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Contract 2025-044AINSTRUMENT#: 2025051248 OR BK 6516 PG 2380 PAGES: 2 4/28/2025 10:24:55 AM
GARY J. COONEY, CLERK OF THE CIRCUIT COURT & COMPTROLLER, LAKE COUNTY, FLORIDA
REC FEES: $18.50 DEED DOC:$385.00
Prepared by and return to:
Christian Waugh
Attorney
Waugh PLLC
201 E. Pine Street Ste 315
Orlando, FL 32801
321-800-6008
File Number: 2025-0114
Above This Line For Recording
Special Warranty Deed
This Special Warranty Deed made this 23rd day of April, 2025 between Legacy Homes FL LLC, a Florida limited
liability company whose post office address is 2237 Kettle Dr, Orlando, FL 32835, grantor, and City of Clermont,
Florida whose post office address is 685 W Montrose St, Clermont, FL 34711, grantee:
(Whenever used herein the terms grantor and grantee include all the parties to this instrument and the heirs, legal representatives, and assigns of individuals,
and the successors and assigns of corporations, trusts and trustees)
Witnesseth, that said grantor, for and in consideration of the sum TEN AND NO/100 DOLLARS ($10.00) and other good
and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has
granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate,
lying and being in Lake County, Florida, to -wit:
The East 1/2 of the vacated Park Way Street right -of --way pursuant to Misc. Ordinance No. 20-M
recorded in O.R. Book 1607, Page 474, and the West 22.00 feet of Lot 11, Block 126A, SUNSET
PARK, OFFICIAL MAP OF THE CITY OF CLERMONT, according to the plat thereof, as
recorded in Plat Book 8, Pages 17-23, inclusive, Public Records of Lake County, Florida.
Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold, the same in fee simple forever.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the
grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said
land and will defend the same against the lawful claims of all persons claiming by, through or under grantors.
In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written.
REST OFPAGE INTENTIONALLYBLANK
SIGNATURE'S ON FOLLOWING PAGE
Special Wan -arty Deed - Page 1 of 2
INSTRUMENT# 2025051248 OR BOOK 6516/PAGE 2381 PAGE 2 of 2
Signed; sealed and delivered in oin- presence:
Witness Name r; ,.� s Esc
Wita?ess Add€ass
6-' F
f ;
ti-Ilness ,Narle:
Witness Address : .)
4.4c' ` L. `f Lwv vu
Legacy FI"oyes FL LL , a Itorida limited liability company
F
By: i r,
C% milo A. Lopez, Mani' ger
State of Florida
County of
L
The oregoing instrument was acknowledged before nee by means of 1 physivai presence or �J online notarization, this
,-2]LI day of April, 2025 by Canino A. Lopez. Manager of Legacy Homes, FL LLC, on behalf of the company, who L] is
personally known to me or has produced f-t Ot— as identification,
[Notary Seal]
'tPRY nUe �. M1R 6LZ.q WAUGH
°' aw Notary Pubfic State of Fiorida
Commission No. HH 492067
MY Comm. ExP, May 3, 2028
[►!
Fainted Name;
My Cormnission Expires;
Put'lal IT'urr- ir( Dee(i - F�Ivo of }
Prepared by and return to:
Christian Waugh
Attorney
Waugh PLLC
201 E. Pine Street Ste 315
Orlando, FL 32801
321-800-6008
File Number: 2025-0114
[Space Above This Line For Recording Data]
Title Affidavit
(Buyer)
Before me, the undersigned authority, duly authorized to take acknowledgments and administer oaths, personally appeared
the undersigned ("Affiant"), who, after being by me first duly sworn, depose(s) and say(s) that:
1. City of Clermont ("Buyer"), is purchasing the following described property from Legacy Homes FL LLC, a Florida
limited liability company ("Seller"), to wit:
The East 1/2 of Park Way Street pursuant to Misc. Ordinance No. 20-M recorded in O.R. Book 1607,
Page 474, and the West 22.00 feet of Lot 11, Block 126A, SUNSET PARK, OFFICIAL MAP OF THE
CITY OF CLERMONT, according to the plat thereof, as recorded in Plat Book 8, Pages 17-23,
inclusive, Public Records of Lake County, Florida.
