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Affidavit II11I1 1111111\ 11111 1. Parcel Identification Number (If Parcel ID not available please call County Property , Appraiser's Office) ----+ PHOTOCOPIES OF FLORIDA DEPARTMENT OF REVENUE THIS FORM NOT RETURN FOR TRANSFERS OF INTEREST IN REAL PROPERTY ACCEPTABLE (PLEASE READ INSTRUCTIONS ON THE BACK OF THIS FORM BEFORE COMPLETING) Use black ink. Enter numbers as shown below. If typing, enter numbets as shown below. XXXXXXXXXX XXXXXXXXXX DR-219 R.07198 I 2. Mark (x) all that apply Multi-parcel transaction? --. Transaction is a split or cutout from another parcel? ----+ Property was improved with building(s) at time X of sale/transfer? ----+ 3. Grantor (Seller): Gloria Rosenthal, Trustee of the Gloria Rosenthal Revocable Trust u/a/dtd 5/14/99 1310 Royal Palm Way, Boca Raton, FL 33432 4. Grantee (Buyer): City of Miami Beach, a Florida municipal corporation 1700 Convention Center Drive, Miami Beach, FL 33139 5. Date of Sale/Transfer Sale/Transfer Price 01 Month / 31 Day / 2005 $ 1 080 000 00 Property 2 3 Located In County Code (County Codes on Reverse) Year (Round to the nearest dollar.) 6. Type of Document Contract! Agreement for Deed Quit Claim Deed 8. To the best of your knowledge, were there unusual circumstances or conditions to the sale/transfer such as: Forced sale by court order? Foreclosure pending? Distress Sale? Title Defects? Corrective Deed? Mineral rights? Sale of a partial or undivided interest? Related to seller by blood or marriage. Other 7. Are any mortgages on the property? If "Yes", outstanding mortgage balance: (Round to the nearest dollar.) $ YES / X NO X Warranty Deed YES / X NO 9. Was the sale/transfer financed? YES / X NO If "Yes", please indicate type or types of financing: Agreement or Contract for Deed Other Conventional Seller Provided 1 O. Property Type: Mark (x) all that appy 11. To the best of your knowledge, was personal property YES / X NO $ included in the sale/transfer? If "Yes", please state the amount attributable to the personal property. (Round to the nearest dollar.) 12. Amount of Documentary Stamp Tax ~ $ Institutional/ Residential Commercial Industrial Agricultural Miscellaneous Government Vacant Acreage Timeshare x Cents 6 480 00 13. If no tax is due in number 12, is deed exempt from Documentary Stamp Tax under s. 201.02(6), Florida Statutes? YES Under penalties of peljury, I declare that I have read the foregoing return and that the facts stated in it are true. If prepared by someone other than the taxpayer, hislher declaration is based a information ofwh' ether has any knowledge. ~ ~ _ _/ AD/. '..5" oj Signalllre of Grantor or Grantee or Agent ~ ate , / X NO L WARNING: FAILURE TO FILE THIS RETURN 0 ALTERNATIVE FORM APPROVED BY THE DEPARTMENT OF REVENUE SHALL RESULT IN A PENALTY OF $25.00 [N ADDITION TO ANY OTHER PENALTY IMPOSED BY THE REVENUE LAW OF FLORIDA (To be completed by the Clerk of the Circuit Court's Office) Clerks Date Stamp O.R. Book and Page Number and File Number Date Recorded / / Month Day Year CONTRACTOR'S LIEN, POSSESSION AND GAP AFFIDAVIT AND NON-FOREIGN CERTIFICATE STATE OF FLORIDA COUNTY OF MIAMI-DADE BEFORE ME, the undersigned officer duly authorized to administer oaths and take acknowledgments, personally appeared GLORIA ROSENTHAL, Trustee of the Gloria Rosenthal Revocable Trust uta/dtd 5/14/99, who after being duly sworn, depose and say: 1. That the Trust is the owner of the following described real property (the "Property"): Lot 10, Block 13, Amended Plat of Block Thirteen of the Alton Beach Realty Company, according to the Plat thereof as recorded in Plat Book 9, Page 146, Public Records of Miami-Dade County, Florida. 2. Affiant is not aware of any violations of municipal ordinances pertaining to the above described property other than as stated in the title commitment or any facts, circumstances, or conditions that might give rise to same. 3. Affiant agrees that in the event current real estate taxes vary in amount from the figures used in the closing of the transfer and conveyance of the above described property to the Buyers, then a new proration and a correct and proper adjustment and payment, if applicable, will be made upon demand. 4. There are no actions, proceedings, judgments, bankruptcies, liens or executions recorded among the Public Records of Miami-Dade County, Florida, or any other County in the State of Florida or any other State in the United States, or pending against Affiant in the Courts of Miami-Dade County, Florida or any other Courts in the United States. 