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C-1 40 12, That, if married and the spouse of the affiant sloes not join in the deed of conveyance, the property to be conveyed is not now, nor has it ever been, the homestead of the Seller within the meaning of Florida law and that the Seller resides at 13. There is no civil action pending which involves the property in any way. There is no action for dissolution of marriage or divorce pending. 14. There are no federal tax claims, liens or penalties assessed against the Seller either individually or in any other capacity. 15. No proceedings in bankruptcy have ever been brought by or against Seller, nor has an assignment for the benefit of creditors been made at anytime, nor is there now in effect any assignment of rents of the property or any part thereof. 16, The real estate taxes will be paid to the dare of closing pursuant to Section 196.295, Florida Statutes, 17. That Seller is not a "non-resident alien" for the purposes of [United States income taxation, nor is he a "foreign person" (as such term is defined in Section 1445 of the Internal Revenue Code of the United Stales and its related Income Tax Regulations); that his/her Social Security Numbers) (or F.E.1.D. Number)is/are that Seller understands that the certification made in this Paragraph may be disclosed to the Internal Revenue Service by the Purchaser; that any false statement contained in this Paragraph could be punished by fine, imprisonment, or both; and that the information contained in this Paragraph is true and correct and as provided under penalties of perjury. 18. Seller has no knowledge as to any hazardous substances (as defined by any federal, state or local statute, law, ordinance, code, rule, regulation, order or decree) present on the property. There has been no production, placement, disposal, storage, release or discharge on or from the property of any hazardous substances, and there are no buried, partially buried; or above -ground tanks, storage vessels, drums or containers located on the property. Seller has received no warning notices, notices of violation, administrative complaints, judicial complaints or other formal or informal notices from any governmental agency alleging that conditions on the property are in violation of environmental laws, regulations, ordinances or rules. 19. This Affidavit is executed in duplicate, each of which shall be considered an original, with one original to be delivered to the Purchaser and one original to be delivered to the title insurer. THIS AFFIDAVIT is made pursuant to Section 627.7842, Florida Statutes, for the purpose of inducing Purchaser to close and the title insurer to insure the title to the property and to dis rs the proceeds of the sale. Seller intends for Purchaser and -the title insurer to relyn ese epresentations. r r, 50As 0er- e,' Am A* Marie Sj�tn�as Peter Sar »moo n, in "vs ua y and as Trustee itness of the Universal Life Church 2001 SWORN TO and subscribed befp a me this /STr day of _ _ MarcjL 2fhD by Marie Simmons and Peter G. , a�R&Jo1319 ,personal nown to me or who has produced as ident' ica on. LANE ix. otar Public anCm 3110.3 R,�fr,4rpMey (P inted, Typed or Stamped Name of i1 Prn�onrwo-n110meri$ Notary) Commission No My Commission Expiresc