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ADDENDUM <br /> BENEFICIAL INTEREST AND DISCLOSURE AFFIDAVIT <br /> (OTHER) <br /> STATE OF r L ) <br /> COUNTY OF 4REvAk � ) <br /> Before me, the undersigned authority, personally appeared STELLA A. ARENDAS , this 2Z day of rT 92003 , <br /> who, first being duly sworn, deposes and says : <br /> 1 ) That S 74 LL A q AAEm �D AS whose address is <br /> / 9e Pi AiEt,LR ,f DANE * S'Ocj CCCCR 4 iZAcI4 1-'L is the record owner of the Property. The <br /> following is a list of every "person" (as defined in Section 1 . 01 (3 ), Florida Statutes) holding 5 % or more of the beneficial <br /> interest in the Property. (if more space is needed, attach separate sheet) <br /> Name Address Interest <br /> 2) That to the best of the affiant's knowledge, all persons who have a fmancial interest in this real estate transaction or who have <br /> received or will receive real estate commissions. attorney's or consultant's fees or any other fees or other benefits incident to the <br /> sale of the Property are: <br /> Name Address Reason for Payment Amount <br /> New <br /> GC'LU �; C- L (. b•�hiKQ �` � �: � h'� F1GGf . RS FFA („ � S i � r� � RG � LE �1Er.` T <br /> 3 ) That, to the best of the affiant's knowledge, the following is a true history of all financial transactions (including any existing <br /> option or purchase agreement in favor of affiant) concerning the Property which have taken place or will take place during the <br /> last five years prior to the conveyance of title to Stella A. Arendas : <br /> N�^ nlc <br /> October 25 , 2001 <br /> Page 9 <br />