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06115/2016 15:16 727�550712 TNE UPS STORE 6294 PAGE 06/06
<br /> Settlement Date:June t3,2o16 Flle Number: 16399A
<br /> ��il ers� ' � ' . , • ,. .. .,. , . , � , ..
<br /> L1NQA WlTAS
<br /> 158�$Ceder Efm Terracs
<br /> Land Lakes Flori 3AB38
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<br /> MARLENE A.WYNNE MlCMAEL J.WYNNE
<br /> $724 CaVeEt Lane 8724 Cavetl I.en9
<br /> Houston exas 'I7055 Ho fon 1'exas 7055
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<br /> 6$48 Sfephens Peth
<br /> Z h rhills Florida 33542
<br /> I have carefuliy reviewed the HUb-'1 SettiemenE StatemBnE,and to the best af my knawledge and bellef,it is a true and aecurate statement of s11
<br /> recelpts and aisbursemenis made on my account or by me in this trarrsaction. i further certify that I have received a copy�f NUb-1 Setttement
<br /> Siatemsnt. Substltute For 1099 Selter Sta2emeCtY. The informatlon contained herein is importent tax informat�an and is being lurnlshed to the
<br /> Intefnal Revenue Service. lf you�fe raquired to file a return,a negtigence penalty or other sanction witl be imposed on you if fhls item is required to
<br /> be reported and the IRS determ'inas that it has not been reported.
<br /> Pursuani to Florida Adm9nfstrativa Gode 69d-186.0'to,the und�rsigned agrees snd understands that in otder ta rsduce the averal�casts of tltie
<br /> insurance and other senrtcss related hereto,that alt interest income,if any ea�ned an the dlsbursement account shalf be retalned by the�'itle
<br /> ' ln9urence Agent.
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<br /> 8uyer. Setter. ��
<br /> Lt AWITAS MAR ENEA.WYNNE
<br /> Setler.
<br /> MICHAEL J.WYNNE
<br /> I have revlewed tha CIo91ng Disclosure,the settf�ment statement,the lender's closing instrucfions and any and all other forms relative to th�escrow
<br /> funds,including any disclo re of the Florida title insurance premiums being paid,and!egree to disburse the escrow fund5 fn eecordance with the
<br /> terms of this transacfion tida law.
<br /> SettlsmenE Agen#: � ��1c"�— Date. Juqe 13,2096
<br /> Bitl dulla
<br /> WARhtIN�: It�s a crime ta knowing�y meke#atse statements to tbe Un'sted States on this or any ather similar form,Penatfies�pon convlctiors can
<br /> include a fine and imprisonment, For detaifs see Title 18 U.S.Code Sectlon 1001 and Seetion 101p.
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