HomeMy WebLinkAbout2017-126A A TRUE COPY
Prepared by: QaRTIFICATION ON LAST PAGE
Office of County Attorney .l.R. SMITH, CLERK
Indian River County
1801 27th Street
Vero Beach,FL 32960
772-226-1425
COUNTY DEED
INDIAN RIVER COUNTY, FLORIDA
THIS DEED, made this day of September, 2017, by INDIAN
RIVER COUNTY, FLORIDA, a political subdivision of the State of Florida,
party of the first part, whose mailing address is 1801 27th Street, Vero Beach,
Florida 32960, and YOUTH GUIDANCE DONATION FUND OF INDIAN RIVER
COUNTY, INC., a Florida not for profit corporation, party of the second part,
whose mailing address is Post Office Box 121, Vero Beach, Florida 32961.
WITNESSETH that the said party of the first part, for and in
consideration of the sum of Ten Dollars ($10.00) to it in hand paid by the party of
the second part, receipt whereof is hereby acknowledged, has granted,
bargained and sold to the party of the second part, its successors and assigns
forever, the following described property in "as is, where is" condition, with no
warranties express or implied, lying and being in Indian River County, Florida:
Lots 27 to 39, inclusive, Block 1, Langwick Subdivision, according to
the map or plat thereof as recorded in Plat Book 1, Page 32, Public
Records of Indian River County, Florida.
IN WITNESS WHEREOF the said party of the first part has caused
these presents to be executed in its name by its Board of County
Commissioners, acting by the Chairman of said Board, the day and year
aforesaid.
INDIAN RIVER COUNTY, FLORID,Aa•�N iRiZ,,y�.. •
By its Board of County Commis i!' ; ' " ''••.);
Attest: Jeffrey R. Smith, Clerk of i
53.
Court and Comptroller i—e . •. :N•
1
By: • ('� By:_ j' _y9••. %��f+. ;• f1
Deputy Clerk Joseph E. Flescher hairm o* ......•'
Approved as to form and
Legal Sufficiency: BCC approved: August 15, 2017
40-14
((I% J2 (Official Seal)
'William K. DeBraal
Deputy County Attorney
Buyer/Seller A TRUE COPY
A. Settlement Statement Settlement Statement r r P T(r J[r AT I q i'9 ON LAST PAGE
B.Type of Loan J.H. SMITH, CLERK
Q 1.FHA 0 2.FmHA Q 3.Cony.Unins. 6.File Number 7.Loan Number 8. Mortg.Ins.Case Num.
Q 4.VA 0 5.Cony.Ins. 01308
ID:
C. NOTE:This form Is furnished to give you a statement of actual settlement costs.Amounts paid to and by the settlement agent are shown.Items
marked"(p.o.c.)"were paid outside the closing;they are shown here for informational purposes and are not included In the totals.
D.NAME OF BUYER: Youth Guidance Donation Fund of Indian River County,Inc..a Florida not for profit corporation,
Address of Buyer: P.O.Box 121,Vero Beach,Florida 32961
E NAME OF SELLER: Indian River County,Florida,a political subdivision of the State of Florida
'Address of Seller. do Indian River CountyAtty.,1801 27th St.,Vero Beach,Florida 32960 TIN:
F.NAME OF LENDER:
Address of Lender:
G.PROPERTY LOCATION: 1028 20th Place,Vero Beach,Florida 32960
H.SETTLEMENT AGENT Law Offices of Jennifer D.Peshke,PA TIN:45-3801287
Place of Settlement 4733 North HghwayAlA,Suite 303,Vero Beach,Florida 32963 Phone:772-231-1233
I. SETTLEMENT DATE: 9128/17 DISBURSEMENT DATE:9/28/17
J.Summary of buyer's transaction _ K.Summary of seller's transaction
100.Gross amount due from buyer 400.Gross amount due to seller:
101.Contract sales price 225,000.00 401.Contract sales price 225,000.00
102.Personal property 402.Personal property
103.Settlement charges to buyer(Line 1400) 3,825.00 403.
104. 404.
105. 405.
Adjustments for items paid by seller in advance: Adjustments for items paid by seller in advance:
106.City/town taxes 406.City/town taxes
107.County taxes 407.County taxes
108.Assessments 408.Assessments
109. 409.
110. 410.
111. 411.
112. 412.