Parcel Identification Number: 23-22-25-0500-126-A1000
2. INTENTIONALLY DELETED.
3. All recording references set forth herein are to the Public Records of Lake County, Florida, unless otherwise noted.
"Affiant", "Seller" and "Buyer" include singular or plural as context so requires or admits. 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 Waugh PLLC and Old Republic National Title Insurance Company to issue title insurance on the subject
property, with the knowledge that said title companies are relying upon the statements set forth herein. Buyer hereby
holds Waugh PLLC 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.
Under penalties of perjury, I declare that I have read the foregoing Affidavit and that the facts stated in it are true.
City of Clermont
By:
Tim MGy, Ma r
DoubleTime®
State of Flo ida
County of
The foregoing instrument was sworn to and subscribed before me by means of [physical presence or [j online
no ization, this *2 1— day of April, 2025 by Tim Murry, Mayor of City of Clermont, on behalf of said firm. He/she
is personally known or [] has produced as identifca ' n.
[Notary Seal] NICOLE MARE WNR,*- 8q
Notary Public 4No Public
Jostate of FWda 1
Comm#HH269475 Printed Name:
I Expires 6/12/2026 My Commission Expires:
Title Affidavit (Buyer) - Page 2
File Number: 2025-0114 DoubleTime®
INSTRUMENT#: 2025051250 OR BK 6516 PG 2384 PAGES: 2 4/28/2025 10:24:55 AM
GARY J. COONEY, CLERK OF THE CIRCUIT COURT & COMPTROLLER, LAKE COUNTY, FLORIDA
REC FEES: $18.50
Prepared by and return to:
Christian W. Waugh, Esq.
Waugh PLLC
201 E. Pine Street, Suite 315
Orlando, FL 32801
Limited Liability Company Affidavit
Before me, the undersigned authority, personally appeared Camilo A. Lopez, who being by me
first duly sworn, on oath deposes and says that:
1. Affiant is a Manager of LEGACY HOMES FL LLC (the "Company") and holds a fifty
(50) percent interest in the Company.
2. LEGACY HOMES FL LLC was formed as a Florida limited liability company on April 16,
2021, with the Florida Secretary of State.
3. LEGACY HOMES FL LLC has not been dissolved and is currently in existence and active
as a Florida limited liability company pursuant to aforesaid Articles of Organization.
4. Camilo A. Lopez is authorized by a company resolution signed by all members and
managers of the Company to execute any and all closing documents on behalf of the
Company as relates to the property indicated below.
5. As of the date of this Affidavit, LEGACY HOMES FL LLC is the owner of the following
described property:
The East % of Park Way Street pursuant to Misc. Ordinance No. 20-M recorded in O.R.
Book 1607, Page 474, and the West 22.00 feet of Lot 11, Block 126A, SUNSET PARK,
Official Map of the City of Clermont, according to the map or plat thereof, as recorded in
Plat Book 8, Page 17, Public Records of Lake County, Florida.
6. LEGACY HOMES FL LLC desires selling the property described in item 5 to THE CITY
OF CLERMONT, FLORIDA.
7. Neither LEGACY HOMES FL LLC nor any of its members are currently debtors in any
bankruptcy proceeding, and this conveyance is in the ordinary course of business of the
Company.
8. This Affidavit is being made for the purpose of inducing Old Republic National Title
Insurance Company, through its policy issuing agent Waugh PLLC, to issue a policy or
policies of title insurance covering the premises described in Paragraph 6 above.
9. Affiant further states that he is familiar with the nature of an oath and with the penalties as
LLC14fdavit Page 1 of 2
File No. 2025-0114
INSTRUMENT# 2025051250 OR BOOK 6516/PAGE 2385 PAGE 2 of 2
provided by lam, for falsely swearing to statements trade in an instrument of this nature.
Afiiant further certifies that lie has fully read this affidavit and understands its contents.
FURTHER AFFIANT SA'YETH NAUGHT.
