EMERGE COMMUNITY ECONOMIC DEVELOPMENT CORPORATIONReturn to:
Brian Taylor, CEO
Emerge Community Economic Development Corporation
2314 30th Street South
St. Petersburg, Florida 33712
Parcel ID #: 10-29-15-69138-002-0070
SPECIAL WARRANTY DEED
THIS DEED, made this day of , 2020, by and between the City of Clearwater, (the
"Grantor"), a Florida municipal corporation whose address is 600 Cleveland Street, Suite 600, Clearwater, FL 33755, and
Emerge Community Economic Development Corporation (the "Grantee"), a Florida not for profit corporation whose address is
2314 30th Street South, St. Petersburg, FL 33712.
WITNESSETH: that the Grantor, for and in consideration of the sum of Ten Dollars ($10.00) and other good and
valuable consideration, to it in hand paid by Buyer, the receipt and sufficiency of which is hereby acknowledged, subject to
rights reserved by Grantor as described herein, has granted, bargained, sold, conveyed and confirmed unto the Buyer, and to
its successors and assigns forever, all of the following piece, parcel, lot or tract of land, situate, lying and being in the County of
Pinellas and State of Florida, and described more particularly as follows, to wit:
Lot 7, Block 2, PINE CREST, together with that 1/2 of the vacated alley
adjacent to the North, according to the map of plat thereof as
recorded in Plat Book 1, Page 66, Public Records of Pinellas County,
Florida.
The property must be used by Grantee for the sole purpose of constructing a single-family home to be
sold to a household whose total household income does not exceed one hundred twenty percent (120%)
of Area Median Income, adjusted for household size, as published by the United States Department of
Housing and Urban Development for Pinellas County. Grantee agrees to commence construction of
certain improvements on the Property within twelve (12) months of the date hereof. Grantee further
agrees to complete construction of such improvements within eighteen (18) months of the date hereof. If
Grantee has not commenced and/or completed construction of these improvements within the
timeframe(s) specified above, the property shall revert to Grantor. Grantee shall forthwith, upon the
request of Grantor, reconvey the Property to Grantor via Special Warranty Deed.
THIS DEED IS SUBJECT TO THE FOLLOWING: Applicable zoning restrictions and to easements, reservations and
restrictions of record, if any, which are not specifically reimposed or extended hereby, and to taxes for the year 2020 and
subsequent years, if any. Grantor hereby fully warrants the title to the Property, and that Grantor will defend the same against
the lawful claims of all persons under Grantor but against no other.
Signatures Appear on the Following Page
Page 1 of 2
TO HAVE AND TO HOLD the same together with all and singular, the appurtenances thereunto belonging or in
anywise pertaining all estate, right, title, interest and claim whatsoever of said Grantor, either in law or in equity, to the only
proper use and behoof of said Grantee, its successors and assigns, forever.
THE CITY OF CLEARWATER, FLORIDA
(GRANTOR)
By: WW1 CrAtitOr
George N. Cretekos, Mayor
Approved as to form: Attest:
Laura Mahony
Assistant City Attorney
STATE OF FLORIDA
COUNTY OF PINELLAS
LL LUYLQ I2 ic..
Rosemarie Call
City Clerk
4.49
Sworn to (or affirmed and subscribed before me by means of ( >hysical presence or ( ) online
notarization this e27 -, day of January, 2020, by George Cretekos. As Mayor of the City of Clearwater.
A ilea4
Signature of Notary Public
Print, Type/Stamp Name of Notary
Personally Known: ✓ OR Produced Identification:
Type of Identification
Produced:
Page 2 of 2
OWNER'S AFFIDAVIT
BORROWER(S): EMERGE COMMUNITY ECONOMIC DEVELOPMENT
SELLER(S): City of Clearwater
PROPERTY: 912 NICHOLSON STREET, CLEARWATER, FL 33755
I/We/It, the undersigned Owner(s), being duly sworn, upon oath depose and say:
A. MECHANICS AND MATERIALMEN'S LIENS:
1. That I/we am (are) the present owners and am (are) in possession of the subject Premises which are
free of any tenancy, lease or life estate, condominiums with tenants, Except:
/4/0/jr
2. That said Premises were fully completed, or any work which was done on said Premises were fully
completed, more than 120 days prior to the date hereof, and that all bills for labor and materials
incurred in construction thereof have been fully pad and satisfied, except for the following:
Neitte
3. That there are no outstanding claims, bills or liens of any kind or character against said Premises for
labor performed thereon or materials furnished thereto.
4. The undersigned does hereby agree to indemnify and hold harmless the buyer, the lender and its title
insurance company against any loss or damage which it/they may sustain by reason of the placing or
filing of liens against said real estate and buildings thereon by sub -contractor, or materialmen,
whether his own or those of sub -contractors, whether such laborers, services or materials were
furnished by the owner, or sub -contractor, or materialmen, or employees of sub -contractor, including
reasonable costs and attorney's fees.
