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DISCLOSURE AFFIDAVIT <br /> STATE OF FLORIDA <br /> INDIAN RIVER COUNTY <br /> BEFORE ME , the undersigned authority, personally appeared STEPHANIE B . BRUNQ Affiant, <br /> who , being by me first sworn , on oath , deposes and says : <br /> 1 . Affiant is Managing Member of Ball Groves, LLC, a Florida limited liability company. <br /> 2 . Ball Groves, LLC 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 Managing Member of such , 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 members/persons holding a beneficial interest in the Property, <br /> and respective shares held by same as of today are as follows : <br /> STEPHANIE B . BRUNO , 50 % <br /> TERRELL W . BALL , 50 % <br /> 5. The above disclosure is made to the Indian River County Board of County Commissioners , or its <br /> designated representative, 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 /> FURTHER AFFIANT SAYETH NAUGHT. <br /> Date MAY 5 , 2006 Sign : ` Y0LW <br /> By: (Print Nam ) STEPHANIE B . BRUNO <br /> As : Managing Member of Ball Groves , LLC <br /> I HEREBY CERTIFY that the foregoing instrument was subscribed and sworn and to before me <br /> this 5th day of MAY , 2006 , by STEPHANIE B . BRUNO , Managing <br /> Member of Ball Groves , LLC , a Florida limited liability company, and he/she is person Ily known to me or <br /> produced the following identification : .rts, U w. — <br /> Notary Public : sign <br /> Printed Name & commission E=xpiration : <br /> ,e.r =KELLEYMARIE PARRISKaft m• PeftDD52MO page 7 of 8 <br /> ?01 2i, 20t0C / /M . /eMoe. s; fit/ N <br /> F:\Public Works\Capital Projects\Discloswes\BallGrovesLLC4-26-06,doc <br />