120.Gross amount due from bu r: 228.825.00 420.Gross amount due to seller. 225,000.00
200.Amounts paid or in behalf of buyer: 500.Reductions in amount due to seller:
201.Deposit or earnest money 501.Excess deposit(see instructions)
202.Principal amount of new loan(s) 502.Settlement charges to setter(line 1400) 25.00
203.Existing loan(s)taken subject to 503.Existing loan(s)taken subject to
204.Principal amount of second mortgage 504.Payoff of first mortgage loan
205. 505.Payoff of second mortgage loan
206. 506.Deposits held by seller
207.Principal amt of mortgage held by seller 507.Principal amt of mortgage held by seller
208. 508.
209. 509.
Adjustments for items unpaid by seller: Adjustments for items unpaid by seller:
210.City/towrr taxes 510.City/town taxes
211.County taxes from 01/01/17 to 09/28/17 457.57 511.County taxes from 01/01/17 to 09/28/17 457.57
212.Assessments 512.Assessments
213. 513.
214. 514.
215. 515.
216. 516.
217. 517.
218. 518.
219. 519.
220.Total paid by/for buyer: 457.57 520.Total reductions in amount due seller: 482.57
300.Cash at settlement fromito buyer: 600.Cash at settlement tolfrom seller:
301.Gross amount due from buyer 228,825.00 601.Gross amount due to seller 225,000.00
(line 120) (8ne 420)
302.Less amount paid by/for the buyer (457.57) 602.Less total reductions In amount due seller (482.57)
(line 220) (line 520)
303.Cash( ❑✓ From To )Buyer: 228,367.43 603.Cash( Q✓ To ❑From )Seller. 224,517.43
Substitute Form 1099 Seller Statement: The Information contained in blocks E,G,H,and I and on line 401 is important tax Information and is being
furnished to the IRS. If you are required to file a return,a negligence penalty or other sanction will be imposed on you if this item is required to be reported and
the IRS determines that it has not been reported.
Seller Instructions: If this real estate was your principal residence,file Form 2119,Sale or Exchange of Principal Residence,for any gain,with your tax
return;for other transactions,complete the applicable parts of Form 4797,Form 6262 and/or Schedule D(Form 1040).
Buffs InItial(s): Seller's Initi I(s):
Ui
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Buyer/Seller Settlement Statement
P
l.Se.tiement charhe; buy=r POC SNler POC ' 1 r
700.Total Sales/Brokers Com.based on Paid
701. to 5225.000.00 %= B ertnds$tE,�R I �_1 gATION ON LAST PAGE
702. ,�,r settlem3 R S It CLERK
703.Commission paid at settlement
704. to
oC0-Item s payable ur connection with loan: -hug-r POC .r:r PUC
801.Loan origination fee %to
802.Loan discount %to
803.Appraisal fee to
804. Credit report to
805.Lender's Inspection fee to
806. Mortgage Insurance application fee to
807.Assumption Fee to
808. to
809. to
810. to
811. to
900.Items required by lender to i>e Pard 1rr advance: Pec OnlO POC --
901.Interest from to Q /day
902.Mortgage Insurance premium for months to
903.Hazard insurance premium for years to
904.Flood insurance premitmt for years to
905. :rS to
1020.Reserves dennsr!er with lender. Guyer P90 seuei 000
1001.Hazard Insurance months @eti per month
1002.Mortgage insurance months a per month
1003.City property taxes months a per month
1004.County property taxes months @ per month
1005.Annual assessments months(fit per month
1006.Flood Insurance months a per month
1007. months r(9 per month
1008. months @ per month
1009.Aggregate accounting adjustment
111(1.TrIO chaures. huv,rr COC
1101.Settlement or dosing fee to Law Offices of Jennifer 0.Peshke,P.A. 750.00
1102.Abstract or title search to Attorneys'Title Fund Services,LLC 275.00
1103.Title examination to
1104.Title Insurance binder to
1105.Document preparation to
1108.Notary fees to
1107.Attorney's Fees to
(includes above item numbers: )
1108.Title Insurance to Old Republic Nat.Title/Jennifer D.Peshke 1,20000
(includes above item numbers:
1109.Lender's coverage(Premium):
1110.Owner's coverage(Premium): $225,000.00($1,200.00)
1111. Endorse:
1112. to
1113. to
1200.Government ro Hording err transfer cit rges.