Gated '
LEGACY HONIES FLr, L , a Florid.a hinited liability company
y, {
�caniilo A. Lopez, 'resident
itf f,
State of
County of
The Foregoing instrument was sworn to and subscribed before nee by means of• [N physical presence or Ll
ontnne notarization, this � � ,� � `` day of , i I 120251, by Carnilo A. Lopez, as Manager of LEGACY
HONTES FL LLC, on behalf of the corinpany, who Ll is personally'Amown o me orb his produced
t- as identification. , r
;Notary Seam %' r
Notary. Pubfic
6JIlR�LLA �A�GH
*g¢ Fu°`, Notary Public, StateFlorida
°':
Commisssano• Ma49206
, 3 2028
�
�9• ®4. y Comm. Exp..
e'4l'6i �
f.CAfflelavit
File No, 202 5-0 114
Pi int Name: I V1 j j-LUU , -
v
My Commission Expires;
P'tge 2 of 2
Prepared by and return to:
Christian W. Waugh, Esq.
Waugh PLLC
201 E. Pine St, Ste 315
Orlando, FL 32801
File No.: 2025-0114
CQ]IiWi IM-T J
BEFORE ME, the undersigned authority, duly authorized to take acknowledgements and
administer oaths, personally appeared 0 am, w ( - Lp e , , as Manager of LEGACY HOMES FL
LLC, a Florida limited liability company ("Afftant"), who deposes and says under penalties of perjury that:
1. LEGACY HOMES FL LLC is the owner of the property described in Exhibit "A" attached hereto
being the same property described in that certain Notice of Commencement recorded on August
26, 2024, in O.R. Book 6387, Page 1646, and/or Instrument No. 2024099928, of the Public Records
of Lake County, and has knowledge of the matters described in this Affidavit by and through
Affiant, its Manager.
2. That the following list includes the names of all of the persons who have established privity with
the owner (as set forth in Florida Statute 713.05) for providing labor, services, or material for the
improvements being constructed on the property described in Exhibit A:
ROBERT J. MCLENNAN / MCLENNAN CONSTRUCTION GROUP
3. That the following list includes the names of all of the persons who have served notice to owner
(as set forth in Florida Statute 713.06) on the owner:
NIA
4. A certified copy of the recorded Notice of Commencement is properly posted on the construction
site pursuant to the requirements of Florida Statute 713.13, 1 have inspected the property described
in Exhibit A during construction in order to determine whether any notice to owner has been posted
on the property and have listed all persons who posted a notice to owner on the property in
paragraph 3 above.
5. Construction on the property described in Exhibit A is complete and the general contractor,
ROBERT J. MCLENNAN / MCLENNAN CONSTRUCTION GROUP, has been paid for all
work performed.
6. The owner has paid in full all parties named in this affidavit for services that have been rendered
and for which payment has become due up to this point.
7. This affidavit is given to induce Old Republic National Title Insurance Company to insure title
to the subject property. Af iant agrees to indemnify them for any loss or damage resulting from its
reliance on this affidavit.
�l
kk (Aff"iant)
Print Name: CC", u
Owner' Aj idavit Pagel of3
File No.: 2025-0114
STATE OF v
COUNTY OF
The foregoing instrument wads sworn to and subscribed before me by means ofD,physical presence or [ j
online notarization this 2?) day of ( , 2025, by � - ( , who
] is personaIIy known to me or has roduced as identification.
r�
[Notary Seal)
Z
RY,?v .. MIRELLAWAUGH Printed Name: �lz&
`Ou , p:
,- Notary Public, State of Florida
Commission Na. Hki 482067 My Commission Expires: S 3 '
or ,. My comm. Exp. May 3, 2028
Ow net- s Affidavit Page 2 of 3
File No.: 2025-0114
EXHIBIT "A"
The East %z of Park Way Street pursuant to Misc. Ordinance No. 20-M recorded in O.R. Book t 607, Page
474, and the West 22.00 feet of Lot 11, Block 126A, SUNSET PARK, Official Map of the City of Clermont
according to the map or plat thereof as recorded in Plat Book 8, Page 17, Public Records of Lake County,
Florida.
