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FCT Amount Due at Closing <br />Share of Total Proiect Costs <br />Less Total Prepaid Costs <br />Total Amount Due From FCT <br />Recipient Prepaid Costs <br />Land Purchase Price <br />Survey <br />Title Insurance <br />Appraisals <br />Environmental Site Assessment <br />Total Prepaid Costs <br />Recipient Amount Due <br />Share of Total Proiect Costs <br />Less Prepaids <br />Total Amount Due to County <br />Recipient Additional Costs <br />ATRUE COPY <br />CERTIFICATION ON LAST PAGE <br />J.R. SMITH, CLERK <br />Record Grant Award Agreement $ <br />Total Additional Costs - <br />Notes: <br />(1) Pursuant to memorandum from to dated_, the maximum reimbursement <br />amount is $. The Recipient acquired the property on_, at a purchase price of <br />$ . The FCT Reimbursement is based on the maximum reimbursement amount, which may be less <br />than the purchase price paid by Recipient. <br />(2) Amount includes costs for title insurance, title examination, title search and closing fees. <br />(3) Pursuant to the terms of the Grant Agreement, the amount of the grant shall not exceed the lesser of <br />$ or % of the total project cost. <br />(4) Disbursed to Clerk of the Court, County, at time of reimbursement from FCT. <br />The foregoing reconciliation of Recipients' costs is hereby approved by the undersigned. <br />RECIPIENT FLORIDA COMMUNITIES TRUST <br />STATE OF FLORIDA, DEPARTMENT OF <br />ENVIRONMENTAL PROTECTION <br />By: By: <br />Its: Its: <br />Date: Date: <br />DEP Agreement No. S0958 Attachment A, Page 2 of 2 <br />