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s <br /> i <br /> DISCLOSURE OF BENEFICIAL INTEREST <br /> Florida Statute Section 286 . 23 <br /> STATE OF FLORIDA <br /> COUNTY OF INDIAN RIVER <br /> Before me , the undersigned authority , duly authorized to administer oaths , this day personally <br /> appeared the undersigned affiant , who , after first being duly sworn on oath , by me , deposes and says <br /> that: <br /> 1 . Affiant is the of <br /> a corporation , and the following is a list of all persons having a beneficial interest <br /> in the real property being sold to Indian River County , which is legally described as follows : <br /> 11 Irk <br /> w <br /> 2 . In accordance with Section 286 . 23 , Florida Statutes , affiant gives his full name and mailing address <br /> as follows : <br /> Further affiant sayeth naught . <br /> By <br /> SWORN TO AND SUBSCRIBED before me this day of 2000 , by <br /> who was personally known to me or provided identification of sufficient <br /> character to establish identity with a reasonable degree of certainty . <br /> NOTARY PUBLIC : <br /> Printed name & Commission # <br /> Type of ID provided <br />