to the left, having a radius of 47.00 feet, a central angle of 8028'42", an arc length of 6.95 feet, a chord
o bearing S 69010'26" West, a chord distance of 6.95 feet, to a point of compound curve; thence along a curve to the
U left, having a radius of 19.00 feet, a central angle of 35046'28", an arc length of 11.86 feet, a chord bearing S
g 47004'31" West, a chord distance of 11.67 feet, to a point of intersection on the North Boundary of said Lot;
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..-l thence N 20045'34" East, along the North boundary of said lot, a distance of .83 feet, to a point of curvature;
. thence along a curve to the right, also being the North boundary of said Lot, having a radius of 64.90 feet, a
~ central angle of 50007'09", an arc length of 56.77 feet, a chord bearing N 45049'09" East, a chord distance of 54.98
U feet, to the POINT OF BEGINNING.
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SUBJECT TO covenants, conditions, restrictions, reservations, limitations, easements and agreements of record, if any;
taxes and assessments for the year 2005 and subsequent years; and to all applicable zoning ordinances and/or restrictions
and prohibitions imposed by governmental authorities, if any.
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.
AND THE GRANTOR hereby covenants with said GRANTEE that except as above noted, 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;
that the GRANTOR hereby fully warrants the title to said land and will defend the same against the lawful claims of all
persons whomsoever.
IN WITNESS WHEREOF, GRANTOR has signed and sealed these presents the date set forth above.
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Si~hrre:~~
Print Name: L .
State of Oklahoma
County of C!.AYJn ~.
THE FOREGOING INSTRUMENT was sworn and acknowledged before me on this ~ of October, 2005 by:
Lena V Jones, a single woman
who has produced a drivers license as identification.
Notary Seal:.
Notary Signahrre: --.&-'! ~ ~
Notary Print Name: \. 7J ~ iJ /L It \.. \' / /J1 .1S(),j
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EXHIBIT "A"
(Page 2 of 2)
R 64.90'
l56.77'
C 54.98'
Central Angle 50'07'09"
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R 19.00'
L 11. 86'
C11.67'
--- -Central Kngle 3 5'46'28~
C.8. S4 7"04' 31"W
S J R/C 112"
F I P \"
NO I D
A PORTION OF LOT Iy BLK. F9
AVONDALE SUBDIVISION
PARTIAL RIGHT -OF -WAY TAKE
"NOT A SURVEY"
DETA I L "A"
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KEN BURKE, CLERK OF COURT
PIN.fLLAS COUNTY FLORlDA---
INST# 2005441714
OFF RE 11/03/2005 at 12'43 PM
Doc C BK: 14717 PG: 1035-1037
Type:PT REL RECORDING: $27.00
PLEASE COMPLETE THIS INFORMATION
RECORDING REQUESTED BY:
--------
-----------------~-------------------------.----
AND WHEN REC~l_..y. MAl!. 10:
GMAC Mortgage Corporation
Land Title Adjustment Department
3451 Hammond Avenue
Waterloo, IA 50702
Prepared by: Pam Klein
[Space Above This Line For Recording Data]
Servicer Account Number 601076473
PARTIAL RELEASE OF MORTGAGE
Know all Men by these Presents, That MERS, a Mortgage Electronic Registration Systems, Inc.
(hereinafter MERS), does hereby remise, release, and discharge the premises hereinafter particularly described
from the lien ofacertain mortgage ex.ecuted by Lena V.Jones and, andMER8, a-Mort.gage Electronic Registration
Systems, Inc. (Lender) dated October 15,2004 and recorded October 21,2004, as Instrument No. 2004414676 in
Book 13898, page 1908, of the records of Pine lias County, Florida.
Said above-mentioned premises being situated in the County of Pine lias, and State of Florida and particularly
described as follows:
See Exhibit A attached
It is hereby expressly understood that this release shall not affect or impair the security of said mortgage upon any
portion of any premises, except the premises hereinabove described.
In Witness Whereof, the undersigned has caused these presents to be signed by its proper corporate officer and its
corporate seal to be hereunto affixed this October 4,2005.
Witnesses:
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STATE OF IOWA
COUNTY OF BLACK HAWK
55:
My Commission Expires: December 10, 2007
MnN: 100037506010764737
(888) 679-MERS
R. WEBER
NOTARIAL SEAL. STATE OF IOWA
COMMI"SION NUMBER 713988
MYCOMMISSI~.N EXPIRES DEC. 10, 2007
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December 20, 2004 Horizontal Alignment Legal Description Page 1 of 1
04:07 PM Report Template: HORIZ_ALlGN_LEGAL
Project Name: North Greenwood Traffic Calming
Alignment Name: Lot 1
Alignment Description:
EXHIBIT "A"
(Page 1 of 2)
Beginning at the Northeast corner of Lot #1, Blk. F, Avondale Subdivision, as recorded in Plat
Book #7, Page 40, of the Public Records of Pinellas County, Florida, for a POINT OF
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n - ~-_.--~---SEGINNING:_Thel1cEn~ssumed,S-Z80:J5'Z9"-E-aI0-ng the-EasTboundal)i-ofsaid lot a distance of
9.~4!.eet, to apoint_c)O a curvature on anon-tangent c;u,r:ve; Thence along a curve tothe right
having a radius of 59.00 feet, a central angle of 35005'34" an arc length of 36.14 feet, a chord
bearing S 55052'00" W, a chord distance of 35.57 feet, to a point of reverse curvature; Thence
along a ~_u~e_!()t~e:.I~~., haviI"lQaradil.lsgl:'!LQg.feet, a central anglE;! of a028'42",_anarc length
of 6.95 feet, a chord bearing S 69010'26" W, a chord distance of 6.95 feet, to a point of compound
curve; Thence along a curve to the left, having a radius of 19.00 feet, a central angle of
35046'28", an arc length of 11.86 feet, a chord bearing S 47004'31" W, a chord distance of 11.67
. --~:reet,toapoint oflntersecttono1liHeNo'rtfIBoun<:lary'ofsaId lot;Thence N 20"45'34" E, along the
North Boundary of said lot a distance of 0.83 feet, to a point of curvature; Thence along a curve to
the right, also being the North Boundary of said lot, having a radius of 64.90 feet, a central angle
of 50007'09", an arc length of 56.77 feet, a chord bearing N 45"49'09" E, a cord distance of 54.98
feet, to the POINT OF BEGINNING; Containing 0.0124 acres, more or less.