B. CONDOMINIUMS:
1. That all condominium fees have been paid through the date of closing.
2. That there are no special assessments assessed against Premises except as follows:
3. That the Condominium Association has no option or right of first refusal or such right(s) have been
waived as evidenced by documents provided.
C. OTHER:
1. There are no outstanding claims, bills, liens, attachments, pending suits or attachment petitions of any
kind or character except:
'M
2. That this Affidavit is made for the purpose of inducing the purchase of the above property by the
Buyer(s), and the issuance of a policy of title insurance to said Lender and/or Purchaser.
SELLER(S):
City of Clearwater Inc., a Corporation
By: - aleOrielcrekCt°l
George Cretekos
Page 1 of 2
* *
STATE OF FLORIDA
COUNTY OF PINELLAS
Sworn to (or affirmed) and subscribed before me by means of (physical presence or () online notarization this
1
day of January, 2020, by George Cretekos, as Mayor of the City of Clearwater.
Signature of Notary Public
Print, Type/Stamp Name of Notary
Personally Known: ✓ OR Produced Identification:
Type of Identification
Produced:
Page 2 of 2
Non -Foreign Certification By Entity Transferor
(Seller's FIRPTA Affidavit)
Transferor:
City of Clearwater
Transferee:
EMERGE COMMUNITY ECONOMIC DEVELOPMENT
Property:
Closing Date:
912 NICHOLSON STREET, CLEARWATER, FL 33755
January , 2020
Before me, the undersigned authority, personally appeared the person(s) named in paragraph 2(b) below who, after
being duly sworn, stated as follows:
1. This certificate is to inform the transferee that withholding Federal Income Tax is not required, upon the sale of the
following described real property:
Lot 7, Block 2, Pine Crest, according to plat thereof as recorded in Plat Book 1, Page 66, of the Public
Records of Pinellas County, Florida, together with the South 1/2 of the vacated alley abutting on the North, as
vacated by Ordinance No. 6016-96 recorded in Official Records Book 9352, Page 294, of the Public Records of
Pinellas County, Florida.
2. The undersigned Transferor certifies and declares as follows:
a. City of Clearwater is not a foreign entity for purposes of United States income taxation, and is not subject to the
tax withholding requirements of Section 1445 of the Internal Revenue Code of 1954, as amended.
b. The Transferor's United States taxpayer identification is:
75- Bol z 7NFOOg5G- /
c. The Transferor's primary address is:
600 Cleveland St. Suite 600, Clearwater, FL 33755
d. There are no other persons who have an ownership interest in the above described property other than those persons
listed in paragraph 2(b) above.
3. The undersigned hereby further certifies and declares:
a. I understand the purchaser of the described property intends to rely on the foregoing representations in connection
with the United States Foreign Investment in Real Property Tax Act. (FIRPTA).
b. I understand this certification may be disclosed to the Internal Revenue Service by the transferee and that any false
statements contained in this certification may be punished by fine, imprisonment or both.
Non -Foreign Certification
File No: B20-102 Page 1 of 2
Under penalties of perjury, I state that this declaration was carefully read and is true and correct.
City of Clearwater Inc., a Municipal Corporation
By: ~1e0rICAC'C i'01
George Cretekos
STATE OF FLORIDA
COUNTY OF PINELLAS
The foregoing instrument was acknowledged before me by means of (v)' physical presence or ( ) online notarization this
o2_2_t day of January, 2020 by George Cretekos, as Mayor_ of City of Clearwater, a Municipal Corporation
Signature of Notary Public
Print, Type/Stamp Name of Notary
Personally known: ✓
OR Produced Identification:
Type of Identification Produced:
Non -Foreign Certification
File No: B20-102 Page 2 of 2
A. Settlement Statement
U.S. Department of Housing and Urban Development
OMB Approval No 2502-0265
B. Typc of Loan
1. ❑ FHA
4. ❑ VA
2. ❑ RHS
5. ❑ Conv Ins.
3. ❑ Cony. Unins.
6. File No.
B20-102
7. Loan No.
8. Mortgage Insurance Case No.
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'(p.o.c.)' were paid outside
the dosing; they are shown here for informational purposes and are not Included in the totals.
D. Name & Address of Borrower:
EMERGE COMMUNITY ECONOMIC DEVELOPMENT
E Narne & Address of Seger.
City of Clearwater
F. Name & Address of Lender:
G. Property Location:
912 NICHOLSON STREET
CLEARWATER, FL 33755
H. Settlement Agent
Bridge Title and Escrow Services
Place of Settlement:
7781 Starkey Road Seminole, FL 33777
1. Settlement Date:
01/27/2020
Funding Date:
01/27/2020
Disbursement Date:
01/27/2020
J. Summary of Borower:sTransaction
100. Gross Amount Due Matt Boorower
101. Contract sales price
126,000.00
102. Personal property,
103.Se
charges to borrower'. fine 1400)
11,005.00
104.
105.
Ar4ustrnent for items paid byse6er in advance
106. City/Town Taxes
107.CourltyTaxes
108.Assessments
109.
