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EXHIBIT "C" <br /> BENEFICIAL DISCLOSURE AFFIDAVIT (corporate) <br /> STATE OF FLORIDA <br /> INDIAN RIVER COUNTY <br /> BEFORE ME , the undersigned authority, personally appeared /V A Cr'�x-n/T!L whose <br /> address is [ i � /L 3 <- d %3 , ("Affiant") who , being by me first worn , on oath , deposes <br /> and says: <br /> 1 . Affiant is the President of -' l�. S L � > Cf ,; , a Florida corporation <br /> ("Corporation") . <br /> 2 . The Corporation is the fee simple owner of the property located in Indian River County, Florida , <br /> and legally described on Exhibit "A" attached hereto and by this reference made a part hereof <br /> (" Property" ). <br /> 3 . Affiant, as President of such Corporation , intends to sell the Property to Indian River County , a <br /> political subdivision of the State of Florida . <br /> 4 . The names and addresses of the persons holding a beneficial interest in the Property, and <br /> respective shares held by same as of today are as follows: <br /> A/ C� <br /> n <br /> Z—1 <br /> 5 . The above disclosure is made to the Chairman of the Indian River County Board of County <br /> Commissioners, as required under Section 286 . 23 , Florida Statutes . <br /> 6 . Affiant has made the disclosure contained herein under oath subject to and with full knowledge of <br /> the penalties prescribed for perjury under the laws of the State of Florida . <br /> i <br />