P:\Clw2050\02m\CADD-data\lnRoads\lot 1 revised.doc
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EXHIBIT "A"
(Page 2 of 2)
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R 64.90'
L 56.77'
C 54. 98'
Central Angle 50.07'09"
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R 19.00'
L 11.86'
CII.67'
Central Angle 35.46'28-
C.B. S47"04'31-W
R 59.00'
l 36.14'
C35.57'
Central Angle 35.
C.B. S55.52'OO"
lf4T.oO'
l6.95'
C 6.95'
Central Angle S.2S' 42"
C. S. 69.10' 26-W
SEE DETAil "A-
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F I P 314"
NO 10
LOT 1
S I RIC 112"
F I P J"
NO rD
A PORTION OF LOT 19 BLK. F9
AVONDALE SUBDIVISION
PARTIAL RIGHT -OF -WAY TAKE
"NOT A SURVEY"
DE T A I L "A"
SCAL E: 1"=20'
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AMERICAN LAND TITLE ASSOCIATION
OWNER'S ~OLlCY.r!o-17-92) POLICY NO.
Florida ModIfIed
FL 7881-51-05070042C-2005.7110609-70743380
OWNER'S POLICY OF TITLE INSURANCE
ISSUED BY
TICOR TITle INSURANce
COMPANY OF FLORIDA
SUBJECT TO THE EXCLUSIONS FROM COVERAGE, THE EXCEPTIONS FROM COVERAGE CONTAINED !N
SCHEDULE BAND THE CONDITIONS AND STIPULATIONS, TICOR TITLE INSURANCE COMPANY OF FLORIDA,
a Florida corporation, herein called the Company, insures, as of Date of Policy shown in Schedule A, against loss
or damage, not exceeding the Amount of Insurance stated in Schedule A, sustained or incurred by the insured by
reason of:
1. Title to the estate or interest described in Schedule A being vested other than as stated therein;
2. Any defect in or lien or encumbrance on the title;
3. Unmarketability of the title;
4. Lack of a right of access to and from the land.
The Company will also pay the costs, attorneys' fees and expenses incurred in defense of the title,
as insured, but only to the extent provided in the Conditions and Stipulations.
IN WITNESS WHEREOF, TICOR TITLE INSURANCE COMPANY OF FLORIDA has caused this policy to be
signed and sealed as of the Date of Policy shown in Schedule A, the policy to become valid when countersigned
by an authorized signatory.
Issued By:
FL 7881 05070042C
Somers Title Company
1290 Court Street
Clearwater
, FL 33756
TICOR TITLE INSURANCE COMPANY OF FLORIDA
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President
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Secretary
OP-9 (5/05)
ALTA Owner's Policy (10-17-92) (Florida Modified)
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OWNER'S POLICY
Schedule A
State: FL County: Pinellas
File Number
05070042c
Commitment #: 05070042c
Policy Number
7110609-70743380
Effective Date
11/03/2005
Effective Time
12:43 P.M.
Amount of Policy
$3,875.00
Simultaneous #:
Reinsurance #:
1. Name of Insured:
City of Clearwater, a Municipal Corporation of the State of Florida
2. The estate or interest in the land described herein and which is covered by this policy is:
Fee Simple
3. The estate or interest referred to herein is at Date of Policy vested in the insured.
4. The land referred to herein is described as follows:
Parcel No. 03-29-15-01926-006-0010
Portion of Lot 1, Block "F", AVONDALE, according to the map or plat thereof as recorded in Plat Book
7, Page 40, Public Records of Pinellas County, Florida, more particularly described as follows:
Beginning at the Northeast corner of Lot 1, Block "F", AVONDALE, as recorded in Plat Book 7, Page
40, Public Records of Pinellas County, Florida, for a POINT OF BEGINNING; thence assumed South
28035'29" East along the East boundary of said lot, a distance of 9.94 feet, to a point on a curvature on
a non-tangent curve; thence along a curve to the right having a radius of 59.00 feet, a central angle of
35005'34", an arc length of 36.14 feet, a chord bearing S 55052'00" West, a chord distance of 35.57 feet,
to a point of reverse curvature; thence along a curve to the left, having a radius of 47.00 feet, a central
angle of 8028'42", an arc length of 6.95 feet, a chord bearing S 69010'26" West, a chord distance of 6.95
feet, to a point of compound curve; thence along a curve to the left, having a radius of 19.00 feet, a
central angle of 35046'28", an arc length of 11.86 feet, a chord bearing S 47004'31" West, a chord
distance of 11.67 feet, to a point of intersection on the North Boundary of said Lot; thence N 20045'34"
East, along the North boundary of said lot, a distance of .83 feet, to a point of curvature; thence along
a curve to the right, also being the North boundary of said Lot, having a radius of 64.90 feet, a central
angle of 50007'09", an arc length of 56.77 feet, a chord bearing N 45049'09" East, a chord distance of
54.98 feet, to the POINT OF BEGINNING.
Issued By: 7881 * 05070042c
SOMERS TITLE COMPANY
1290 COURT STREET
CLEARWATER, FL
33756
Note: This Policy consists of insert pages labeled Schedule A and B. This policy is of no force and effect unless all pages are included along with any
added pages incorporated by reference.
Co
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, .
OWNER'S POLICY
Schedule B
This policy does not insure against loss or damage by reason of the following exceptions:
1. Rights or claims of parties in possession not shown by the Public Records.
2. Encroachments, overlaps, boundary lines disputes, and other matters which would be disclosed
by an accurate survey and inspection of the premises.