Owner's Aff davit Page 3 of 3
File No.: 2025-0114
INSTRUMENT#: 2025051249 OR BK 6516 PG 2382 PAGES: 2 4/28/2025 10:24:55 AM
GARY J. COONEY, CLERK OF THE CIRCUIT COURT & COMPTROLLER, LAKE COUNTY, FLORIDA
REC FEES: $18.50
THIS INSTRUMENT PREPARED BY
and RETURN TO:
Barkett Law
Attn: David W. Barkett, Esq.
1005 Delridge Avenue
Orlando, FL 32804
PARTIAL RELEASE OF MORTGAGE AND SECURITY AGREEMENT
STATE OF FLORIDA
COUNTY OF ORANGE
KNOW ALL PERSONS BY THESE PRESENTS, that the debt secured by the Mortgage, Assignment of
Rents and Security Agreement dated August 26, 2022, executed by Legacy Homes FL LLC, a Florida
limited liability company and given to Hansar Capital, LC, a Florida limited liability company ("Lender")
encumbering the property, situated in Lake County and Orange County, Florida, to -wit:
AS SET FORTH IN THE MORTGAGE, ASSIGNMENT OF RENTS AND SECURITY AGREEMENT
and recorded on September 2, 2022 in the office of the Clerk of the Circuit Court of Orange County, FL in
Official Records Instrument Number 20220538719; and recorded on September 8, 2022 in the office of the
Clerk of the Circuit Court of Lake County, FL in Official Records Instrument Number 2022120802; as
modified by the Spreader Agreement recorded March 2, 2023 in the office of the Clerk of the Circuit Court of
Lake County, FL in Official Records Instrument Number 2023023232; and recorded on March 9, 2025 in
the office of the Clerk of the Circuit Court of Marion County, FL in Official Records Instrument Number
2023029513, has been partially paid and partially discharged and Lender hereby partially releases the
property described below and all right, title and interest in and to the premises therein described, and the
Clerk of said Court is. hereby authorized to enter this Partial Release of record -for the following property:
The East % of Park :flay-Street_PLIMMantAaMl ism. Ordinar�ce..No, 20RM,� corded to 0.R..:Boofc.16D.7,..•
Page 474 and the West 22.00 feet ;of Lot 11 '.Block'126A, SUNSET PARK, Official Map of the City of
Clermont according to the snap or plat thereof as. recorded in Plat Book 8, Page 17, Public Records of
Lake County, Florida.
[SIGNATURES AND ACKNOWLEDGMENT ON NEXT PAGE]
INSTRUMENT# 2025051249 OR BOOK 6516/PAGE 2383 PAGE 2 of 2
IN WITNESS WHEREOF, the undersigned has hereunto caused this instrument to be executed by its
duly authorized officer, this day of --1 L— , 2025.
Signed, Sealed and delivered in
the presence of:
Witness #1 Signature
Print Name:
jr
1®�
Mailing Address: 0 ,'fD 0 /-1 2-0
Witness #2 ignature
Hansar Capital LC,
a Florida limited liability company
ay:
Ahmad Habib Nagvi, Manager
Print Name:
Mailing Address: ctJ ib
STATE OF FLORIDA
COUNTY OF ORANGE
The foregoing instrument was acknowledged before me by means of [X] physical presence or [ ]
online notarization thi,/-Vz'-Jay of 6=l L- , 2025, by Ahnnad Habib EVagvi as Manager of
Hansar Capital LC, a Florida limited liability company, who [,Vj is personally known to me or who [ ] has
produced as identification and did not take an oath.
Notary Public of the State of Florida
My Commission Expires: ,,,+IF,,,, CRAIC F BUNS I:
My Commission Number. Notary Public -State of Florida
aq ,ornmission 0 HH 197736
MY cornmissien Exp r1,s
P„ ,;;9'` Maroh 06, 2026
FLORIDA LIMITED LIABILITY COMPANY RESOLUTION
LEGACY HOMES FL LLC
The undersigned, constituting all of the Members and Managers of Legacy Homes FL LLC
(hereinafter referred to as the "Company"), by consent in writing pursuant to the Company's
Operating Agreement and the Florida Revised Limited Liability Company Act, do hereby consent
to the following actions of the Company, all pursuant to the laws of the State of Florida:
WHEREAS:
• Camilo A. Lopez is a Manager with a fifty percent (50%) interest in the Company;
• Nicholas A. Burden is a Manager with a fifty percent (50%) interest in the
Company;
• The Company seeks to sell real property located in Clermont, Lake County, Florida,
more particularly described as follows:
The East ''/z of Park Way Street, pursuant to Misc. Ordinance No. 20-M
recorded in O.R. Book 1607, Page 474, and the West 22.00 feet of Lot
11, Block 126A, SUNSET PARK, Official Map of the City of Clermont,
according to the map or plat thereof as recorded in Plat Book 8, Page
17, Public Records of Lake County, Florida.
