Settlement Statement with R & D Inlet Parcel, LLC Settlement Statement
Grantee: City of Miami Beach,a Florida municipal corporation
1700 Convention Center Drive,46floor,Miami Beach,Florida 33139
Grantor: R&D Inlet Parcel,LLC,a Florida limited liability
1228 Alton Road,Miami Beach,FL 33139
Property Location: 4021 Indian Creek Drive,Miami Beach,Florida 33140(See Exhibit A attached)
Date: _ 7 ,2017
Settlement Agent: Suzanne A.Dockerty,P.A.
110 Merrick Way,Suite 3B,Coral Gables,Florida 33134
Grantee Settlement Fees:
Title Search Reports and Updates: S 250.00
Title Insurance Premium(381,600): S 46920
Settlement Fee: S1,000.00
Clerk of Court Recording Fee:
Quit Claim Deed with Easement Ag cement: S 78.00
Documentary Stamp Tax: S 1.05
Easement Agreement: S 61.00
Documentary Stamp Tax: S 1.05
Wire Transfer Fee/FedEx: 5 75.00
Total Grantee Settlement Fees: S1,93530
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 disbursements made on account of this transaction.
Grantee: /
City of Mia i Beach,a F ! 'da municipal corporation
By:
Print Nam 1 itle: -1,"..Y • 'ora es, ity Manager
d Language for Execution
ATTEST: , . ,! ti`1� G 1 ((41.
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�vH� �, Z 1�
Rafael E.Grenade,City Clerk
R&D Inlet Parcel,LLC,a Florida limited liability
By: \ _
Name: i€
ride: rni3
2
Exhibit A
That certain unnumbered"out-lot" lying Westerly of and opposite to Lot 18,Block 34,Ocean Front Property of the
Miami Beach Improvement Company,according to plat recorded in Plat 5, Page 7, Public Records of Miami-Dade
County, Florida, which "out-lot" constitutes a strip of land on the Easterly shore of Indian Creek lying between
Indian Creek Drive on the East and Indian Creek on the West and between the North and South lines of said Lot 18
produced Westerly to Indian Creek.
Folio Number:02-3226-001-1961
aouble7ime+
Rk Number:347174-17
Form 8283(Rev.12.2014) Page 2
Names)shown on your income tax return identifying number
R&D INLET PARCEL LIC 82.1513645
Section B.Donated Property Over$5,000(Except Publicly Traded Securities)—Complete this section for one item(or one group of
similar items)for which you claimed a deduction of more than$5,000 per item or group(except contributions of publicly
traded securities reported in Section A).Provide a separate form for each property donated unless it is part of a group of
similar items.An appraisal is generally required for property listed in Section B. See instructions.
Part I Information on Donated Property—To be completed by the taxpayer and/or the appraiser.
4 Check the box that describes the type of property donated:
a 0 Art'(contribution of 520,000 or more) d❑ Art'(contribution of less than$20,000) g 0 Collectibles" j 0 Other
b 0 Qualified Conservation Contribution e 0 Other Real Estate h 0 Intellectual Property
c❑ Equipment f 0 Securities i 0 Vehicles
'Art includes paintings,sculptures,watercolors,prints.drawings,ceramics,antiques,decorative ans,textiles,carpets,silver,rare manuscripts,historical memorabilia,and
other similar objects.
"Collectibles include coins.stamps,books.gems.jewelry.sports memorabilia.dolls,etc..but not art as defined above.
Note.In certain cases,you must attach a qualified appraisal of the property.See instructions-
5 (a) Description of donated property it you need I (b) If tangible property was donated,give a brief summary of the overall (c)Appraised fair
mere space,attach a separate statement) I physical condition of the property et the time of the gift market value
A 1 See Legal Attached-Folio 102.3226-001-1961 111[waterfront out-lot strip with deteriorated seawall
B 1
C I
D I
(d)Date acquired (1)Donor's cost or (g)For bargain sales,enter See instructions
(e)How acquired by donor
by donor(mo.,yam.) adjusted basis amount received de Amount ucclarred as a (4 Data or contricutron
dedn
A 1 I
B l
0 I 11
Part flTaxpayer(Donor)Statement—fast each item included in Part I above that the appraisal identifies as having
a value of$500 or less.See instructions.