3. Easements or claims of easements not shown by the Public Records.
4. Any lien, orright to a lien, for services, labor, or material heretofore or hereafter furnished,
imposed by law and not shown by the public records.
5. Community property, dower, survivorship, or homestead rights, if any, of any spouse of the
insured.
6. Any adverse ownership clain by the State of Florida by right of sovereignty to any portion of the
lands insured hereunder, including submerged, filled, and artificially exposed lands and lands
accreted to such lands.
7. Taxes and assessments for the year 2005, and thereafter and/or special assessments, if any, not
recorded in the public records.
**The following items, as listed above, are hereby deleted: 1 and 4 **
8. Subject to building line to the front lot line as shown on Plat of Avondale, recorded in Plat Book
7, Page 40, Public Records of Pinellas County, Florida.
Policy #: 7110609-70743380
2
File #: 05070042c
Note: This Policy consists of insert pages labeled Schedule A and B. This policy is of no force and effect unless all pages are included along with any
added pages incorporated by reference.
EXCLUSIONS FROM COVERAGE
The following matters are expressly excluded from the coverage of this policy and the Company will not pay loss or damage, costs, attorneys' fees or expenses which arise by reason of:
. 1. (a) Any law, ordinance or governmental regulation (including but not limited to building and zoning laws, ordinances, or regulations) restricting, regulating, prohibiting or relating to (i)
the occupancy, use, or enjoyment of the land; (ii) the character, dimensions or location of any improvement now or hereafter erected on the land;(iii) a separation in ownership or a
change in the dimensions or area of the land or any parcel of which the I/md is or waS a part or (iv) environmental protection, or the effect of any violation of these laws, ordinances or
governmental regulations, except to the extent that a notice of the enforcement 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.
(b) Any govemmental 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 righls 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 daimant
(b) not known to the Company, not recorded in the public records at Date of Policy, but known to the insured daimant and not disclosed in writing to the Company by the insured
daimant prior to the dale the insured claimant became an insured under this policy;
(c) resulting in no loss or damage to the insured daimant
(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, that is based on:
(a) the transaction creating the estate or interest insured by this policy being deemed a fraudulent conveyance or fraudulent transfer; or
(b) the transaction creating the estate or interest insured by this policy being deemed a preferential transfer except where the preferentiallransfer results from the failure:
(i) 10 timely record the instrument of transfer; or
(ii) of such recordation to impart notice to a purchaser for value or a judgment or lien creditor.
CONDITIONS AND STIPULATIONS
1. DEFINITION OF TERMS
The following terms when used in this policy mean:
(a) "insured": the insured named in Schedule A, and, subject
to any rights or defenses the Company would have had against the named
insured, those who succeed to the interest of the named insured by
operation of law as distinguished from purchase including, but not limited
to, heirs, distributees, devisees, survivors, personal representatives, next
of kin, or corporate or fiduciary successors.
(b) "insured claimant": an insured claiming loss or damage.
(c) "knowledge" or "known": actual knowledge, not constructive
knowledge or notice which may be imputed to an insured by reason of the
public records as defined in this policy or any other records which impart
constructive notice of matters affecting the land.
(d) "land": the land described or referred to in Schedule [AI,
and improvements affixed thereto which by law constitute real property.
The term "land" does not include any property beyond the lines ofthe area
described or referred to in Schedule [AI, nor any right, title, interest, estate
or easement in abutting streets, roads, avenues, alleys, lanes, ways or
waterways, but nothing herein shall modify or limit the extent to which a
right of access to and from the land is insured by this policy.
(e) "mortgage": mortgage, deed of trust, trust deed, or other
security instrument.
(f) "public records": records established under state statutes
at Date of Policy for the purpose of imparting constructive notice of matters
relating to real property to purchasers for value and without knowledge.
With respect to Section 1 (a)(iv) of the Exclusions From Coverage, "public
records" shall also include environmental protection liens filed in the records
of the clerk of the United States district court for the district in which the
land is located.
(g) "unmarketability of the title": an alleged or apparent matter
affecting the title to the land, not excluded or excepted from coverage,
which would entitle a purchaser of the estate or interest described in
Schedule A to be released from the obligation to purchase by virtue of a
contractual condition requiring the delivery of marketable title.
2. CONTINUATION OF INSURANCE AFTER CONVEYANCE OF TITLE
The coverage of this policy shall continue In force as of Date of Policy
In favor of an insured only so long as the insured retains an estate or
interest In the land, or holds an indebtedness secured by a purchase money
mortgage given by a purchaser from the insured, or only so long as the
insured shall have liability by reason of covenants of warranty made by
the insured in any transfer or conveyance of the estate or interest. This
policy shall not continue in force in favor of any purchaser from the insured
of either (i) an estate or interest in the land, or (Ii) an indebtedness secured
by a purchase money mortgage given to the insured.
3. NOTICE OF CLAIM TO BE GIVEN BY INSURED CLAIMANT
The insured shall notify the Company promptly in writing (i) in case of
any litigations as set forth in Section 4(a) below, (Ii) in case knowledge
shall come to an insured hereunder of any claim of title or interest which is
adverse to the title to the estate or interest, as insured, and which might
cause loss or damage for which the Company may be liable by virtue of
this policy, or (Iii) if title to the estate or interest, as insured, is rejected as
unmarketable. If prompt notice shall not be given to the Company, then as
to the insured all liability of the Company shall terminate with regard to the
matter or matters for which prompt notice is required; provided, however,
that failure to notify the Company shall in no case prejudice the rights of
any insured under this policy unless the Company shall be prejudiced by
the failure and then only to the extent of the prejudice.
4. DEFENSE AND PROSECUTION OF ACTIONS; DUTY OF INSURED
CLAIMANT TO COOPERATE .