5. Affiant states that she is familiar with the nature of an oath and with the penalties provided by the laws of the State of Florida for falsely swearing to statements made in an instrument 0 f this nature. Contractor's Lien 6. That the above described property is free and clear of all liens, taxes, encumbrances and claims of every nature, kind and description whatsoever, except for mortgages, if any, described in the Deed given between the parties named herein, and excepting for the lien of real estate and personal property taxes for the current year, and that within the past 90 days there have been no improvements, alternations or repairs to the above described property for which the costs thereof remain unpaid; that there are no mechanic's, materialmen's, laborer's or contractor's liens, against the above described property; that the personal property contained in the above described property is also free of all liens, claims and encumbrances. f Possession 7. Other than Affiant, no one has possession or the right to possession of the property or any part thereof. GAP 8. There are no claims, demands, liens or judgments outstanding against the property and the owner is not indebted to anyone as to such property except for encumbrances revealed by the Public Records prior to the last continuation oftitle. 9. Affiant has not taken any action to cause any change in title to said property from and after the effective date of Attorneys' Title Insurance Fund, Inc., Commitment No. CF-1470054, dated December 14, 2004, at 11:00 P.M. (the "Commitment"), and there are no matters caused by the Affiant that are pending that could give rise to a lien that would attach to the property. 10. Except for the Deed to be insured, Affiant has not and will not execute any instrument that would adversely affect the title to the property to be insured, nor permit any other authorized signatory of the owner to do so. 11. The Affiant has executed and delivered this Affidavit to induce: (i) CITY OF MIAMI BEACH, a Florida municipal corporation, to purchase the property; and (ii) Attorneys' Title Insurance Fund, Inc. (the "Title Insurance Company"); and Bloom & Minsker, P.L. (the "Title Agent") to insure the Buyers interest in said property. 12. The Affiant hereby agrees to hold the Title Insurance Company and the Title Agent harmless of and from any and all loss, costs, damage and expense of every kind, including attorneys' fees, that the Title Insurance Company or the Title Agent shall or may suffer or become liable for under the policy to be issued on said property, on account of any adverse matters caused by the Affiant that may be recorded between the effective date of the Commitment and the time of the recording ofthe Deed to the Buyers. Non-Foreign Certificate 13. This non-foreign certificate is provided pursuant to Section 1445 of the Internal Revenue Code which provides that a transferee of U.S. Real Property interest must withhold tax in an amount equal to 10% of the amount realized on the disposition if the transferor is a foreign person. To inform the Buyers that withholding of tax is not required upon any disposition ofD.S. real property interest, the undersigned hereby certifies under oath the following: a) Legal Name: GLORIA ROSENTHAL, Trustee of the Gloria Rosenthal Revocable Trust u/a/dtd 5/14/99 b) Permanent Address: 1310 Royal Palm Way Boca Raton, Florida 33432 \jY "t c) Taxpayer's LD. Number: 267-30-2195 d) Affiant is not a foreign person for purposes of United States income taxation, and is not subject to the tax withholding requirements of Section 1445 of the Internal Revenue Code of 1954, as amended. e) That it is understood that this certificate may be disclosed to the Internal Revenue Service by the Buyers, and that any false statement made herein is given under penalty of perjury and could be punished by fine, imprisonment or both. 14. Affiant, under penalties of perjury, declares that she has examined this Affidavit, and it is true, correct and complete. FURTHER AFFIANT SAYETH NAUGHT. Witnesses: ~~~ -. GLORIA ROSENTHAL, Trustee of the Gloria Rosenthal Revocable Trust u/a/dtd 5/14/99 Print Name c:.-~ . '7 .-.. . "??~-"l.A. " -- Print By: GL ~~z;td STATE OF FLORIDA ) COUNTY OF MIAMI-DADE ) The foregoing instrument was acknowledged before me thi;5l~ay of January, 2005, by GLORIA ROSENTHAL, Trustee of the Gloria Rosenthal Revocable Trust u/a/dtd 5/14/99, on behalf of the Trust, who produced a Florida driver's license as identification. Commission Expires: THIS INSTRUMENT PREPARED BY: Craig M. Dome, Esq. 407 Lincoln Road, PHoSE Miami Beach, FL 33139 ,STATE OF FLORIDA r"'........---1? ::Vi> t?071l7 0 L::> I CIL- AL SEAL] bFflClAL NOTARY SEAl- ~\l~ ~U(J OOf(lTll'l ~ .... ~" O~ ~ r;OIIMISSIOll NUt.lBER '" <( 00021692 ::y (;} M'( COIoIMISSIOIl EJ(PlRES _.1 ~(' OF f\c:'<!-~____.!At:t18.2005 L.'---' - . - AFFIDAVIT OF NON-IDENTITY STATE OF FLORIDA ) COUNTY OF MIAMI-DADE ) BEFORE ME the undersigned authority, personally appeared GLORIA ROSENTHAL, Trustee of the Gloria Rosenthal Revocable Trust u/a/dtd 5/14/99, who upon being first duly sworn and cautioned, deposes and says: 1. I am a citizen of Palm Beach County, Florida, and I am as Trustee, the owner of the property legally described as: Lot 10, Block 13, Amended Plat of Block Thirteen of the Alton Beach Realty Company, according to the Plat thereof as recorded in Plat Book 9, Page 146, Public Records of Miami-Dade County, Florida. 