I declare that the following item(s)included in Part I above has to the best of my knowledge and belief an appraised value of not more than$500
(per item).Enter identifying letter from Part I and describe the specific item.See instructions.►
Slgnattbe of taxpayer(donor)► Date►
IZM Declaration of Appraiser
I declare that I am not the donor,the donee,a party to the transaction in which the conor acquired the property,employed by,or related to any of the foregoing persons,or
married to any person who Is related to any of the foregoing persons.And,if regularly used by the donor,donee,or party to the transaction.I performed the majority of my
appraisals during my tax year for other persons.
Also,I declare that 1 perform appraisals on a regular basis:end that because of mi qualification as descri0ed in the appraiytl,l ern gutted to make appraisals of re type of property being
valued.I certify that the appraisal lees were not based one percentage of the appraised property value-Furthermore.I understand teat a false or[rarities overstaeinent of ate property
value as described in the qualified appraisal or this Form Wee may subject me to the penalty under section 6701(a)(airing and abetting the understatement of tax lfebeity).In addition I
istderstand that I nay be stt>)e t to a penalty under:action 6695A if I know.or reasonably sh r/d prow,that my appraisal is to be used in mrvtec tion with a return or dant tor refund and a
stbstantief or gross valuation r isatate,'nent resits trait rrry appraisal.I afra,n teat I nave not teen barred from presenting evidence or testimer y by Me Office of Professional fiaspasibaiti.
Sign
Here Signature► Title► Oates
Business address(including room or state no.) Identifying number
City a'town,state,and ZIP code
Part IV Donee Acknowledgment—To be completed by the charitable organization.
This charitable organization acknowledges that It is a qualified organization under section 170(c)and that it received the donated property as described
in Section 8,Part I,above on the following date►
Furthermore,this organization affirms that in the event it sells,exchanges,or otherwise disposes of the property described in Section 8.Part I(or any
portion thereof)within 3 years after the date of receipt,it will file Form 8282, Donee Information Return,with the IRS and give the donor a copy of that
form.This acknowledgment does not represent agreement with the claimed fair market value.
Does the organization Intend to use the property for an unrelated use? ► 0 Yes 0 No
Name of charitable organization(doneo) Employer identification number
CITY OF MIAMI BEACH,a Municipal orporation of th- State of Florida 5976000372
Address(number,street,and room or suite ' ) City or town,state,and ZIP code
1700 Convention Cent Drive 6`1-XI1 iami Beach, Florida 33139
Authorized signature Title APPRCftb AS TO
Jimmy L. Morales . y Manager Fj�ltA R, 1 ANC4I IAC4F
&FOR EX Cf9Tt 3(Rev_12-2014)
Oti; 1-z- (( tl
r"itv Attnrncwv. ,431 T Date
SCHEDULE TO IRS FORM 8283(Rev.12-2014)
R&D INLET PARCEL LLC
LEGAL DESCRIPTION
That certain unnumbered"out-lot"lying Westerly of and opposite to Lot 18, Block 34,Ocean Front
Property of the Miami Beach Improvement Company,according to the Plat thereof recorded in Plat
Book 5,Page 7,of the Public Records of Miami-Dade County, Florida,which"out-lot"constitutes a strip
of land on the Easterly shore of Indian Creek lying between Indian Creek Drive on the East and Indian
Creek on the West and between the North and South lines of said lot 18 produced Westerly to Indian
Creek.
a/k/a 4021 Indian Creek Dr.,Miami Beach,Florida
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
COMMITMENT
Schedule A
Fund File Number 434523
Effective Date: Agent's File Reference: Premium:
March 28,2017 at 11:00 PM 247174-17
i. Policy or Policies to be issued: Proposed Amount of Insurance:
OWNER'S: ALTA Owner's Policy(06/17/06).(With Florida Modifications) 581,600.00
Proposed Insured:City or Miami Beach,a Municipal corporation of the State of Florida
MORTGAGEE:
Proposed Insured:
MORTGAGEE:
Proposed Insured:
2. The estate or interest in the Land described orrefen ed to in this Commitment is
FEE SIMPLE
3. Title to the FEE SIMPLE estate or interest in the Land is at the Effective Date vested in:
R&D Inlet Parcel,LLC,a Florida limited liability company
4. The Land referred to in this Commitment is described as follows:
That certain unnumbered"out-lot"lying Westerly of and opposite to Lot IS,Block 34,Ocean Front Property of the
Miami Beach Improvement Company,according to plat recorded in Plat 5,Page 7,Public Records of Miami-Dade
County,Florida,which"out-lot"constitutes a strip of land on the Easterly shore of Indian Creek lying between Indian
Creek Drive on the East and Indian Creek on the West and between the North and South lines of said Lot 18 produced
Westerly to Indian Creek.