(a) Upon written request by the insured and subject to the options
contained in Section 6 ofthese Conditions and Stipulations, the Company,
at its own cost and without unreasonable delay, shall provide for the defense
of an insured in litigation in which any third party asserts a claim adverse
to the title or interest as insured, but only as to those stated causes of
action alleging a defect, lien or encumbrance or other matter insured
against by this policy. The Company shall have the right to select counsel
of its choice (subject to the right of the insured to object for reasonable
cause) to represent the insured as to those stated causes of action and
shall not be liable for and will not pay the fees of any other counsel. The
Company will not pay any fees, costs or expanses incurred by the insured
in the defense of those causes of action which allege matters not insured
against by this policy.
(b) The Company shall have the right, at its own cost, to institute
and prosecute any action or proceeding or to do any other act which In its
opinion may be necessary or desirable to establish the title to the estate
or interest, as ensured, or to prevent or reduce loss or damage to the
insured. The Company may take any appropriate action under the terms
of this policy, whether or not It shall be liable hereunder, and shall not
thereby concede liability or waive any provision of this policy. If the
Company shall exercise its rights under this paragraph, it shall do so
diligently.
(c) Whenever the Company shall hav~ brought an action or
interposed a defense as required or permitted by the provisions of this
policy, the Company may pursue any litigation to final determination by a
court of competent jurisdiction and expressly reserves the right, in its sole
discretion, to appeal from any adverse judgment or order.
(d) In all cases where this policy permits or requires the Company
to prosecute or provide for the defense of any action or proceeding, the
insured shall secure to the Company the right to so prosecute or provide
defense in the action or proceeding, and all appeals therein, and permit
the Company to use, at its option, the name of the insured for this purpose.
Whenever requested by the Company, the insured, at the Company's
expense, shall give the Company all reasonable aid (i) in any action or
proceeding, securing evidence, obtaining witnesses, prosecuting or
defending the action or proceeding, or effecting settlement, and (Ii) in any
other lawful act which in the opinion of the Company may be necessary or
desirable to establish the title to the estate or interest as insured. If the
Company is prejudiced by the failure of the insured to furnish the required
cooperation, the Company's obligations to the insured under the policy
shall terminate, including any liability or obligation to defend, prosecute,
or continue any litigation, with regard to the matter or matters requiring
such cooperation.
. .
CONDITIONS AND STIPULATIONS - CONTINUED
5. PROOF OF LOSS OR DAMAGE
In addition to and after the notices required under Section 3 of these
Conditions and Stipulations have been provided the Company,..a proof of.
loss or damage signed and sworn to by the insured claimant shall be
furnished to the Company within 90 days after the insured claimant shall
ascertain the facts giving rise to the loss or damage. The proof of loss or
damage shall describe the defect in, or lien or encumbrance on the title,
or other matter insured against by this policy which constitutes the basis
of loss or damage and shall state, to the extent possible, the basis of
calculating the amount of the loss or damage. If the Company is prejudiced
by the failure of the insured claimant to provide the required proof of loss
or damage, the Company's obligations to the insured under the policy
shall terminate, including any liability or obligation to defend, prosecute,
or continue any litigation, with regard to the matter or matters requiring
such proof of loss or damage.
In addition, the Insured claimant may reasonably be required to submit
to examination under oath by any authorized representative of the Company
and shall produce for examination, inspection and copying, at such
reasonable times and places as may be designated by any authorized
representative of the Company, all records, books, ledgers checks,
correspondence and memoranda, whether bearing a date before or after
Date of Policy, which reasonably pertain to the loss or damage. Further, if
requested by any authorized representative of the Company, the insured
claimant shall grant its permission, in writing, for any authorized
representative of the Company to examine, inspect and copy all records,
books, ledgers, checks, correspondence and memoranda in the custody
or control of a third party, which reasonably pertain to the loss or damage.
All information designated as confidential by the insured claimant provided
to the Company pursuant to this Section shall not be disclosed to others
unless, in the reasonable judgment of the Company, it is necessary in the
administration of the claim. Failure of the insured claimant to submit for
examination under oath, produce other reasonably requested information
or grant permission to secure reasonably necessary information from third
parties as required in this paragraph shall terminate any liability of the
Company under this policy as to that claim.
6. OPTIONS TO PAY OR OTHERWISE SETTLE CLAIMS;
TERMINATION OF LIABILITY
In case of a claim under this policy, the Company shall have the following
additional options:
(a) To Pay or Tender Payment oftheAmount of Insurance.To payor
tender payment of the amount of Insurance under this policy together with
any costs, attorneys' fees and expenses incurred by the insured claimant,
which were authorized by the Company, up to the time of payment or tender
of payment and which the Company is obligated to pay. Upon the exercise
by the Company of this option, all liability and obligations to the insured
under this policy, other than to make the payment required, shall terminate,
including any liability or obligation to defend, prosecute, or continue any
litigation, and the policy shall be surrendered to the Company for
cancellation.
(b) To Payor Otherwise Settle With Parties Other than the Insured
or With the Insured Claimant
(i) to payor otherwise settle with other parties for or in the
name of an insured claimant any claim insured against under this policy,
together with any costs, attorneys' fees and expenses incurred by the
insured claimant which were authorized by the Company up to the time of
payment and which the Company is obligated to pay; or
(ii) to payor otherwise settle with the insured claimant the loss
or damage provided for under this policy, together with any costs, attorneys'
fees and expenses incurred by the insured claimant which were authorized
by the Company up to the time of payment and which the Company is
obligated to pay.
Upon the exercise by the Company of either of the options provided
for in paragraphs (b)(i) or (ii), the Company's obligations to the insured
under this policy for the claimed loss or damage, other than the payments
required to be made, shall terminate, including any liability or obligation to
defend, prosecute or continue any litigation.
7. DETERMINATION, EXTENT OF LIABILITY AND COINSURANCE
This policy is a contract of indemnity against actual monetary loss or
damage sustained or incurred by the insured claimant who has suffered
loss or damage by reason of matters insured against by this policy and
only to the extent herein described.
(a) 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.
(b) (This paragraph dealing with Coinsurance was removed from
Florida policies.)
(c) The Company will pay only those costs, attorneys' fees and
expenses incurred in accordance with Section 4 of these Conditions and
Stipulations.