2. I am not the one and the same party to that certain Certified Judgment filed in the name of Gloria Miller filed in Official Records Book 22794, Page 2507, of the Public Records of Miami-Dade County, Florida. FURTHER, AFFIANT SAYETH NAUGHT. ~~~ gLORlA ROSENTHAL STATE OF FLORIDA ) COUNTY OF MIAMI-DADE ) The foregoing instrument was acknowledged before me thi~ay of January 2005, by GLORIA ROSENTHAL, who has produced a Florida driver's license as identification, and who did (did not) take an oath. ~ My Commission Expires: NOTARY PUB , STATE OF FLORIDA (NOTARIAL SEAL] -:J:>O~! of.57Z/C- ~l'-y "iJ OFFlClALNOTARYSEAL O"~' <9<c, OOROTHYOlSTER " COMMISSIOl NUMBER ~ <( 00021692 "1<- J? MY c::or.4M1SS1Ol EXPIRES ~ OF F\ 0 MAY 18.2005 -...""..,.".,....,..-~....-....-...,-". .... .-....-......._~ AFFIDAVIT This Instrument Prepared by Craig M. Dome, Esq. 407 Lincoln Road, PH-SE Miami Beach, Florida 33139 STATE OF FLORIDA ) COUNTY OF MIAMI-DADE ) BEFORE ME, the undersigned authority, personally appeared GLORIA ROSENTHAL, individually and as Trustee of the Gloria Rosenthal Revocable Trust u/a/dtd 5/14/99, who after first being duly sworn, deposes and says: I. Affiant states that she is familiar with the nature of an oath; and with the penalties as provided by the laws of the State aforesaid for falsely swearing to statements made in an instrument of this nature. 2. That Affiant is the Trustee of the Gloria Rosenthal Revocable Trust u/a/dtd 5/14/99. That attached hereto as Exhibit "A" is Page I of the Trust confirming the above.. 3. That the Trust is the owner of the following legally described real property located in Miami-Dade County, Florida: Lot 10, Block 13, Amended Plat of Block Thirteen of the Alton Beach Realty Company, according to the Plat thereof as recorded in Plat Book 9, Page 146, Public Records of Miami-Dade County, Florida. 4. That Affiant, as Trustee, has the full power and authority to sell said real property and attached hereto as Exhibit "B" is a copy of Article vn of the Trust showing the powers of the Trustee. That there are no contrary powers or restrictions appearing in the Trust documents.. 5. That the Trust has been in full force and effect during the period of ownership of the real property to be insured.. FURTHERAFFIANTSAYETHNAUGHT~ ~ ( GLORIA ROSENTHAL, Trustee STATE OF FLORIDA ) COUNTY OF MIAMI-DADE ) The foregoing instrument was acknowledged before me this 3/4 day of January, 2005, GLORIA ROSENTHAL, T);u~t~~ho aclmowledged 9.efo~ me that she executed the same, and who produced a FtA. lo\'l iJ~/5 c aVse as IdentIfi hon. My Commission E .: 0 ICIALNOTARYSEAL ......l'- l'u(J DOROTHY OLSTER o <;- V ~ COMMISSICflNUMBEA ~ <( 00021692 ".... J? MV COMMISSION EXPIRES ~ OF r\.C:_~_.-1:4AY 18.2005 FIRST AMENDMENT AND RESTATEMENT TO GLOIUA ROSENTHAL REVOCABLE TRUST AGREEMENT THIS FIRST AMENDMENT, dated this 14th day of May, 1999, to the GLORIA ROSENTHAL REVOCABLE TRUST AGREEMENT, dated the 19th day of May,19S8, by and between GLORIA ROSENTHAL, of Boca Raton, FI~rida, hereinafter called Grantor, and GLORIA ROSENTHAL, of Boca Raton. Florida,. hereinafter called Trustee. WHEREAS, under Article ll(D) of said Trust Agreement, Grantor reserved the right to alter, amend or revoke said Trust Agreement at any time and from time to time, either in whole or in part. NOW THEREFORE, in the exercise of said power, Grantor does hereby amend the said Trust Agreement and Restate the Trust as follows: Gtantor hereby deletes Article I through Article xm in their entirety, and inserts in lieu thereof the following: "ARTICLE I The Trustee shall hold, manage and control the property comprising the trust estate, collect the income therefrom, and shall payor apply the net income to the use of the Grantor in quarterly or other convenient installments during her life or to such person or persons. and in such proportions as sh~ may from time to time direct. .' l~ at any time or times the Grantor is under a legal disability or by reason of illness or mental or physical disability is in .the opinion of two physicians, both of which shalllOaintain a practice in the county of Grantor's residence, unable properly to manage her affairs, the Trustee shall use the net income and principal as the Trustee deems best for the care, support and comfort -1- k BILL T. SMlTB, JR., P.A. . 980 North FcdcraUllgbwlIY . Suite 402 . Boca Raton, FL 33432 · (561) 368-57'7 ElE-~ ZIO/EOO'd Ill-! -IIOH~ I'Id 10:SO So-a I-NYr ARTlCLEVlI Grantor. hereby grants to the Trustees of the trust established hereunder the continuing, abSl>l~te. ~etionary power to deal with any property, real or personal, held in any trUst, lIS freely as Grantor might in the handling of Grantor's own affairs. Such power may be exercised independently and without me prior or subsequent approval of any court or judicial authority, and no person dealing with the Trustees shall be required to inquire into the propriety of any of the Trustee's actions. Without in an~ !'ay limiting the generality of the foregoing, Grantor hereby grants to any TtuStee hereunder all powers granted under Florida law, including the power to sell or otherwise deal with real property and in addition thereto, and not in substirotion thereof, the following: A. To compromise, settle or adjust any claim or demand by or against any trUst and to agree to any rescission or modification of any contract .or agreement. B. To sell, exchange, assign, transfer and convey any security or property, real or personal, beld in any trUst fund, at public or private sale, at such time ond