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
400 Second Avenue South.Minneapolis.MN 55401.(612)371-1 t 1 t
Issuing Agent: Agent No.: 2226400
Suzanne A.Dockerty
110 Merrick Way Suite 3-8,
Coral Gables,FL 33134
__-
Agent's Signature
Suzanne A.Dockerty
Foes CF6-SCH.A(rev.12110)(With Ftorids Modifications)
Page 1(4'4
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
COMMITMENT
Schedule B-I
Fund File Number. Agent's File Reference:
434523 247174-17
I. The following are the requirements to be complied with:
I. Payment of the full consideration to,or for the account of,the grantors or mortgagors.
2. Instruments creating the estate or interest to be insured which must be executed,delivered and filed for
record:
A. Warranty Deed from R&D Inlet Parcel,LLC,a Florida limited liability company to the proposed
insured.
3. Good standing under the State of Florida for R&D Inlet Parcel LLC has been verified as of the
certification date of this commitment. Satisfactory evidence must be furnished establishing that R&D
Inlet Parcel LLC remains in good standing under the laws of Florida at date of the insured purchase and
sale and/or loan.
4. If the LLC is relying on a Statement of Authority for the execution of instruments to be insured,confirm
that the person executing the instruments to be insured has the authority to bind the LLC pursuant to a
Statement of Authority granting said person the authority to transfer or enter into other transactions relating
to real property held by the LLC.Said Statement of Authority must be filed with the Florida Department of
State and a certified copy must be recorded in the official records of the county where the property lies.A
determination must also be made that there is no subsequent Statement limiting that person's authority.
5. If there is no Statement of Authority filed with the Florida Department of State and recorded in the official
records of the county where the property lies authorizing the person executing the documents in the current
transaction,confirm that the person executing the instruments to be insured is identified as a manager of a
manager-managed,or a member of a member-managed limited liability company pursuant to the Articles
of Organization or last annual report filed after the year of formation with the Florida Department of State,
and that there is no subsequent Statement filed with the Florida Department of State or recorded in the
official records of the county where the property lies limiting that manager:member's authority.
6. Where there is knowledge that the information filed with the Florida Department of State is inconsistent
with the Operating Agreement of the limited liability company,confirm that the instruments to be insured
are executed by a manager or member authorized pursuant to the Operating Agreement.If the regulations
or operating agreement are not produced,then all of the members of the limited liability company,or a
majority of the members-in-interest per Sec.605.0102(37),F.S.,if the number of the members is
substantial,must execute an affidavit consenting to the transaction.The affidavit shall establish the names
of all of the current members of the limited liability company and their interests.
7. A determination should be made that the member or manager authorizing the transaction or executing the
instruments to be insured is not a debtor in bankruptcy and has not been a debtor in bankruptcy since
becoming a member or manager of the limited liability company.If the LLC is a sole member LLC,then a
determination should be made that there are no creditors who have acquired or are attempting to acquire
control of the LLC by executing on or attaching or seizing the member's interest in the LLC.These
determinations may be made by an affidavit of the member executing the instruments to be insured.
8. A determination should be made that the limited liability company is not one of a family or group of
entities. If the limited liability company is one of a family or group of entities,determine that none of the
other entities in this family or group of entities is a debtor in bankruptcy.For these determinations Fund
members may rely on an affidavit of the person executing the instruments to be insured. In the event that
one or more of the other entities is a debtor in bankruptcy,Fund Underwriting Counsel must approve the
transaction before title is insured.
9. A determination should be made that the member or manager authorizing the transaction or executing the
instruments to be insured has not become dissociated pursuant to Sec.605.0302(11),F.S.(by filing a
statement of dissociation),Secs.605.0212,605.0601,or 605.0602,F.S.,nor has that person wrongfully
Form CF6-Schedule 0-t(rev.12110)
Page 2 of 4
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
COMMITMENT
Schedule B-I (continued)
Fund File Number. Agent's File Reference:
434523 247174-17
caused dissolution of the company.For these determinations Fund members may rely on an affidavit of the
person executing the instruments to be insured.
10. A search commencing with the effective date of this commitment must be performed at or shortly prior to
the closing of this transaction. If this search reveals a title defect or other objectionable matters,an
endorsement will be issued requiring that this defect or objection be cleared on or before closing.