8. APPORTIONMENT
If the land described in Schedule [AI 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 parcels 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 ofthe issuance of
this policy and shown by an express statement or by an endorsement
attached to this policy.
9. LIMITATION OF L1ABILTY
(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, inc!udinglitigation and
the completion of any appeals there from, 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 there from, 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
All payments under this policy, except payments made for costs,
attorneys' fees and 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, assumed, 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 OF LOSS
(a) No payment shall be made without producing this policy for
endorsement ofthe 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 Comoanv's Right of Subrogation.Whenever the Company
shall have settled and paid a claim under this policy, 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
remedies which the insured claimant would have had against any person
or property in respect to the claim had this policy not been issued. If
requested by the Company, the insured claimant shall transfer to the
Company all rights and remedies against any person or property necessary
in order to perfect this right of subrogation. The insured claimant shall
permit the Company to sue, compromise or settle in the name ofthe insured
claimant and to use the name of the insured claimant in any transaction or
litigation involving these rights or remedies.
If a payment on account 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 to pay only that part of any losses
insured against by this policy which shall exceed the amount, if any, lost to
, :~ -# '5"
CONDITIONS AND STIPULATIONS - CONTINUED
A copy of the Rules may be obtained from the Company upon request.
the Company by reason of the impairment by the insured claimant of the
Company's right of subrogation.
(b) The Comoany's Rights Against Non-insured Obligors.The Company"s
right of subrogation against non-insured obligors shall exist and shall include,
without limitation, the rights ofthe insured to indemnities, guaranties, other policies
of insurance or bonds, notwithstanding any terms or conditions contained in those
instruments which provide for subrogation rights by reason of this policy.
14. ARBITRATION (This paragraph was modified for Florida Policies.)
Unless prohibited by applicable law, arbitration pursuant to the Title
Insurance Arbitration Rules of the American Arbitration Association may be
demanded if agreed to by both Company and the insured. Arbitrable matters
may include, but are not limited to, any controversy or claim between Company
and the insured arising out of or relating to this policy, and service of Company in
connection with its issuance or the breach of a policy provision or other obligation.
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 binding 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 prevailing party. Judgment upon the award
rendered by the Arbitrator(s) maybe entered in any court having jurisdiction
thereof.
The law of the situs of the land shall apply to an arbitration under the Title
InsuranoeArbitration Rules.
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
Company. In interpreting any provision ofthis 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,
Vice President, the Secretary, an Assistant Secretary, or validating officer or
authorized signatory of the Company.
16. SEVERABILITY
In the event any provision of the policy is held invalid or unenforceable
under applicable law, the policy shall be deemed not to include that provision
and all other provisions shall remain in full force and effect.
17. NOTICES, WHERE SENT
All notices required to be given the Company and any statement in writing
required to be furnished the Company shall include the number of this policy
and shall be addressed to the Company at Ticor Title Insurance Company of
Florida, Claims Department, P.O. Box 45023, Jacksonville, Florida 32232-5023.
Telephone: (877) 862-9111. .
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CONTRACT FOR PURCHASE OF REAL PROPERTY
BY
THE CITY OF CLEARWATER, FLORIDA
PARTIES: LENA V.JONES, a single woman, (herein "Seller"), of 216 S. E. Coachman Drive, Lawton,
Oklahoma 73501 Cell Phone: (727 ) 744-2470, and the CITY OF CLEARWATER, FLORIDA, a
Municipal Corporation of the State of Florida (herein UBuyer" or "City") of P. O. Box 4748, Clearwater,
Florida 33758-4748, ATTENTION: Michael D. Quillen, P. E., Director of Engineering, (collectively
"Parties") hereby agree that the Seller shall sell and Buyer shall buy the following real property ("Real
Property") and personal property ("Personalty") (collectively "Property") upon the following terms and
conditions.
1. PROPERTY DESCRIPTION
LEGAL DESCRIPTION: A portion of Lot 1, Block F, AVONDALE SUBDIVISION as recorded in Plat
Book 7, Page 40, Public Records of Pinellas County, Florida, containing 0.0124 acres, more or less, as
more particularly described in EXHIBIT "A" appended hereto and by the reference made a part hereof.
PERSONALTY:
NONE
2. FULL PURCHASE PRICE ............................................................. .$ 3,87500
3. MANNER OF PAYMENT: City of Clearwater check in U.S. funds at
time of closing .......................................... $ 3,87500
4. PURCHASE PRICE
The Full Purchase Price as shown herein has been reached through negotiations with the Seller by City
staff. The Purchase Price is based upon an appraisal performed by K. Mitchell Caldwell, MAl dated
July 2, 2005.
5. PARTIAL RELEASE OF LIEN
Notwithstanding any other provisions contained herein, Seller's obligation to sell, and Buyer's obligation
to purchase the Real Property described herein is subject to the release of the lien of that certain
mortgage and other instruments of security dated October 15, 2004 in favor of GMAC Bank, a banking
corporation organized and existing under the laws of Pennsylvania, as same is recorded in O. R.
13898, Page 1908, Public Records of Pinellas County, Florida. It is intended by the parties hereto that
the Full Purchase Price established in Paragraph 2 above shall be sufficient to secure the release of
the subject Real Property from the encumbrance of said mortgage lien, and that any sale proceeds in
excess of funds required to secure the partial release of lien shall be payable to Seller at closing.
6. TIME FOR ACCEPTANCE; APPROVALS
Following execution of this contract by Seller, the price, terms and conditions as contained herein shall
remain unchanged and be held unconditionally open for a period of 5 working days following delivery in
duplicate original to the Director of Engineering, City of Clearwater, for acceptance, approval and
execution; following which, a fully executed original counterpart will be immediately returned to Seller.
, '
7. TITLE
Seller warrants legal capacity to and shall convey marketable title to the Property by Statutory
Warranty, subject only to matters contained in Paragraph 7 acceptable to Buyer. Otherwise title shall
be free of liens, easements and encumbrances of record or known to Seller, but subject to property
taxes for the year of closing; covenants, restrictions and public utility easements of record; and no
others provided there exists at closing no violation of the foregoing and none of them prevents Buyer's
intended use of the Property. Seller warrants and represents that there is ingress and egress to the
Real Property sufficient for the intended use as described herein.