• Camilo A. Lopez is authorized, by and for the Company, to take action on behalf
of the Company, and is duly elected and qualified to act on behalf of the Company.
THEREFORE, BE IT RESOLVED THAT THE COMPANY DOES:
• Authorize Camilo A. Lopez, as Manager of Legacy Homes FL LLC, to sign,
execute, and endorse all such documents as may be required to sell said real
property.
REST OF PAGE INTENTIONALL Y BLANK
SIGNATURES ON FOLLOWING PAGE
Limited Liability Company Resolution for Legacy Homes FL LLC Page 1 of 2
MANAGER -MEMBERS
Camilo A. Lopez, Manager
Nicholas A. Burden, Manager
G Date: 4 / [X3 / a5
Limited Liability Company Resolution f6r Legacy Homes FL LLC Page 2 of 2
HUD-1 U.S. Department of Housing
A. Settlement Statement and Urban Development OMB No. 2502-0265
B. Type of Loan
Q 1. FHA Q 2. FmHA Q 3. Conv. Unins. 6. File Number 7. Loan Number 8. Mortg. Ins. Case Num.
Q 4. V.A. Q 5. Conv. Ins. 2025-0114
ID:
C. NOTE:This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items
marked "(p.o.cJ" were paid outside the closing; they are shorn here for informational purposes and are not included in the totals.
D. NAME OF BORROWER: City of Clermont
Address of Borrower: 685 W Montrose St, Clermont, Florida 34711
E. NAME OF SELLER: Legacy Homes FL LLC, a Florida limited liability company
Address of Seller: 2237 Kettle Dr, Orlando, Florida 32835 TIN: 86-3306380
F. NAME OF LENDER:
Address of Lender
G. PROPERTY LOCATION: Chestnut St, Clermont, Florida 34711
H. SETTLEMENT AGENT- Waugh PLLC TIN: 86-1945214
Place of Settlement: 201 E. Pine Street, Ste 315, Orlando, Florida 32801 Phone:321-600-6008
I. SETTLEMENT DATE: 4/23125 DISBURSEMENT DATE: 4/23125
00. fro m borrower'.
101. Contract sales price
55,000.00
0D
401. Contract sales price
55,000.00
102. Personal property
402. Personal property
103. Settlement charges to borrower (Line 1400)
1,847.50
403.
104. Seller's attorneys fees
5,000.00
404. Seller's attorneys fees
5,000.00
105.
405.
Adjustmantr for Ams paid by seller in advance:
106. City/town taxes
Adjustments far 0�ms paid by seller in advance:
406. Cily/town taxes
107. County taxes
407. County taxes
108. Assessments
408. Assessments
109.
409.
110.
410.
111.
411.
112.
412.
120. Gross amount due from borrower.
61,847.50
420. Gross amount due to seller.
60,000.00
rr . Amounts paid or in behalf of borrower:
201. Deposit or earnest money
10,000.D0
500. Reduc tio ns i n am aunt d ue to so lie r:
501. Excess deposit (see instructions)
202. Principal amount of new loan(s)
502. Settlement charges to seller (line 1400)
203. Existing loan(s) taken subject to
503. Existing loan(s) taken subject to
204. Principal amount of second mortgage
504. Payoff of first mortgage loan
205.
505. Payoff of second mortgage loan
206.
506. Deposits held by seller
207. Principal amt of mortgage held by seller
507. Principal ant of mortgage held by seller
206.
508.
209.
509.