11. Closing funds are to be disbursed by or at the direction of the Title Agent identified at bottom of Schedule
A.
12. Title Agent is to record the insured instruments as soon as possible after closing.
13. Affidavit from the owner of the subject property,or some other person having actual knowledge,
establishing that no person other than the owner is in possession.
14. Affidavit from a reliable person must be furnished establishing that more than 90 days has elapsed since the
completion of all improvements for which payment has not been made in full.
15. A survey meeting The Fund's Title Notes requirements must be furnished. If such survey reveals any
encroachments,overlaps,boundary line disputes,or other adverse matters,they will appear as exceptions in
the policy to be issued based upon this commitment.
16. The Company has no liability under this commitment until an endorsement is issued stating the amount of
the proposed policy.No title policy may be issued in an amount greater than S1,000,000.00 without
specific Underwriting approval.
17. The Company has no liability under this commitment for the issuance of a mortgagee policy until an
endorsement is issued stating the name of the proposed insured mortgagee. The Company reserves the
right to make additional requirements,including but not limited to,review of additional documentation
regarding the proposed insured purchaser.
Form CF6-Schedule B-1 continued(rev.12/10)
Page 3 of 4
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY
COMMITMENT
Schedule B-H
Fund File Number. Agent's File Reference:
434523 247174-17
II. Schedule B of the Policy or Policies to be issued will contain exceptions to the following matters unless the
same are disposed of to the satisfaction of the Company:
1. Defects,liens,encumbrances, adverse claims or other matters,if any,created,first appearing in the Public
Records or attaching subsequent to the Effective Date hereof but prior to the date the Proposed Insured
acquires for value of record the estate or interest or Mortgage thereon covered by this Commitment.
2.a.General or special taxes and assessments required to be paid in the year 2017 and subsequent years.
b.Rights or claims of parties in possession not recorded in the Public Records.
c.Any encroachment,encumbrance,violation,variation,or adverse circumstance that would be disclosed by
an inspection or an accurate and complete land survey of the Land and inspection of the Land.
d.Easements,or claims of easements,not recorded in the Public Records.
e.Any lien or right to a lien,for services,labor or material furnished,imposed by law and not recorded in the
Public Records.
3. Any Owner Policy issued pursuant hereto will contain under Schedule B the following exception: Any
adverse ownership claim by the State of Florida by right of sovereignty to any portion of the Lands insured
hereunder,including submerged,filled and artificially exposed lands,and lands accreted to such lands.
4. Any lien provided by County Ordinance or by Chapter 159,F.S.,in favor of any city,town,village or port
authority, for unpaid service charges for services by any water systems, sewer systems or gas systems
serving the land described herein;and any lien for waste fees in favor of any county or municipality.
5. All matters contained on the Plat of Amended Map of The Ocean Front Property of the Miami Beach
Improvement Company, as recorded in Plat Book 5, Page 7, Public Records of Miami-Dade County,
Florida.
6. Reservations in favor of the State of Florida,as set forth in Deed No.20413 dated June 17, 1953 from the
Trustees of the Internal Improvement Fund of the State of Florida,recorded in the Public Records of the
State of Florida
7. Perpetual non-exclusive easement of ingress and egress set forth in the Easement Agreement between the
City of Miami-Beach and R & D Inlet Parcel, LLC, a Florida limited liability company recorded on
, 2017 in O.R. Book _ , Page _..__, Public Records of Miami-Dade
County,Florida.
S. Rights of the lessees under unrecorded leases.
Form CF6-SCH.8.11(rev 12110)
Page 4 of 4
Closing Affidavit
(Seller)
Before me,the undersigned authority,personally appeared the undersigned("Affiant"),who being by me first duly sworn,
on oath,depose(s)and say(s)that:
l R&D Inlet Parcel,LLC,a Florida limited liability company("Seller"),is the owner of and is selling the following
described property to City of Miami Beach,a Florida municipal corporation ("Buyer"),to wit:
That certain unnumbered"out-lot"lying Westerly of and opposite to Lot 18,Block 34,Ocean Front
Property of the Miami Beach Improvement Company,according to plat recorded in Plat 5,Page 7,
Public Records of Miami-Dade County, Florida,which "out-lot" constitutes a strip of land on the
Easterly shore of Indian Creek lying between Indian Creek Drive on the East and Indian Creek on
the West and between the North and South lines of said Lot 18 produced Westerly to Indian Creek.