8. TITLE EVIDENCE
Buyer may, at Buyer expense and within not less than ten (10) days prior to closing date obtain a title
insurance commitment issued by a Florida licensed title insurer agreeing to liens, encumbrances,
exceptions or qualifications set forth in this Contract, and those which shall be discharged by Seller at
or before closing. Seller shall convey a marketable title subject only to liens, encumbrances, exceptions
or qualifications set forth in this Contract. Marketable title shall be determined according to applicable
Title Standards adopted by The Florida Bar and in accordance with law. Buyer shall have 5 days from
receiving evidence of title to examine it. If title is found defective, Buyer shall, within 3 days thereafte~,
notify Seller in writing specifying defect(s). If the defect(s) render title unmarketable, Seller will have
120 days from receipt of notice within which to remove the defect(s), failing which Buyer shall have the
option of either accepting the title as it then is or withdrawing from this Contract. Seller will, if title is
found unmarketable, make diligent effort to correct defect(s) in title within the time provided therefor,
including the bringing of necessary suits.
9. SURVEY
Buyer, at Buyer's expense, within time allowed to deliver evidence of title and to examine same, may
have Real Property surveyed and certified to the Buyer, Seller, mortgagee (if any) and closing agent by
a registered Florida land surveyor. If survey shows any encroachment on Real Property, or that
improvements located on Real Property encroach on setback lines, easements, lands of others, or
violate any restrictions, contract covenants or applicable governmental regulation, the same shall
constitute a title defect. The survey shall be performed to minimum technical standards of the Florida
Administrative Code and may include a description of the property under the Florida Coordinate System
as defined in Chapter 177, Florida Statutes.
10. CLOSING PLACE AND DATE
Buyer shall designate closing agent and this transaction shall be closed in the offices of the designated
closing agent in Pinellas County, Florida, within thirty (30) days of the effective date, unless extended
by other provisions of this contract. If either party is unable to comply with any provision of this contract
within the time allowed, and be prepared to close as set forth above, after making all reasonable and
diligent efforts to comply, then upon giving written notice to the other party, time of closing may be
extended up to 60 days without effect upon any other term, covenant or condition contained in this
contract.
Page 2 of 6
11. CLOSING DOCUMENTS
Buyer shall furnish closing statements for the respective parties, deed, bill of sale (if applicable),
mechanic's lien affidavit, assignments of leases, tenant and mortgage estoppel letters, and corrective
instruments.
12. CLOSING EXPENSES
Documentary stamps on the deed, unless this transaction is exempt under Chapter 201.24, Florida
Statutes, shall be paid by the Buyer. Buyer shall pay the cost of recording the deed and any corrective
instruments.
13. PRORATIONS; CREDITS
There shall be no proration of taxes, assessments, rent (if any) and other revenue of the Property in
connection with this transaction.
14. OCCUPANCY
Seller warrants that there are no parties in occupancy other than the Seller, or as otherwise disclosed
herein.
15. PROPERTY CONDITION
Seller shall deliver the Property to Buyer at time of closing in its present "as is" condition, ordinary wear
and tear excepted, and shall maintain the landscaping and grounds in a comparable condition. Seller
makes no warranties other than is disclosed herein in Paragraph 18 ("SELLER WARRANTIES") and
marketability of title.
16. PROCEEDS OF SALE; CLOSING PROCEDURE
The deed shall be recorded upon clearance of funds. Proceeds of sale shall be held in escrow by
Seller's attorney or by such other mutually acceptable escrow agent for a period of not longer than 5
days from and after closing, during which time evidence of title shall be continued at Buyer's expense to
show title in Buyer, without any encumbrances or change which would render Seller's title unmarketable
from the date of the last title evidence. If Seller's title is rendered unmarketable through no fault of the
Buyer, Buyer shall, within the 5-day period, notify the Seller in writing of the defect and Seller shall have
30 days from the date of receipt of su~h notification to cure the defect. If Seller fails to timely cure the
defect, all funds paid by or on behalf of the Buyer shall, upon written demand made by Buyer and within
5 days after demand, be returned to Buyer and simultaneously with such repayment, Buyer shall return
Personalty and vacate Real Property and reconvey it to Seller by special warranty deed. If Buyer fails
to make timely demand for refund, Buyer shall take title "as is", waiving all rights against Seller as to
any intervening defect except as may be available to Buyer by virtue of warranties contained in the
deed. The escrow and closing procedure required by this provision may be waived if title agent insures
adverse matters pursuant to Section 627.7841, F.S. (1987), as amended.
Page 3 of 6
17. DEFAULT
If this transaction is not closed due to any default or failure on the part of the Seller, other than to make
the title marketable after diligent effort, Buyer may seek specific performance or unilaterally cancel this
agreement upon giving written notice to Seller. If this transaction is not closed due to any default or
failure on the part of the Buyer, Seller may seek specific performance. If a Broker is owed a brokerage
fee regarding this transaction, the defaulting party shall be liable for such fee.
18. SELLER WARRANTIES
Seller warrants that there are no facts known to Seller that would materially effect the value of the
Property, or which would be detrimental to the Property, or which would effect Buyer's desire to
purchase the property except as follows: (Specity known defects. If none are known, write "NONE")
Buyer shall have until ten (10) days prior to closing to investigate said matters as disclosed by the
Seller, and shall notify Seller in writing whether Buyer will close on this contract notwithstanding said
matters, or whether Buyer shall elect to cancel this contract. If Buyer fails to so notify Seller within said
time period, Buyer shall be deemed to have waived any objection to the disclosed matters and shall
have the obligation to close on the contract.
