Laserfiche WebLink
Feb, 11, 201� 7:21AM No. 62$7 F. 4 <br /> NOIY�TURE�GN CER'�'ICATIO�T <br /> SY TR�ITSFE�O� � <br /> 1. SeGt�o�t 1445 of t�e �teriusf �evextue Code purovid�s that a tsansfe��e o#'a Uaited St�oes re�l �roperty inte�est musc ' <br /> Withhold t8x if the trans$eror is a fqie�pergo�p. <br /> Z. �n order to infarm the transferee th,at wiitbho�ding of ta�c is not r�quired,ugon the dispositlon by af the United States r�ea! <br /> pm�eny locpted in Paseo Counry,Rlorirl�and describ�d as�ollows: � <br /> �o# Z 48,lariflwood Subdivis�an TT�a subdivision as�ex p1$t thereof as recorded iu� <br /> YT� <br /> �'lat�ook 27,Pa,g� 15,in the Pui�lic Records of Fasco Cou�ty,Florida. <br /> Th�undersig�d transFer4r Cortifies and declares by rn�s oFthis ceriafication,the�attawi�: <br /> A. Tran�s�arar is �,at a nonresident alxe� �o�c purpbses of United Smtes income <br /> taxation�,and, <br /> B. Traa�'eror's United�s taxpayer idemi�ication numbez Is:�943$-0406 <br /> C. Traa�s�eror's Home or Qf�ee Address is: <br /> 35�24 Deerfield Qalcs DrlNc <br /> �ephyrhillsy F1,335�i1 <br /> D. 'i'here are no other pe�on;s who have an ownersI�ip int�rest in the above-described pzoperty other than <br /> Transfqor. <br /> T 3. 'I'he twdersigned hercl7y�iu�ztr cetti�es and declares: <br />' A,. Transferor undecsm.nds that the purchaser af t�e abave�descn`i�ed pxope�ty 9rctends ta rety on <br /> t1t� foxegoing t�epresemaiivns i�conmection with th�United�tates�areign tnvesimeztt in Real Pmperi�' <br /> Tax Aet(�4 St�te 2682 as amended). <br /> S. Transferor understands this certiftcativn may be dfsclosecl to�b;e Irltern�l R�v�nue Service by transfiere�and <br /> �aE a�y f�lse staceme�t coittained in this cert�cation may be punished by�ine,imprisonntent or both. <br /> Under genaldes af perjury the�wdersigued d�c�ares that h�has exam�ned ca�efi�ly t�is certificacion and it is tzue,correct and complete. <br /> DATED this Janu�xy 28,�QXS. <br /> ��ra.��l�� �5{��tST�� o� '� th+�k7t� ��n�i t�Y�,.�u�' <br /> Itonald F.Mart[n,�s Truatee af the Marten Fsmily 1�evQCable -Sclkr <br /> Trust Agneement dated 1�ece�ber�,2U49 <br />� <br /> ����� ��� . <br /> Hoge A.iVlart�p,as'Xl'ustee of the Martim Fa�ily Revpc�ble - Ilor <br /> Trust Agrecmeu�t Qated Decemb�r 1,2009 <br /> STAT�OF F(or�da <br /> CbLTNTY�F Pasco <br /> I I HEREBY G�R,TX�'u'tl�at t�foregoing inst�vr4ent was actaiowledged,sworn ta azid e 'bed before me this � day of <br /> �orea.�/ . � ,20�5,by Rnnald�.MBrtiti sk�d kZope A Maztitt,w do parsonaity lc�ow ar who tzas produced <br /> l7''Gn � R.-ssl�� E:,r't� �s id tia did ke�aath. <br /> . ��Q <br /> NU LI� <br /> Printed�la e: �.,�4 +�t v G'�:�'�'•�...._ <br /> My Commission Expares:_ — -- <br /> ;,q�z��.. �^...4.6�t'f�iC1C PtllaP,t�r':�7. l� <br /> �'�•''" T"� " �'i(ij�'a=4hit�7�'. <br /> 'C;�`r �?N . 4.;S�I�i'�3� ,.,.� ;i,,�; <br /> ,tr;w„'l.•�;i �1r::'3,S.���l�ti:•�:uaa..�s.-ti:.,� <br /> k•. •.w L.r ..A..t�'f-�.°,�cf}� ..,a; <br />