price and upon such terms and conditions (including credit) as the TtuStees may determine. . . . C. To invest and reinvest in such stocks, bonds and other securities and properties as the Trustees may deem advisable. D. To register and carry any property in the Trustees' own name or in the Dame of a nominee or to hold it unregistered, but without thereby increasing or decreasing the Trustees' liability as fiduciary. E. To make any election available to Grantor's estate, whenever in the Trustees' sole discretion the Trustees determine that it is advisable to do so, including without limitation the election of an alternate valuation date, the election of the special use method of valuation, the deduction for income taX pUlJloses of any expense of Grantor's estate, the election of the method of payment under any plan, policy or contract, and tho allocation of any generation skipping tax exemption available to Grantor at Grantor's death to property passing under. this trust or otherwise. Any decision regarding any such election or allocation, if made in good faith, sball be binding and conclusive on aU concerned irrespective of the effect on the amount or allocation of the burden of any tax. Compensating adjustments as between income and principal or as between beneficiaries may be made in the Trustee's discretion but shall not be required. .6- 4 BILL T. SMITH. JR., PoA. . 980 North FedexalHighway' Suite 402' Boca RatOD, FL 33432' (561) 368-5751 This Instrument Prepared by Craig M. Dome, Esq. 407 Lincoln Road, PH-SE Miami Beach, Florida 33139 AFFIDAVIT STATE OF FLORIDA ) COUNTY OF MIAMI-DADE ) BEFORE ME, the undersigned authority, personally appeared GLORIA ROSENTHAL, individually and as Trustee of the Gloria Rosenthal Revocable Trust u/a/dtd 5/14/99, who after first being duly sworn, deposes and says: 1. Affiant states that she is familiar with the nature of an oath; and with the penalties as provided by the laws of the State aforesaid for falsely swearing to statements made in an instrument of this nature. 2. That Affiant is the Trustee of the Gloria Rosenthal Revocable Trust u/a/dtd 5/14/99 and has the care and custody of said trust. 3. That attached hereto as Exhibit "A" is a complete and accurate copy of said trust.. FURTHER AFFIANT SAYETH NAUGHT. STATE OF FLORIDA ) COUNTY OF MIAMI-DADE ) The foregoing instrument was acknowledged before me this ,,/4- day of January, 2005, GLORIA ROSENTHAL, TI:u~~ who acknowledge~ before me that she executed the same, and who produced a P:"t-IJ .:bRiVCl(: S J....../ c.EN~ as identific ion. My Commission Expires: LIC, STATE OF FLO'!!p~ 77-1y () L S j c=./ '---' [NdrARIAL SEAL) ... . SiAL NOf~_.. . iic)AaTM'I "",.-. (11 ~1I15S1CIl N1J118Efl ~ 00021692 ~ l:; l<l'ieoMlA\SSIOIli;xPIRES (1'....'" . ,0 - III" Y \8.200!! I on-.".",....~. .l,._~=<.,""--',.".,-'--. FIRST AMENDMENT AND RESTATEMENT TO GLOlUA ROSENTHAL REVOCABLE TRUST AGREEMENT THIS FIRST AMENDMENT, dated this 14th day of May, 1999, to the GLORIA ROSENTHAL REVOCABLE TRUST AGREEMENT. dated the 19th day of May,l988, by and between GLORIA ROSENTHAL. of Boca Raton, Florida, hereinafter called Grantor, and GLORIA ROSENTHAL, of Boca Raton, Florida, hereinafter called Trustee. WHEREAS, under Article ll(D) of said Trust Agreement, Grantor reserved the right to alter, amend or revoke said Trust Agreement at any time and from time to time, either in whole or in part. NOW THEREFORE, in the exercise of said power, Grantor does hereby amend the said Trust Agreement and Restate the Trust as follows: GTantor hereby deletes Article I through Article XIII in their entirety, and inserts in lieu thereof the following: "ARTICLE I The Trustee shall hold, manage and control the property comprising the trust estate, collect the income therefrom, and shall payor apply the net income to the use of the Grantor in quarterly or other convenient installments during her life or to such person or persons and in such proportions as she: may from time to time direct. I( at any time or times the Grantor is under a legal disability or by reClSOtl of illnCS$ or mental or physical disability is in .the opinion of two physicians, both of which shall maintain a practice in the county of Grantor's residence, unable properly to manage her affairs, the Trustee shall use the Det income and principal as the Trustee deems best for the care. support and comfort -1- ~ BILL T, SMlTB, JR., P.A. . 980 North Federal HlgbWIIY . Suite 402 . Boca Raton, FL 33432 . (561) 368-5757 E!E-~ lIO/EOO'd 18L-L -no~~ ndIO:SO SO-81-NVr of the Grantor and of any person dependent upon her, or for any other purpose the Trustee considers to be for the Grantor's best interests, adding to principal any income not 50 used. The Grantor may add, at any time and from time to time, property to the corpus af the trust estate with the consent of the Trustee, and shall have the right to withdraw property at any time and from time to time. Unless sooner terminated as hereinafter provided, upon the death af the Grantor the trust shall become irrevocable and shall be held, administered and distributed by the Trustee as follows: A. The Trustee shall distrihute the following sums outright and free of trust as