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Non -Foreign Certification By Individual Transferor (Seller's FIRPTA Affidavit) Transferor: Alexandra Van Der Rest as Trustee(s) of the Alexandra Van Der Rest Trust Transferee: Indian River County, Florida, a political subdivision of the State of Florida CERTIFIED TRUE Property: 6830 69th Street, Vero Beach, FL 32967 Closing Date: September 10, 2018 COPY OF ORIGINAL Before me, the undersigned authority, personally appeared the person(s) named in paragraph 2(b) below who, after being duly sworn, stated as follows: This certificate is to inform the transferee that withholding Federal Income Tax is not required, upon the sale of the following described real property: The North 70.00 feet of the South 100 feet of the following described parcel as recorded in Official Records Book 2720, page 1060, Public Records of Indian River County, Florida. The South one-half of the West 10 acres of the East 10.245 acres of Tract 15, Section 6, Township 32 South, Range 39 East, according to the last general plat of lands of the Indian River Farms Company filed in the Office of the Clerk of the Circuit Court of St. Lucie County, Florida, in Plat Book 2, Page 25, said land now lying and being in Indian River County, Florida. Together with: The East 0.245 acres of the East 20.49 acres of Tract 15, Section 6, Township 32 South, Range 39 East, according to the last general plat of lands of Indian River Farms Company Subdivision filed in the Office of the Clerk of the Circuit Court of St. Lucie County, Florida in Plat Book 2, Page 25, said land now lying and being in Indian River County, Florida. 2. The undersigned Transferor certifies and declares as follows: a. I am not a foreign person for purposes of United States income taxation, and am not subject to the tax withholding requirements of Section 1445 of the Internal Revenue Code of 1954, as amended. b. My United States taxpayer identification or Social Security number is: Alexandra Van Der Rest Trust al!a go Brf*) C. My home address is: 6830 69th Street, Vero Beach, FL 32967 d. There are no other persons who have an ownership interest in the above described property other than those persons listed in paragraph 2(b) above. The undersigned hereby further certifies and declares: a. I understand the purchaser of the described property intends to rely on the foregoing representations in connection with the United States Foreign Investment in Real Property Tax Act. (FIRPTA). b. I understand this certification may be disclosed to the Internal Revenue Service by the transferee and that any false statements contained in this certification may be punished by fine, imprisonment or both. DoubleTime®