19. RADON GAS NOTIFICATION
In accordance with provisions of Section 404.056(8), Florida Statutes (1989), as amended, Buyer is
hereby informed as follows:
RADON GAS: Radon is a naturally occurring radioactive gas that, when it
has accumulated in a building in sufficient quantities, may present
health risks to persons who are exposed to it over time. Levels of radon
that exceed federal and state guidelines have been found in buildings in
Florida. Additional information regarding radon and radon testing may be
obtained from your county public health unit.
20. CONTRACT NOT RECORDABLE; PERSONS BOUND
Neither this contract nor any notice of it shall be recorded in any public records. This contract shall bind
and inure to the benefit of the parties and their successors in interest. Whenever the context permits,
singular shall include plural and one gender shall include all.
21. NOTICE
All notices provided for herein shall be deemed to have been duly given if and when deposited in the
United States Mail, properly stamped and addressed to the respective party to be notified, including the
parties to this contact, the parties attorneys, escrow agent, inspectors, contractors and all others who
will in any way act at the behest of the parties to satisfy all terms and conditions of this contract.
Page 4 of 6
22. ASSIGNABILITY; PERSONS BOUND
This contract is not assignable. The terms "Buyer", "Seller", and "Broker" (if any) may be singular or
plural. This Contract is binding upon Buyer, Seller, and their heirs, personal representatives,
successors and assigns (if assignment is permitted).
23. ATTORNEY FEES; COSTS
In any litigation arising out of this contract, the prevailing party shall be entitled to recover reasonable
attorney's fees and costs.
24. TYPEWRITrEN OR HANDWRITTEN PROVISIONS
Typewritten or handwritten provisions shall control all printed provisions of contract in conflict with them.
25. EFFECT OF PARTIAL INVALIDITY
The invalidity of any provision of this contract will not and shall not be deemed to effect the validity of
any other provision. In the event that any provision of this contract is held to be invalid, the parties
agree that the remaining provisions shall be deemed to be in full force and effect as if they had been
executed by both parties subsequent to the expungement of the invalid provision.
26. GOVERNING LAW
It is agreed by and between the parties hereto that this contract shall be governed by, construed, and
enforced in accordance with the laws of the State of Florida.
27. COUNTERPARTS; FACSIMILE COPY
This contract may be executed in two or more counterparts, each of which shall be deemed an original
and all of which together shall constitute one instrument. A facsimile copy of this contract, including any
addendum, attachments and any written modifications hereof, and any initials or signature thereon shall
be deemed an original.
28. ENTIRE AGREEMENT
Upon execution by Seller and Buyer, this contract shall constitute the entire agreement between the
. parties, shall supersede any and all prior and contemporaneous written and oral promises,
representations or conditions in respect thereto. All prior negotiations, agreements, memoranda and
writings shall be merged herein. Any changes to be made in this agreement shall only be valid when
expressed in writing, acknowledged by the parties and incorporated herein or attached hereto.
Page 5 of 6
Signatories
RE: Portion of Lot 1, Blk. F., AVONDALE SUB.
Seller: Lena V. Jones
Buyer: City of Clearwater
Date Executed by Seller:
Sallal':
h~
,2005
Lena V. Jones
APPROVED & EFFECTIVE this ~ day of -+~
,2005
Suyal':
CITY OF CLEARWATER, FLORIDA
By:
~~J.q
Michael D. Quillen, P. E.
Director of Engineering
Page 6 of 6
December 20, 2004 Horizontal Alignment Legal Description Page 1 of 1
04:07 PM Report Template: HORIZ_ALlGN_LEGAL
Project Name: North Greenwood Traffic Calming
Alignment Name: Lot 1
Alignment Description:
EXHIBIT "A"
(Page 1 of 2)
Beginning at the Northeast corner of Lot #1, Blk. F, Avondale Subdivision, as recorded in Plat
Book #7, Page 40, of the Public Records of Pinellas County, Florida, for a POINT OF
~~---=-::-=-~~----aEGIN~ThenceASsjjmea-',$-28..35'29" E-a1ong the-EasfbOur..-aaiY of sai(f lot-saistanGe-Of
9.94..!eet, to C1Point_~n a curvature on a non-tangent curve; Thenceal()ng a cllrve tothe right
having a radius of 59.00 feet, a central angle of 35005'34" an arc length of 36.14 feet, a chord
bearing S 55052'00" W, a chord distance of 35.57 feet, to a point of reverse curvature; Thence
along a curve to the left, having a radius of 47.00 feet, a central angle of 8028'42", an arc length
of 6.95 feet, a chord bearing S 69010'26" W, a chord distance of 6.95 feet, to a point of compound
curve; Thence along a curve to the left, having a radius of 19.00 feet, a central angle of
35046'28", an arc length of 11.86 feet, a chord bearing S 47004'31" W, a chord distance of 11.67
feet, to-a point ofinfers8ctiotion]heNorth-Soun-aaryofsaiCflot; Thence N20045'34" E, alonguthe-u-
North Boundary of said lot a distance of 0.83 feet, to a point of curvature; Thence along a curve to
the right, also being the North Boundary of said lot, having a radius of 64.90 feet, a central angle
of 50007'09", an arc length of 56.77 feet, a chord bearing N 45'"49'09" E, a cord distance of 54.98
feet, to the POINT OF BEGINNING; Containing 0.0124 acres, more or less.
- - P:\CIw2050\02m\CADD-data\lnRoads\lot 1 revised.doc
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R 64.90'
L 56.77'
C 54.98'
Central A~le 50.07'09"
____~._N4L4.9'09:E __
EXHIBIT "A"
(Page 2 of 2)
R19.00'
[11.86'
C 11.67'
Central An~le 35.46'28"
C.8. S4T04'31"W
FIP 3/4-
NO ID
A PORTION OF LOT '9 BLK. F 9
AVONDALE SUBDIVISION
PARTIAL RIGHT -OF -WAY TAKE
"NOT A SURVEY"
OETA I L "A'"
SCALE: 1"=20'
(Pt1rtted on Oct lA, 2005@ 10:23)
A.