follows: nJrl The sum of $500,000 to the Grantor's daughter KAREN B. MILLER, if she sltall survive the Grantor. B. The rest, residue and remainder of the tnlst estate shall be held, administered and distributed to Grantor's daughter KAREN B. MILLER. if she shall survive the Grantor. C. The Trustee shall hold, administer and distribute K.AREN B. MILLER's share of 1. the Trost Estate in accordance with the following provisions: 1. Commencing with the date of Grantor's death, Trustee shall pay and distribute to Grantor's daughter, KAREN B. MILLER all of the net income from the Trust Estate in convenient installments, at least quarter-annually and in addition thereto, such amounts of corpus as the Trustee, from time to time, shall deem advisable to provide for her health, maintenance and support taking into consideration her income from this and ather sources, but not her capital resources. 2. Upon the fi~ (5th) anniversary of Grantor's death, Grantor's daughter, KAREN B. MILLER, shall have the right at any time, and from time to time, to withdraw onc- half (1/2) of the remaining principal of the Trust Estate as detennined in such year, free from' trust or ~her limitations. 3. Upon the tenth (10th) anniversary of Grantor's death, the Grantor's daughter, KAREN B. MILLER, shall have the right at any time, and from time to time, to withdraw all of the remaining principal and any undistributed income remaining in the Trust -2- ~ BaL T. SMITH, JR., P.A. . 980 North Fcdml Hi"ghwIIY . Suite 402 . Boca Raton, FL 33432 . (561) 368-5757 E!E-~ ZIO/.OO'd le!-l ~o~~ ndIO:SO SO-81-Nvr Estate, free from trust or further limitation. Upon the filial withdrawal and distribution of the remaining assets in such beneficiary's trust, such trust shall terminate. D. Upon Grantor's death if Grantor's daughter s~ fail to survive Grantor or in the event KAREN B. MILLER shall die before final distribution or withdrawal of the remaining assets in the Trust Estate as stated above, the Trustee sball divide the principal and wdistributed income, if any, outright and free of trust in equal shares as fonows: 1. One (1) share to Grmtor'sniece, BARBARA KAPLAN LAZAWATSKY, if she shall survive Grantor; if she shall fail to survive Grantor, to her then .' living issue, per stirpes. 2. One (1) share to Grantor's nephew, PAUL KAPLAN, if he shall survive I Grantor; if he shall fail to survive Grantor, to his then living issue, per stirpes. . 3. One (1) share to GrllDtor's nephew, ROBERT KAPLAN, ifbe shall survive Grantor; if he shall fail to survive Grantor, to his then living issue, per stirpes. 4. One (1) share to Grantor's niece, LAUREL HERMAN, if she. shall survive Grantor; if she shall fail to survive Grantor, to her then living issue, per stirpes. 5. One (1) share to Grantor's nephew, GARY HERMAN, if he shall survive Grantor; ifhe shall fail to survive Grantor, to his then living issue, per stUpes. ARTICLE n If any beneficiary shall be lDlder twenty-one (21) years of age at the time the principal of any trust is required to be distributed to him under the above provisions, although his intere&t shall immediately vest, the share of such beneficiary shall be retained in trUSt by the Trustee Wltil he attains.'such age. During such time, the Trustee shall pay to such beneficiary or expend on his behalf, so much of the net income derived from that partieular fund as the Trw;tee may deem advisable to provide properly for his health, maintenance, education and support. and may incorporate :my income not so disbursed into the principal of the fund. When each such beneficiary shall attain the age of twenty-one (21) years, the truSt shall tenninate as to such /:4 G.R. BILL 1'. SMIIB, JIl., P.A. . !ISO North Federal Hilihway . Suite 402 . Boc:a Raton, FL 33432 . (561) 368-5757 -3- ElE-~ ZIO/SOO'd lal-l -IIOl1~ I'ldZO:SO SO-el-NYr beneficiary and the Trustee shall distribute his fund to such beneficiary in fee, or to the estatc of said beneficiary if such beneficiary dies before attaining the age of twenty-one (21) years. If all of tho descendants of the Grantor shall die prior to the complete distribution of all of the trusts herein created, excluding any trust maintained for a beneficiary to whom assets have been distributed in fee but for whom such assets arc being held pursuant to this article subject to such beneficiary's attaining age twenty-one (21), then upon the happening of such event all .assets held by the Trustee shall be distributed to the collateral heirs-at-law of the Grantor in accordance with the laws of descent and distribution then in effect in the State of Florida, the identity of such heiIS to be determined as though the Grantor had died upon the happening of such event. ARTICLE m No beneficiary of any'trust created hereunder shall have any right or power to anti.cipate, pledge, assign, sell, transfer, alienate or encwnber his or her interest in the trust, in any way; nor shall any such interest in any m8IlJler be liable for or subject to the debts, liabilities or obligations of such beneficiary or claims of any sort against such beneficiary. ARTICLE IV During the minority or incapacity of any beneficiary to or for whom income or principal is