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2013-141
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2013-141
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Last modified
12/7/2015 11:24:45 AM
Creation date
10/1/2015 5:29:17 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Migration
Approved Date
07/16/2013
Control Number
2013-141
Agenda Item Number
13.B.
Entity Name
KAH Development Corporation
Subject
Real Estate Exchange Murphy Act / Right of Way
Resolution 2013-066
Area
820 and 816 (th Street SW (Oslo Rd.) 830 9th St. SW
Supplemental fields
SmeadsoftID
12123
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AFFIDAVIT OF SELLER <br /> NON-FOREIGN CERTIFICATION BY SELLER <br /> STATE OF Ih 1 &0 li'TArI <br /> COUNTY OF OatipW5 <br /> BEFORE ME , the undersigned authority, personally appeared Affiant, Kevin A. Hamming, as President of <br /> KAH Development Corporation, a Michigan corporation (Seller) who has been sworn and says that the following <br /> statements are true: <br /> Seller is the owner of real property described in Exhibits "A" and `B" attached hereto and made a part <br /> hereof by this reference (Property) , in Indian River County, Florida . <br /> 1 . Seller is making this affidavit to assure Indian River County (County) that there are no outstanding , <br /> unpaid debts/liens existing on the Property. <br /> 2. Seller certifies that Seller is in actual possession of the Property listed above and the Property is not in <br /> the possession of any persons or organizations holding or claiming same , adversely to the undersigned , under contract, <br /> lease, or any other color of title or right of possession. <br /> 3. For U .S. tax purposes , the Seller states: <br /> a . Seller is not a foreign company. 3 <br /> b. Seller's taxpayer ID number is : $ Y <br /> c. Seller's business address is6.34 Es Bow Beemet6s Suite , 3404y, 11111* 914109014 4213R2 <br /> 43370 Mo4A ZA . j STMWjL> l 14619IfT4j t4�4 q la 31 it ISN <br /> 4. Seller understands this certification may be disclosed to the Internal Revenue Service by Seller and <br /> that any false statement contained in this certification may be punished by fine, imprisonment, or both . <br /> 5. Seller acknowledges that County is relying on the representations contained herein in purchasing the <br /> Property and County would not purchase same unless all of the foregoing representations were made. <br /> BY 0• 4� <br /> Kevin A. Hamming, as President of V4kH <br /> Development Corporation, a Michigall <br /> Corporation <br /> The for going instrument was sworn and subscribed before me this day of <br /> kuzo:; c .o� , 2013, by Kevin A. Hamming , as President of KAH Development Corporation, a <br /> Michigan corporation, who executed same in the capacity stated , as the act and deed of said corporation. He is either <br /> personally known to me or presented as identifi <br /> Stamped seal with name , commission # By <br /> and expiration date Notary ublie <br /> MARIANNE BOUSCHER <br /> #)otery Public, State of Michigan <br /> County of Macomb <br /> My Commission Expires Jul. 08, 2014 <br /> ° "` Acting in the County of _ l.G <br />
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