US Department of Housing and Urban Development
SETTLEMENT STATEMENT
OMB No. 2502-0265
f
1. [] FHA 2. [] FmHA 3. [] Conv. Dnins. 6. File Number:
4. VA 5. Conv. Ins. 05070042c 7. Loan Number:
C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked 'POC' were paid outside the closing: they are shown here for information
D. NAME AND ADDRESS OF BORROWER:
Cit of Clearwater PO Box 4748 Clearwater, FL 33758
E. NAME AND ADDRESS OF SELLER:
Lena V Jones 216 SE Coachman Drive Lawton, OK 73501
F. NAME AND ADDRESS OF LENDER:
G. PROPERTY LOCATION:
1631 Fulton Avenue Clearwater, FL 33755
H. SETTLEMENT AGENT:
SOMERS TITLE COMPANY 727-441-1088 Contact: MARIANNE
SCHAFFER
I.. SETTLEMENT DATE:
10/31/2005
PLACE OF SETTLEMENT:
SOMERS TITLE COMPANY 1290 COURT STREET CLEARWATER,
FL 33756
DISBURSEMENT DATE:
10/31/2005
I K. SUMMARY OF SELLER(S) TRANSACTION
400. GROSS AMOUNT DUE TO SELLER :
I J. SUMMARY OF BORROWERCS) TRANSACTION
100. GROSS AMOUNT DUE FROM BORROWER:
101. Contract sales_price 3 875.00 401. Contract sales price I 3,875.00
102. Personal Property 402. Personal Property
103. Settlement chal'ges to borrower (line 140Q} 424.00 403.
104. 404.
105. 405.
Adjustments for items paid by Seller in advance Adjustments for items paid by Seller in advance
106. City/town taxes 406. City/town taxes
107. County taxes 401. Coun~ taxes
108. Assessments 408. Assessments
109. 409.
110. 410.
111. 411.
112. 412.
120. Gross Amount Due From Borrower 4 299.00 420. Gross Amount Due Seller 3,875.00
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER:
500. REDUCTIONS IN AMOUNT DUE TO SELLER :
201. Deposit or earnest mon~ 501. Excess deposit (see instructions)
202. Principal amount of new loan(~ 502. Settlement charges to seller_(1ine 1400)
203. Existing loan(s) taken su~ct to 503. Existing loan(s) taken subject to
204. 504. P~off of first mOr!g~e loan
205. 505. Payoff of second mortgage loan
206. 506.
207. 507.
208. 508.
209. 509.
Adjustments for items unpaid by Seller in advance Adjustments for items unpaid by Seller in advance
210. City/town taxes 510. City/town taxes
211. County taxes .
511. COlIl!!Ltaxes
212. Assessments 512. Assessments
213. 513. .
214. 514.
215. 515.
216. 516.
217. 517.
218. 518.
219. 519.
220. Total Paid Bv/For Borrower 520. Total Reduction Amount Due Seller
4299.00
3,875.00
4299.00
3 875.00
SUBSTITUTION FORM 1099 SELLER STATEMENT: The information contained in Blocks E,G,H and I on line 401 (or if 401 is asterisked, line 403 and 404) is
important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction will
be imposed on you If this item is required to be reported and the IRS determines that It has not been reported.
SELLER, you are required 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.
(Pli~ted on Oct 14.2005 @ 10:23)
L. ..t
~(\ Totai SalesIBroker's Commission based on price
us Department of Housing and Urban Development
SETTLEMENT CHARGES
OMB No. 2502-0265
70 I. Listin Realtor Commission
702. Selling Realtor Commission
703. Commission aid at Settlement
704.
800. ITEMS PAYABLE IN CONNECTION WITH LOAN
801. Loan Ori ination Fee
802. Loan Discount
803. A raisal Fee
804. Credit Re ort
805. Lender's Ins ection Fee
806. Mort a e A lication Fee
807.
808.
809.
810.
900. ITEMS RE UlRED BY LENDER TO BE PAID IN ADVANCE
901. Interest from
902. Mort a e Insurance Premium for
903. Hazard Insurance Premium for
904.
905.
1000. RESERVES DEPOSITED WITH LENDER
1001. Hazard insurance
1002. Mort a e insurance
1003. Cit ro ert taxes
1004. Coun ro ert taxes
1005. Annual assessments
Paid from
Borrower's
Funds at
Settlement
Paid from
SeHer's
Funds at
Settlement
1101. Settlement or closing fee To: STC 70.00
1102. Abstract or title search To: STC / A. Gatliff 70.00
1103. Title examination To: STC 55.00
1104. Title insurance binder
1105. Document preparation
1106. Attorney's Fees
1107. FL Risk Rate
(Includes above item numbers: )
1108. Title Insurance To: SOMERS TITLE COMPANY 100.00
(Includes above item numbers: )
1109. Lender's coverage @
1110. Owner's coverage3,875.00 @ 100.00
1111.
1112.
1113.
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES
1201. Recordin fees: Deed $27.00 Mort a e $0.00 Releases $0.00 To: Clerk of the Court
1202. Cit /count tax/starn s:
1203. State tax/starn s:Exem t
1204. Record Partial Release of Mort a e To: Clerk of the Court
1205.
1300. ADDITIONAL SETTLEMENT CHARGES
1301. Surve
1302. Pest ins ection
1303. Mailawa Doc. Pre
1304.
1305.
27.00
27.00
75.00
1400. Total Settlement Cha es enter lin lines 103 Section J and 502 Section K
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 i ransaction. I further that I have rec 'ved a copy of HUD-1 Settlement State~ent
BORROWER(S . SELLER(S i I ('
flrl)/L V \ Rtffi.--.
Lena V e '\
ment which I have prepared is a true and accurate account of this transaction. I have caused or will cause the funds to be disbursed in accordance with this
S M I
NOTE: Taxe,S'ha e
maintenanc;;e fees) a've been paid or will be paid upon receipt of final bills.
WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar fonm. Penalties upon conviction can include a fine or imprisonment. For
details see: Title 18 U.S. Code Section 1001 and Section 1010.
OJ.