authorized Of directed to be paid, the Trustee may pay, transfer or assign same in anyone Of mOfe of the following ways: A. Directly to such beneficiary such amount as she may deem advisable as an allowance; B. To the guardian of the person Of of the property of such beneficiary; C. To a relative of such beneficiary upon the agreement of such relative to expend such income or principal solely for the benefit of the beneficiary; D. By ,expending such income or principal directly for the health, education, maintenauce and welfare of such beneficiary; E. To such beneficiary's custodian under the Florida Uniform Transfers to Minors Act. The TlUstee shall have the power in her uncontrolled discretion to determine whether a beneficiary is incapacitated, lIDd hef determinati<ln shall be conclusive. -4. 4 BILL T. SMITH. JR., l.A. . 980 North Federal Hi8hway. Suite 402' Boca Raton, FL 33432 . (S61) 368-S757 ELE-= l10/90C"d 18L-l -nOH= ndlO:SC SC-81-NVr ARTICLE V The Grantor expressly reserves the right, at any time and from time to time during her life, ~y a no~ice in writing signed and aclcnowledged by her in the manner required by the laws of the State-of Florida for the recording of a deed of real property and med with the Trustee at least thiny (30) days prior to the effective date thereof, subject to the prior payment of the TIUStee commissions and expenses in respect thereof: A. To withdraw all Dr any part of the principal free and discharged of the terms and conditions of this Agreement and of the trust hereby created; and B. To revoke or amend this Agreement, and to alter or terminate the trusts hereby created, provided, however, that the duties, responsibilities and rate of compensation of the Trustee as herein provided, shall not be altered or modified by such amendment except upon the written consent of the Trustee. ARTICLE VI A. Upon the death, resignation, or legal disability of Grantor, or if Grantor is unable to properly manage her affai~s by reason of a mental or physical disability as certified by two physicians, both of which shall maintain a regular practice in the county of the Grantor's residence, then Grantor's daughter, KAREN B. MllLER. and ROBERT KAPLAN, shall become Successor Co-Trustees. If any of Grantor's said Successor Trustees shall predecease Grantor or for any reason fail to qualify as Trustee hereunder (or having qualified, shall die or resign), then in such event, the survivor thereof shall act as Txustee and in such capacity shan possess and exercise all powers and authority herein conferred on the Trustees jointly. The Trustees, or Trustee, whichever the case may be, shall not be required to post bond. B. The Grantor, Trustee or her Successors, deemed incapacitated under Paragraph (A) of this Article shall be deemed rehabilitated when he or she is no lODger under a legal disability or when, in the written opinion of two physicians, both of which shall maintain a practice in the CO\D1ty of Grantor's residence, he or she is able to properly m~ge his or her affairs. Upon rehabilitation, that individual shall resume the duties and powers he or she had prior to incapacity and his or her successors shall relinquish all powers and be relieved of all duties. .5. ~ BJU. T. S~ Jll., P,A, . 980 North Federal Hilhway , Suite 402 . Boca RatoD, FL 33432 . (S61) 368-S757 ARTlCLEVll G1'antor. hereby grants to the Trustees of the trust established hereunder the continuing, absol~te, disc,retionary power to deal with any property, real or personal, held in any trUst, lIS freely as Orintor might in the handling of Grantor's own affaiJs. Such power may be exercised independendy and without the prior or subsequent approval of any court or judicial authority, and no person dealing with the Trustees shall be required to inquire into the propriety of any of the Trustee's actions. Without in any way limiting the generality of the foregoing, Grantor hereby grants to any TtIlStee hereund.et all powers granted under Florida law, including the power to sell or otherwise deal with real property and in addition thereto, and not in substimtion thereof; the following: A. To compromise, settle or adjust any claim or demand by or against any trust and to agree to any rescission or modification of any contract .or agreement. B. To sell, exchange, assign, transfer and convey any security or property, real or personal, held in any trUSt fund, at public or private sale, at such time and price and upon such terms and conditions (including credit) as the Trustees may determine. . C. To invest and reinvest in such stocks, bonds and other securities and properties as the Trustees may deem advisable. D. To register and CaIIy any property in the Trustees' own name or in the name of a nominee or to hold it unregistered, but without thereby increasing or decreasing the Trustees' liability as fiduciary. E. To make any election available to Grantor's estate, whenever in the Trustees' sole discretion the Trustees detennine that it is advisable to do so, including witbout limitation the election of an alternate valuation date, the election of the special use method of valuation, the deduction for income tax purposes of any expense of Grantor's estate, the election of the method of payment under any plan, policy or contract, and tho allocation of any generation skipping tax exemption available to Grantor at Grantor's death to property passing under this trust or otherwise. Any decision regarding any such election or allocation, if made in good fnith, shall be binding and conclusive on all concerned irrespective of the effect on the amount or allocation of the burden of any tax. Compensating adjustments as between income and principal or as between beneficiaries may be made in the Trustee's discretion but shall not be required. -6- 4 BILL T. SMml. JR., loA. . 