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❑ VOID <br />FILER'S name, street address, city or town, state or province, country, ZIP or <br />foreign postal code, and telephone number. <br />Collins Brown Barkett, Chartered <br />756 Beachland Boulevard <br />Vero Beach FL 32963 <br />(772)231-4343 <br />FILER'S federal identification number I TRANSF ROS identification number <br />59-1795861 �_ 4R'000 6 74 <br />TRANSFEROR'S Name <br />Indian River County, a political subdivision of the <br />State of Florida <br />Street Address (including apt. number) <br />1801 27th Street <br />City, State, and ZIP code <br />Vero Beach, Florida 32967 <br />Account or escrow number (see instructions) <br />07-183.230 <br />Form 1099-S www.irs.gov1form1099s <br />❑ CORRECTED <br />1 Date of dosing <br />02/ /2024 <br />2 Gross proceeds <br />$ 10.00 <br />3. Address or legal description <br />A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />RYAN L. BUTLER, CLERK <br />OMB Nc. 1545-0997 <br />2024 <br />Form 1099-S <br />4730 40th Avenue <br />Vero Beach FL 32967 <br />4. Transferor •eceived or will receive properly or services as <br />part of the consideratioi (if checked) ............ .�❑ <br />s. If checked, transferor is a foreign person (nonresident <br />alien, foreign partnership, foreign estate, or foreign <br />trust) ............................................. <br />6. Buyer's part of real estate tax <br />$ .00 <br />Proceeds From Real <br />Estate Transactions <br />Copy C <br />For Filer <br />For Privacy Act <br />and Paperwork <br />Reduction Act <br />Notice, see the <br />2024 General <br />Instructions for <br />Certain <br />Information <br />Returns. <br />Department of the Treasury — Internal Revenue Service <br />YOU ARE REQUIRED BY LAW to provide your correct taxpayer name and identification number for the transaction described above to Collins <br />Brown Barkett, Chartered <br />If you do not provide your correct taxpayer identification number, you may be subject to civil or criminal penalties imposed by law. <br />UNDER PENALTIES OF PERJURY, I certify that the number shown on this statement is my correct taxpayer identification number. I acknowledge <br />that I have received a copy of this statement <br />APPROVED AS TO FORM <br />AND SU16; <br />BY <br />WILLIAM K. DEBRAAL <br />COUNTY ATTORNEY <br />Attest: Ryan L. Butler, Clerk of <br />Circuit Court and Comptroller <br />l!`I n L!I <br />