2. The above descried property is free and clear of all liens,taxes,encumbrances and claims of every kind, nature and
description of record whatsoever,except for mortgage or mortgages, if any,described in the Deed and except for real
estate and personal property taxes for the year 2017,which are not yet due and payable.
3. There have been no improvements,alterations,or repairs since acquisition by the Seller to the above described property
for which the costs thereof remain unpaid, that there are no claims for labor or material furnished for repairing or
improving the same,which remain unpaid since the acquisition by Seller,and that there are no mechanic's,tnaterialmen's,
or laborer's liens since acquisition by Seller against the above described property,
4. There have been no documents recorded in the Public Records of Miami-Dade County, Florida subsequent to March
28,2017,which affect title to the Property and Seller has not entered into any contracts for the sale,disposition or leasing
of the Property since said date except as may have been disclosed to SUZANNE A.DOCKERTY,P.A.in writing,and
Seller has no knowledge of any matter affecting title to the Property.
5. The personal property contained in the building on said property,or on the said premises,and which,if any,is being sold
free and clear of ail liens, encumbrances, claims and demands whatsoever. The Seller knows of no violations of
Municipal or County Ordinances pertaining to the above described property.No judgment or decree has been entered in
any court in this State or the United States against said Seller which remains unsatisfied.There are no persons other than
Seller in possession of the above described property.
6. Seller agrees that in the event the current real estate or personal property taxes vary in amount from the figures used in
making the prorations used in closing the transfer and conveyance of the above described property to said buyers,then a
new proration and a correct and proper adjustment will be made upon demand.
7. There are no matters pending against the Seller that could give rise to a lien that would attach to the property between the
effective date of commitment and the recording of the interest to be insured. Seller has not and will not execute any
instruments that would adversely affect the interest to be insured.
8. Seller's title to,and possession and enjoyment of,the property have been open,notorious,peaceable and undisturbed,and
have never been disputed nor questioned.
9. There are no disputes concerning the boundary lines of the property,and the operation of any buildings on said property
has been in compliance with the applicable building codes,ordinances and statutes.
10. Affiant has received no notice of any public hearing regarding assessment for improvements or changes in applicable
zoning laws concerning said property within the past ninety(90)days.
11. There are no actions or proceedings now pending in any State or Federal Court to which the Seller is a party,including
but not limited to,proceedings in bankruptcy,receivership or insolvency,nor are there any judgments,bankruptcies,liens
or executions of any nature which constitute or could constitute a charge or lien upon said property.
12. There are no unrecorded easements,claims of easement or rights-of-way affecting all or any portion of the property.
File Number 24717447 Doub alimem.
13. Seller understands that Section 1445 of the Internal Revenue Code provides that a Buyer of a United States real property
interest must withhold tax if the Seller is a foreign person.To inform the Buyer that withholding of tax is not required
upon purchase of the above described property,Seller certifies the following:
a. Seller is not a nonresident alien individual,foreign corporation,foreign partnership,foreign trust or foreign estate for
purposes of United States federal income taxation.
b. Seller's U.S.Taxpayer Identification Number is 82-1513045
c. Seller's address is:1228 Alton Road,Miami Beach,FL 33139.
d. No other persons or entities have an ownership interest in the above described property.
Seller understands the Buyer of the described property intends to rely on the foregoing representations in connection with
the United States Foreign Investment in Real Property Tax Act.(FIRPTA).Seller understands this certification may be
disclosed to the Internal Revenue Service by the Buyer and that any false statements contained in this certification may be
punished by fine,imprisonment or both. Seller has the authority to sign this affidavit as either individual Seller or on
behalf of an entity Seller.Under penalties of perjury,Seller states that this declaration was carefully read and is true and
correct.
14. This affidavit is given for the purpose of clearing any possible question or objection to the title to the above referenced
property and, for the purpose of inducing SUZANNE A. DOCKERTY, P.A. and Old Republic National Title
Insurance Company to issue title insurance on the subject property,with the knowledge that said title companies arc
relying upon the statements set forth herein.Seller hereby holds SUZANNE A. DOCKERTY,P.A.and Old Republic
National Title Insurance Company harmless and fully indemnifies same(including but not limited to attorneys'fees,
whether suit be brought or not, and at trial and all appellate levels,and court costs and other litigation expenses)with
respect to the matters set forth herein."Affiant","Seller"and"Buyer"include singular or plural as context so requires or
admits.Seller further states that he/she is familiar with the nature of an oath and with the penalties as provided by the
laws of the United States and the State of Florida for falsely swearing to statements made in an instrument of this nature.