980 Nonh FlldeIlllHighway. Suite 402 . Boca Raton, FL 33432' (561) 368-5757 ARTICI.E VIII As used in this Trust Agreement, the singular shall include the plural, the plural the singular, and the use of any gender shaU include all genders. ARTICLE IX: lbis Agreement shall be construed and regulated in all rc:spects by the laws of the State of Florida. IN WITNESS WHEREOF, GLORIA ROSENTHAL has signed this Instrument as Grantor, and GLORIA ROSENTHAL has signed this Instrument as Trustees, to evidence her llCCCPtance of the First Amendment and Restatement to Revocable Trust Agreement. Signed, sealed and delivered in the presence of: GLORIA ROSENTHAL, Grantor 5T ATE OF FLORIDA COUNTY OF PALM BEACH WE, GLORIA ROSENTHAL, BILL T. SMITH, JR, and WILLIAM J. RINALDO, the Grantor and the witnesses, respectively, whose names are signed to'the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned officer that the Grantor signed the instrument as her First Amendment and Restatement to Revocable Trust Agreement, that she signed, and that each of the witnesses, in the presence of the Grantor, at her request, and in the presence of eaeb other, signed the First Amendment and Restatement to Revocable Trust Agreement as a witness. ~ G.R. BILL T. SMlTB, JR., P.A. . 980 North Federal Highway' Suite 402 . Boca RatOD, FL 33432 . (561) 368.5757 ~7~ ElE~ ZIO/800"d 18l-l -nOH~ nJEO:SO SO~81.NYr ~~~ GLORIA ROSENTHAL, Grantor' SUBSCRIBED, acknQwlcdged and swom to before me by GLORIA ROSENTHAL, ~IT.~. 'I' l':MT'l'R, .T~ and WILLIAM J. RINALDO ,the Grantor and the witnesses, on the ~ day of ~,1999. GLOlUA ROSENTHAL is personally known to me or has produced ~ as identification. BILL T, SMITH, JR. is personally knOWD to me or has produced JJ I JQ as identifioation. WILLIAM J. RINALDO is personally known to me or has produced Mtt- as identification. ~~ No ary Public My Commission Expires: My Commission Number is: ;t G.R. . BILl. T. SMITH, ill., loA. . 980 North Federal Highway. Suit. 402 . Doca'Raton, FL 33432 . (S61) 368-S7S7 -8. ElE-~ ZIO/OIO'd 18l-! -nOH~ ndEO:SO SO-81-NVr .. ACCEPTANCE BY TRUSTEES The undersigned hereby accepts the Trust imposed by the foregoing First Amendment and Restatement to Revocable Trust Agreement, and agree to serve as Trustees upon the terms and conditions therein set forth. WITNESSES: ~ ,/}.a.uLd IGLORIA ROSENTHAL, Trustee: STATE OF FLORIDA COUNTY OF PALM BEACH ~;ng """"'""" w.. _1<dg<d bd'= me tIrls ~ """ of , 1999, by GLORIA ROSENTHAL who is personally known to me or has produced tJ \~ as identification. ~. My Commission Expires: My Commission Number is: ~ G.R BILL T. 5Ml'J11, JR., P.A. . 980 North Federal Hig'hwlIY . Suite 402 . Bllea katClll, FL 33432 . (561) 368-5757 -9- ELH llO/llOd UL-.l -I'IOH:l I1dVO:SO SO-81-NYr SCHEDULE A Being a description of property deposited by GLORIA ROSENTHAL, as Grantor, with GLORIA ROSENTHAL, e.s Trustee, under a certain TNSt Agreement, dated the 14th day of Mav , 1999. Cash in the amount ofSlO.OO L ./!,,;rL~L I GLORIA ROSENTHAL, Grantor ~ -10- ~ BILL 'I, SMlTB, .lL, P.A. . 980 North FedIIl'&1 Highway. 8uib! 402 ' Boc;ll Raton, FL 33432 . (561) 368-5757 E!E~ ZIO/Z10"d II!-! -nou nd~O:SO SO-II-NYr \ (' ( \".. " .. IN THE CIRCUIT COURT OF THE ELEVENTH JUDICIAL CIRCUIT IN AND FOR MIAMI-DADE COUNTY, FLORIDA GENERAL JURISDICTION DIVISION CASE NO. 04-10744 CA 31 GLORIA RjENTHAL, Plaintiff( s), vs. CITY OF MIAMI BEACH, Defendant( s), / C, n. ~ ORDER OF DISMISSAL r...) .- ,. ;, :11 ,. ,. " -- C) "':,.,' o l CJ ( --l ,..... ." 't :.' -0 THIS CAUSE having been stipulated and settled by the attorney for ~PlaifRiff~n October 15, 2004, and the Court being otherwise fully advised in the premises, it is ~: ~ ~ :., o - ....) r. N ': ORDERED and ADJUDGED that the above styled case is heqi>y DiSMISSED with prejudice. This Court retained jurisdiction to enforce the settlement agreement. DONE and ORDERED at Miami, Dade C ; Florida, on October 25, 2004. Copies furnished to: Joshua M. Entin, Esq. Rhonda Montoya Hasan, Esq. n;'... a. 1..