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Florida Department of Revenue- Documentary Stamp Tax Application (2) �cZ3- 3zlz �; 102]23,5'04 PM Flontla�epartmenl of Revenue-Oocumen�ery S�amp Tax Appllcetion ���� State of Florida � Department of Revenue DOR Home eServices Home Print Page Contacts Logout OocamenfaryStampTas- QliqkforMalp FF.IN/SSN:596000372 SARA PATINO I700 CONVENTION CENTER DR MIAMIHEACH,FL33139 Cancellations mus[ he dnnc hefore S:UU p.m. F.T on fhr de�e of suAmission. If [he submission is cnmple�ed aRer 5:00 p.m. ET on [hc datc of suhmissiun,weckend,or holida� fhr cancellaHnn mus[be dnnc bcforc to 5:00 p.m. F.T[he next businrss day.411 cancella�ions arc permanently deleted fmm aur dalaAase. Confirmation Number: 233000352888 Confirm Date and Time: 10127/2023 17:04:08 PM ET oR228 File antl Pay Taz nturna anE paymentg ere tlua Ey tha 20t�Eay M tM1e montM1 bllowing eacM1 collaction parioE. Collection Period: 10/2023 nebit na�e: 10131IY0]3 EMerAmounHorCM1ack: fYA50DU Bank Routing NumOer: 0610�010C Bank Accounl NumOer: 8]0]]01950409 9ankpccountType: CM1ecking Corporale/Panonal: Corporele Name on Bank Acct CITV OF MIAMI BEACH IM1erabyauNorizetM1eDepartmenlofRevenuetoproc satM1isACHtensactionantltotlebitiM1ebankaccounlitlantiletl above.I untlentantl there may be senice charges essaesetl on any transaclions not M1onoretl by my bank. SignaNre: SAIiA PATINO PhoneNumber: �058I31�05 EmailAddnss: payables�miamibeacMl.gov Wo�ksheet for DR226 A:AmouM of B:RaN oescnption Transadion�a) or Fee ��iax oue 5.35 par 5100 Sbp 1 Notx anE OtM1er WriXan ObliHalions to Pay Monay _ 1500000.00,X (MNt = , . 2d50.00, . _ ._ . .. sa.awl _.----- -� SIeP� aonOs ______'_'_' 000'�.XS.35Peri100 = ___ O.00I Slep 3 Inahumants Trenshrnng Interesl in Floritla Real Property a.Miami�DaGe Cauny Surtex __ _ 0.00 X SA5 per5100 = 0.00 b.Taz Amount i.Miaml-0ade Counry _ __ O.00.X 5.60 par 5100 = 0.00 ii.LouMiaseaclutlingMiami-Oatle _ __ O.00�Xf.lOpar5100 = _ _ _ _ 0_00�, Step 4 Instruments Tanahrring Ownarship Inbnst in e Contluit Entiry a.Miami-�aOeCounrySurtaz _ . 0_�O�iXfA5par5100 = . _ 0.�� 0.All Counties inclutling Miami-Datle . __,_ O.00.X f�0 perf100 = __ ODO StepS Miaml�DaEeCounrySuNaxOue�Sumo(Sbpa3aantl0a) , 0.00 Sbp 6 Documantary Stamp Tax Dua(Sum of Sbps 1,3,3Ei,3bii,enC�b.) �__ . _ 2a50-00 httpsi/rih-0-tls¢bswanet/�ST220GonNm.aspx'Con(no=23300035288880ay=flieanCpay v2 102]23,5:04 PM Flontla�eperlmant ot Revenue-�ocumenlary Stamp TaM Appliw�ion 1.Miaml-Datla Counry Surlaz Oue(Amounl on wark��aM Sbp 5) _ _ 0.0�' 5.Dacumentery 3temp Taz�w(Amaunt on worMa�eat Sbp fi) 2450.00� 6.Penally 0.00� 1.Intenel 0.00 B.Talal Amounl Dua wit�RNum 2450.00 eaek b Main Menu Print CwiflrmNlon Sava n POF [F�s] [Pnvacy] [Dsclamer] SECUREO BY �ISECTIGO M1tlps:llrid-&ds@.Oswa.neVD5T228ConNm.espx4Confno=23300035288B8pay=fleandpay ���