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DISCLOSURE OF BENEFICIAL INTEREST <br /> Florida Statute Section 286 . 23 <br /> STATE OF �11�µ tG, gn <br /> COUNTY OF fnA" m6 <br /> BEFORE ME, the undersigned authority , duly authorized to administer oaths , this day personally <br /> appeared the undersigned affiant, who , being by me first sworn on oath , deposes and says: <br /> 1 . Affiant is the President of KAH Development Corporation , a Michigan corporation (" Corporation" ) . <br /> 2. The Corporation is the fee simple owner of the property located in Indian River County, Florida , <br /> and legally described on Exhibits "A" and "B" attached hereto (" Property") . <br /> 3 . Affiant, as President of such Corporation , intends to convey 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, <br />and <br /> respective shares held by same as of today are as follows: <br /> L��� ia Q - I�►�rn►u � ro y3370 MOWAO S�E �Gw� AQq 'F;S, rkt' 4831 <br /> ao /o s 1+ 2Er+ol� <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 /> FURTHER AFFIANT SAYETHN G T. <br /> Date _` { J Kevin A. Hamming, President <br /> HEREBY C TIFY that the foregoing instrument was subscribed and sworn and to before me <br /> this day of _ ,�� c . i-.�-- —, 2013, by Kevin A. Hamming, the President of KAH <br /> Development Corporation , eftchigan corporation , who executed same in the capacity stated , as the <br /> act and deed of said c rporation. He is either personally known to me or produced the <br /> following <br /> identification : � t L - <br /> Notary Public: <br /> seal with name, commission # and r1rW� fl1 .tp r R � (�5 ( <br /> expiration date <br /> ----- 10 A1003 841 w 6U110Y , <br /> HOZ '90 .Inr saiidx3 UOPPWOO AIR <br /> gwooeW W A4un000 <br /> ueBiyolW io e1e1S 'oltgnd Aie10N u <br /> H3H0sno9 3NNVINVW <br />