-...;L ente'Urr COUPn' JUOGat FINAL ORDER AS TO ALL PARTIES SRS DISPOSITION / "'? NUMBER (~ Book 22795 Page 4923 Total Pages 1 CFN # 20040979606 Case # 04-010744-CA-01 Rec. Date 11/04/2004 Ricky1 CITY OF MIAMI BEACH 555 17th Street. Miami Beach, Fl33139 hUn:' \ci.miami-beach fl us Neighborhood Services Department Code Compliance Division Telephone (305) 673-7555 Facsimile (305) 673-7012 CERTIFICATE CANCELLING FINAL ORDER NOTICE OF VIOLATIONS MIAMI BEACH PROPERTY MAINTENANCE STANDARDS ORDINANCE STATE OF FLORIDA COUNTY OF DADE THIS IS TO CERTIFY that previously cited violations of the Property Maintenance Standards established by the provisions of the City Code of Miami Beach, has been satisfactorily corrected as of this date at the following property, to wit; LEGAL DESCRIPTION; ALTON BEACH REALTY CO AMD PL PB 9-146 LOT 10 BLK 13 STREET ADDRESS: 1833 BAY ROAD The Clerk of the Circuit Court is directed to cancel and discharge of record the Final Order. dated JANUARY 27th. 1997 and recorded in Official Records Book 17536 Page 2511 relating to the above described property. DATED at Miami Beach, Dade County. Florida, this 24th, day of JANUARY, 2005. Sworn to and subscribed before me this ,;;. 'f1'1 day of !)ll/n.tIa-<---l 2005 2k( ?J1 f/'d:pch",,- 7?7 _"7..C~ NI E PYE ODE OMPLlANCE ADMINISTRATOR .5 17TH STREET MIAMI BEACH, FLORIDA 33139 (305) 673-7555 MERCEDES M. GARCIA ,.. MY COMMISSION # DO 221724 : · EXPIRES: June 10.2007 . Il<lndodThluNolaJy~lJndorwril8lS CASE # 47814-PM 0';"-10-07 SUBSTITUTE FORM 1099-S COPY B FILER'S name. street address, city, state, ZIP code, and telephone no. JOEL N. MINSKER. ESQ. BLOOM & MINSKER, P.L. I I 10 BRICKELL AVENUE 7th FLOOR MIAMI,FL 33131-3107 FILER'S Federal identification number TRANSFEROR'S identification number 65-0767880 267-30-2195 TRANSFEROR'S name Gloria Rosenthal. Trustee of the Gloria Rosenthal Revocable Trust u/aldtd 5/14/99 Street address (including apt. no.) 1310 Royal Palm Way City, state, and ZIP code Boca Raton. FL 33432 Account or escrow number (see instructions) 97052.12 Form 1099-S [ ] CORRECTED (if checked) I Date of closing OMB No. 1545-0997 1/31/2005 Proceeds From Real Estate Transactions 2 Gross proceeds 2005 $1,080,000.00 Form 1099-S 3 Address or legal description Copy B For Transferor This is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be imposed on you if this itern is required to be reported and the IRS detennines that it has not been orted. Department of the Treasury - Internal Revenue Service 1833 Bay Road Miami Beach, FL 33] 39 4 Transferor received or will receive property or services as part of the consideration (if checked) -> [ I 5 Buyer's part of real estate tax $0.00 Instructions for Transferor (Keep for your records.) For sales or exchanges of certain real estate. the person responsible for closing a real estate transaction must report the real estate proceeds to the Internal Revenue Service and must furnish this statement to you. To detennine if you have to report the sale or exchange'ofyour main home on your tax return, see the instructions for Schedule D (Form 1040), Capital Gains and Losses. If the real estate was not your main home, report the transaction on Form 4797. Sales of Business Property, Form 6252, Installment Sale Income, and/or Schedule D (Form 1040). Federal mortgage subsidy. You may have to recapture (pay back) all or part of a. federal mortgage subsidy if all the following apply: . You received a loan provided from the proceeds of a qualified mortgage bond or you received a mortgage credit certificate, . Your original mortgage loan was provided after 1990, and . You sold or disposed of your home at a gain during the first 9 years after you received the federal mortgage subsidy. This will increase your tax. See Form 8828, Recapture of Federal Mortgage Subsidy. and Pub. 523, Selling Your Home, Account number. May show an account or other unique number the payer assigned to distinguish your account Box I. Sbows the date of closing. Box 2. Shows the gross proceeds from a real estate transaction, generally the sales price. Gross proceeds include cash and notes payable to you. notes assumed by the transferee (buyer). and any notes paid off at settlement. Box 2 does not include the value of other property or services you received or are to receive. See Box 4. Box 3. Shows the address or a legal description of the property transferred, Box 4. If marked, shows that you received or will receive services or property (other than cash or notes) as part of the consideration for the property transferred, The value of any services or property (other than casb or notes) is not included in box 2. Box 5. Shows certain real estate tax on a residence charged to the buyer at settlement. If you have already paid the real estate tax for the period that includes the sale date, subtract the amount in box 5 from the amount already paid to determine your deductible real estate tax. But if you have already deducted the real estate tax in a prior year, generally report this amount as income on the "Other income" line of Form 1040. For more information, see Pub, 523, Pub, 525. and Pub, 530, YOU ARE REQUIRED BY LAW to provide your correct taxpayer name and identification number for the transaction described above to: JOEL N. MINSKER, ESQ. BLOOM & MINSKER, P.L. If you do not provide your correct taxpayer identification number, you may be subject to civil or criminal penalties imposed bylaw. UNDER THE PENALTIES OF PERJURY, I certify that the above infonnation, including my taxpayer identification number, is correct, and that I have received a copy of this statement. File #: 97052.12 Gloria Rosenthal, Trustee of the Gloria Rosenthal Revoca Trust u/aldtd 51)199 B:' . /~~ Glotia Rosenthal, Trustee