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EXHIBIT " D" <br /> BENEFICIAL DISCLOSURE AFFIDAVIT <br /> DISCLOSURE STATEMENT <br /> (INDIVIDUAL) <br /> The following Disclosure Statement is given in compliance with Sections 375 .031 ( 1 ) and 380.08(2), <br /> Florida Statutes. The Seller states as follows : <br /> 1 ) That to the best of the Seller's knowledge, all persons who have a financial interest in this <br /> real estate transaction or who have received or will receive real estate commissions, attorneys or <br /> consultant's fees or any other fees or other benefits incident to the sale of the Property are : <br /> Name Address Reason for Payment Amount <br /> 2) That to the best of the Seller's knowledge, the following is a true history of all financial <br /> transactions (including any existing option or purchase agreement in favor of Seller) concerning the <br /> Property which have taken place or will take place during the last five years prior to the conveyance <br /> of title to the State of Florida: <br /> Name and Address Type of Amount of <br /> of Parties Involved Date Transaction Transaction <br /> SELLER <br />