110.
111.
112.
1201 GpssArnorrd Due
127,005.00
200.AmotntPaid
grit Behalf d Bornower
201. Deposit
202. Pnndpal amount of new loans)
203. Evdstingk
rn(a) take subject to ;
207. Gift of Equity
126,000.00
209.
Musbnenb for
ons teweid tyseler
210.City /lawn Taxes
°211.CountyTaxes
212.As3e8smer
b
215.
216.
217.
218.
219.
220. Total Paid by/for :Borrower
126,000.00
300. Casket Selthmant from/to
301 Grossanuount:.
from borrower (line 120)
127,005.00
302. less amt
by/ farhoopoes (llne220) _.
126,000.00
303, Cash
X
From f TO Borrower
$1,005.00
K. Summary of Sellers Transaction
400. GrossMiount Clue to Seller
401. Contract sales price
$26,000.00
402. Personal property
403.
404.
405. '-
Adjustment for items paid by se8e3n advance
406. City/Town Taxes::.
407. County Taxes
408. Assessments
409.
410.
411
412.
420. GrossAmowd Due to Sella
$26,000.00
500. Reductions In Amount Due to Sellar
501. Excess deposit (see instructions)
502. Settlement Burges to seller (woe 1400)
503. Exhtirg loan(s)taken subject to.
504. Payoff of First Mortgage
505. Payoff of Second Mortgage
5416.
507. Gift 0f Equity -
$26,000.00
508
509.
Mustrnents for Reins: unpaid brseler
510. City/Town Taxes
511. County Tams
512.Assessments
513.
514.
515.
516.
517.
518.
519.
520.Total Reduction Amount Due Sege -
$26,000.00
600. Cash at Settlement to/from Seller
601. Gross amount due to segs lire 420)
$26,000.00
602. Less reductions in amounts due idler (one 520)
$26,000.00
603. Cash X To. FiomSega
Section 5 of the Real Estate Settlement Procedures Act (RESPA) requires the following: • HUD must develop a Special Information Booklet to help persons borrowing money to finance the
purchase of residential real estate to better understand the nature and costs of real estate settlement services; • Each kinder must provide the booklet to all appkcants from whom it receives
or for whom it prepares a written application to borrow money to finance the purchase of residential real estate; • Lenders must prepare and distribute with the Booklet a Good Faith Estimate
of the settlement costs that the borrower is likely to incur in connection with the settlement These disclosures are mandatory.
Section 4(a) of RESPA mandates that HUD develop and prescribe this standard form to be used at the time of loan settlement to provide fug disclosure of all charges imposed upon the
borrower and seller. These are third party disclosures that are designed to provide the borrower with pertinent information during the settlement process in order to be a better shopper.
The Public Reporting Burden for this collection of information is estimated to average one herr per response. inckring the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information.
This agency may not collect this information, and you are not required to complete this form. unless it displays a cur is tly valid OMB control number.
The information requested does not lend itself to confdentiabty.
Previous editions are obsolete
Page 1 of 2 HUD -1 / Order #B20-102 / January 24.2020
L. Settlement Charges
701.5
703. Commission paid at settlement
704.
801.Cite : origination c$iarge
802. Your credit or charge {points) for the specific interestrate chosen
803. Appraisal fee
804. Credit report.
805. Tax service
806. Flood certification
807.
810.
901. Daily in
charges from 01/27/2020 to 02/01/2020
902. Mortgage insurance prerrtiu n
`s insurance
d
1001. Initial deposit for your
row:account
1002. Homeowner's insurance
1003. Mortgage insurance
1005.
1006.
1007. Aggregate Adjustment $0.00
110L Settlement or dosing fee to Bridge Title and.: Escrow Services $495.00
1102. Owner's title insurance to Old Republic National Title Insurance Company
1103. Lender's title insurxtce to Old Republic National Tide Insurance Company
1104. Lender's title policy Emit $
1105,0
s title policy limit 526,000.00
1106. Title Exam FeetoOld Rep blcNational Tide Insurance Company $85.00
1107. UenSemtrtoCaa
$
1201. RecO
:.Deed $18.50 Mo
Release $ to
Reonb Department
1202. City/Cotmty tax/stamps Deed $ Mortgage $
1203. State tax/sta�
182.00
toOfbdalRe
Department
1301.
1302.
1303.
ENEMIIIM
585.00
LECE.11.I
ECIE.1.1I
130S
1306.
1307.
1400 Total Settlement Charges )enter on lines 103. Section 1 and 502. Section Ki
$1,005.00
EMERGE COMMUNITY ECONOMIC DEVELOPMENT Inc., a
Florida Corporation
By
Brian Taylor, CEO
Date
City of Clearwater Inc., a Florida Corporation
By: ,.cteorveik t %o3
George Cretekos. Mayor
Date
The HUD -1 settlement statement 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 statement
Settlement Agent
Date
Previous editions are obsolete
Page 2 of 2 HUD -1