Seller further certifies that te.'she has read,or heard read,the full facts of this Affidavit and understands its context.
Under penalties of perjury,I declare that I have read the foregoing Affidavit and that the facts stated in it are true.
R&D Inlet Parcel,LLC,a Florida limited liability company
By: \\‘:)\.
-
Print Name: (.4)11 �.S11t
Title: ResAto e.r
Oaring 4 idaru(Seiler) Page 2 DoubiaTNne+
Fite Number 217174-17
State ofLttf'dc.
County of
The foregoing instrument was sworn to and subscribed before me this 2- day of April, 2017 by
l C.t c.S Fi&'sfl cl- as Member* of ft & D Inlet Parcel, LIC, a
Florida limited liability company,on behalf of the corporation. He/she U is personally known to me or[ )has produced a
driver's license as identification. ,�
[Notary Seal] Notary Publi l/11613"1--- ._. _____.
Printed Name: Li nil 1�Y.Berns'
v9'-,, LYNN W.BERNSTEIN M My Commission Expire Ifeio
I.-.
. 2 'St i 7
4 f::: ,a\." = Notary Public•State of Florida '
4 IT ' My Comm.Expires Sep 25,2417$
, +� d:
A •f,C; Commission#FF 457492
Clotting Affidavit(yelled-Page 3
Fite Number:247171-17
EXHIBIT A
(Resolution)
LIMITED LIABILITY COMPANY AFFIDAVIT
STATE OF )
COUNTY OF )
BEFORE ME, ,the undersigned authority, personally appeared
—Iran 9,5 g as n i Glc ("Affiant"),who, being first by me duly sworn, depose
and say:
1. THAT Affiant is the Authorized Manager of R & D Inlet Parcel, LLC, a Florida
limited liability, (the"Company").
2. THAT,as of the date of this Affidavit,the Company is active and in good standing under
the laws of the State of Florida.
3. THAT the Affiant has full power and authority to sign and deliver to The City of Miami
Beach (the "Grantee') on behalf of the Company, all documentation required by the
Grantee in connection with the conveyance by the Company, including without limitation
a Quit Claim Deed, Easement Agreement, Closing Affidavit, Settlement Statement
(collectively, the 'Conveyance Documents"),as so authorized pursuant to the resolution
attached hereto as Exhibit A.
4. THAT the conveyance is in furtherance of the Company's business and consistent with
the Company's constituent documents.
5. THAT the Company is member managed and the officers authorized to bind the
company and their respective titles are set forth on Exhibit B hereto.
6. THAT neither the Company, nor any officer authorized to execute the Conveyance
Documents, have ever been the subject of a bankruptcy proceeding.
7. THAT the Company is not one of a family or group of entities.
8. THAT the Grantee, Old Republic Title Insurance Company ("Title Company') and
Suzanne A. Dockerty, P.A as agent for Title Company, shall be fully protected in relying
on this Affidavit,and shall be indemnified for any claims,expenses,or loss resulting from
the honoring of any signature hereby certified, or refusing to honor any signature not so
certified.
Affiants further state that they are familiar with the nature of an oath and what the
penalties provided by the laws of the State of Florida are for falsely swearing to statements
made in an instrument of this nature, and Affiants further certify that they have read, or have
heard read to them,the full facts of this Affidavit and understand Its contents.
[NO FURTHER TEXTIStGNATURE PAGE FOLLOWS]
R&D Inlet FarceIt\ C,a Florida limited liability
By: \��1\��
Name: BGG Qe.sn i r,k..
Title: i4 cm k)er''
SWQR and SUBSCRIBED,to before me this 2. day of `J e 2017,
by iC&f\C S Pescni t c-k as, 14 c her' of R & D Inlet
Parcel, LLC, a Florida limited liability. Who(✓) is personally known to me or( ) has produced
as identification.
P ,. x i 1 N
NotaryP lid,Stat of fidt'idr at
Large
My Commission Expires:
, ;j94'"'*et;v LYNN W BERNSTEIN �'
Notary Public-State o;Finr! a
1 �;... r! pt My Comm,Expires Sep 25 20,
"%;;a.?P' Commission#FF 05'492 11
2
EXHIBIT B
R&D Inlet Parcel, LLC,a Florida limited liability
Name: Title: Signature: