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AFFI AV�T <br /> Pernut Ntrmbcr: 1 �� 9 $ T�Folio N�ber: ����'( `:�r:�(,��J�►-��� <br /> I Prnperiy Address: • � � " �, .• � <br /> S�'A7`E OB F'LO�tID � <br /> • C�UNx'�'OF . <br /> Baforc me,the�maitrsi�d rt dulp o to take acdcntnt►laigments amd sdmiAistier . ' <br /> oaths,PetsonaiI�►a�eared � .�'�), <br /> wha after being duly scvort�,deposes ar�d�ys: <br /> 1. A,ffiant is tl�e(check ane): Owneaoftluabavedesmbod�mpa�ty; <br /> . tha Oavner's Authorized A�eat . <br /> 2. A Not3ce of Comme�actment,as ptususvt to Section 7i3.�3 of�e <br /> Florida S�,bes bten fi1u1 for ' g iri th0 o�ffiaiel ptab�ic�cards of <br /> . Hillsb�roc�County,Florid�as it labes to impmv�e�ts t�be made to <br /> that certain real�ropert�*dest�ibcd <br /> 3. A copy of said�eeorded NQtic$of cemeut ia et#achui herato. <br /> ��ts� �2 � <br /> . ; <br /> �. � <br /> �tx�• � <br /> . � <br /> . � ; <br /> � <br /> r � f � � <br /> � Sworn ta aad subsczc'brd be£c�ro me an t2us. l- �' ,. of���,k,1���k .24 f�+ � <br /> b3'-_ �U�,�,�1��1.:��51`�.. wbw is personaily�owa to me vr bas�oduced . <br /> � <br /> id�ntifitation. � <br /> r . . ' <br /> �..� -�, - <br /> Notery Pnblic Si�snu� � � , . <br /> • ' ,� � <br /> Print Name: � � <br /> My Coauniss�i�Sxpires: - <br /> •~ ��'�¢��6mz �o�ry PuWlc Stale o <br /> : Jamle L Jenkfns �D�a <br /> * '�Q�yo' My Commipsfon EE07 285 � <br /> • '+or��d' ExpUea 0$/21/2015 <br /> i <br />