1201.Recording fees Deed $10.00 mortgage(s) Releases 10.00
1202.City/county tax/stamps Deed Mortgage(s)
1203.Statetax/stamps Deed $1,575.00 Morttage(s) 1,575.00
"1204. to
1205. to
1302.Hddrtronal sertlament choices. Frye:PGC 9 X 00
1301.Survey to
1302.Pest Inspection to
1303.Wire transfers to Law Offices of Jennifer D.Peshke,PA. 15.00 25.00
1304. to
1305. to
1306. to
1307. to
_1308. to
1309.
1402.Total settlement merges' - - ---
(Enter on lines 103.Section J and 502,Section K) 3 5.00 25.00
I have carefully reviewed the Settlement Statement and to the best of my knowledge and belief,It is a true and accurate statement of all receipts and dis encs made on
my /account or by me in this transaction.I further certify that I have received a copy of the Settlement S
_{e/r/qe��/t
BuyerBuV-" Seller
Buyer #
u;,,, �� C ; vc _ Seller
The Settlement Statement which I have /,_ L,
prepared Is a true and accurate account of this transaction.I�,o>will cruse,the funds to T"buraad ceordancc p"th this
statement 1
Law Offices of Jennifer D.Peshke,P.A.
By:
As Its Authorized Representative Date
WARNING:It is a akne to knowingly make false statements to the United States on this or any other similar form.Penalties upon conviction can include a fine DoubleTime®
and imprisonment For details see:Title 18 U.S.Code Section 1001 and Section 1010.
Bill of Sale
This Bill of Sale,made on September 28,2017,between Indian River County,Florida,a political subdivision of the
State of Florida("Seller"), and Youth Guidance Donation Fund of Indian River County,Inc.,a Florida not for profit
corporation,("Buyer").
Witnesseth, that Seller, in consideration of the sum of TEN DOLLARS ($10.00) and other good and valuable
consideration paid to Seller by Buyer, receipt and sufficiency of which is hereby acknowledged, delivers,grants, bargains,
sells and transfers forever to Buyer the following goods and chattels,to wit:
Per Inventory of County furniture left in Annex(Addendum to Purchase and Sale Contract)
attached hereto and made a part hereof.
Said property being located at:
Lots 27 to 39, inclusive, Block 1, Langwick Subdivision, according to the map or plat thereof as
recorded in Plat Book 1,Page 32,Public Records of Indian River County,Florida.
Also known as 1028 20th Place,Vero Beach,FL 32960
Seller covenants to Buyer that Seller is the lawful owner of the said goods and chattels; that they are free from all
encumbrances;that Seller has good right to sell that property,and that Seller will warrant and defend the sale of said property,
goods and chattels unto the Buyer against the lawful claims and demands of all persons whomsoever.
"Seller" and "Buyer" shall be used for singular or plural, natural or artificial, which terms shall include the heirs, legal
representatives,successors and assigns of Seller and Buyer whenever the context so requires or admits. ••••••••••.
-
.-1;0.1.Y•C0,1f4�,
B, On ._i al of Indian ver ounty,F orida,a s Z' •
• ical subdivision of the State of Florida 92 f'' *r
' seph E. Flescher, Chairman :1'�•.; '►� ' ,°
STATE OF FLORIDA BCC APPROVED: August 15, 2017 •'•�.'9COoN...... ,O�:����``�,t�,PURS�,of��i
COUNTY OF INDIAN RIVER • `�1'•...gsi01y !. �
S.
The foregoing instrument was sworn to and acknowledged before me this %W" day of September,2017 by ����y t 1'?0'09•
Joseph E. Flescher acting on behalf of Indian River County,Florida,a political — •= yn
subdivision of the State of Florida. Signor is(()personally known to me or has produced IS Sr: ��• :cE
as identification. ` �j�.• Of 80 BO) o�
L :I ' v�� - •. AA;
Notary Public Misty L. Pursel 004100
Commission # FF65450; My Carmission Expires January 11, 2018
ATTEST: Jeffrey R. Smith, Clerk of Court
and Comptroller
BY: ( i4Alda ‘,/-*L`.r`
puty Clerk
APPROVED AS TO FORM 7 " STAU.w, aluoA
A N f ALS F F I Cr VER COUNTY
THINOS IS IAN OI CERTIFY THAT THIS ISA TRUE AND CORRECT
f COPY OF THE ORIGINAL ON FILE IN THIS OFFICE.
JEFF EY R. MIT RK
BY BY� ) D.C.
WILLIAM K. DEBRAAL
DEPUTY COUNTY ATTORNEY DATE 09 /277 cgo�
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