Adjustments for items unpaid by seller:
210- Dlyltown taxes
Adjustments for items unpaid by seller:
$10. C.KyAown taxes
211. County taxes from 01/01/25 to 04123J25
364.99
511. County taxes from 01/01/25 to 04/23/25
364.99
212. Assessments
512. Assessments
213.
513.
214.
514.
215.
515.
216.
516.
217.
517.
218.
518.
219.
519.
220. Total paid by/for borrower.
i
10.364.99
520. Total reductions in amount due seller.
rr . Cash at settlement tolfrom seller:
364.99
301. Gross amount due from borrower
(line 120)
302. Less amount paid by/for the borrower
(line 220)
61,847.50
601. Gross amount due to seller
(line 420)
60,ODO.OD
(10,364.99) 602. Less total reductions in amount due seller
(line 520)
(364.99)
303. Gash( [?] From 0 To ) Borrower:
51,482.51
603. Cash ( 0 To From ) Seller:
59,635.01
Substitute Forth 1099 Seller Statement: The information contained in blocks E, G, H, and I and on line 401 is important tax information and is being
fumished to the IRS. If you are required to file a return, a negligence penalty or other sanction will be imposed on you if this item is required to be reported and
the IRS determines that it has not been reported.
Seller Instructions: To determine if you have to report the sale or exchange of your main home on your tax return, see Instructions for Schedule D
(Forth 1040 or 1040-SR). If not your main home, report the transaction on Forth 4797, Form 6252, and/or Schedule D for the appropriate income tax form.
Borrowers I . I s : Seller's Initial.;si:
DoubleTrme®
HUD4 U.S. Department of Housing
A. Settlement Statement and Urban Development ONE No. 2502-0265
B. Type of Loan
Q 1. FHA Q 2. FMHA Q 3. Conv. Unins. 6. File Number 7. Loan Number S. Mortg. Ins. Case Num.
Q 4. V.A. Q 5, Conv. Ins.
2025-0114
ID:
C. NOTE:ThIs farm Is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items
marked "(p.o.cJ" were paid outside the closing; they am shown hem for informational purposes and are not Included In the totals.
D. NAME OF BORROWER: City of Clermont
Address of Borrower: 685 W Montrose St, Clermont, Florida 34711
E. NAME OF SELLER: Legacy Homes FL L-C, a Florida limited liability company
Address of Seller: 2237 Kettle Dr, Orlando, Florida 32835 TIN: 86-3306380
F. NAME OF LENDER:
Address of Lender:
G. PROPERTY LOCATION: Chestnut St, Clermont, Florida 34711
H. SETTLEMENT AGENT. Waugh PLLC TIN: 86-1945214
Place of Settlement: 201 E. Pine Street, Ste 315, Orlando, Florida 32801 Phone: 321-800-6008
I. SETTLEMENT DATE: 4/23/25 DISBURSEMENT DATE: 4123125
J. Summary of bor"O"01% $so
101. Contract sales price
165,000.00
K. Summary of seller's transaction
400. Gross arnount due to
401. Contract sales price
55,000.00
102. Personal properly
402. Personal property
103. Settlement charges to borrower (Line 1400)
1,847.50
403.
104. Sellers attorneys fees
5,000.00
404. Sellers attorney's fees
5,000.05
105.
405,
106. City/town lazes
406. City/town taxes
107. County taxes
407. County taxes
108. Assessments
408. Assessments
109.
409.
110.
410.
Ill,
411.
112.
412.
120. Gross amount due from borrower:
61,847.50
420. Gross amount due to seller:
60,000.00
rr
201. Deposit or earnest money
10,000.00
ii
601. Excess deposit (see Instructions)
202. Principal amount of new loan(s)
602. Settlement charges to seller (line 1400)
203. Existing loam(s) taken subject to
503. Existing loan(.) taken subject to
204. Principal amount of second mortgage
504. Payoff of first mortgage loan
205.
505. Payoff of second mortgage loan
1206,
506. Deposits held by seller
207. Principal cant of mortgage held by seller
507. Principal amt of mortgage held by seller
208.
608.
209.
509.
210. City/town taxes
510. City/town taxes
211. County taxes from 01101125 to 04/23/25
364.99
511. County taxes from 01/01/25 to 04123/25
364.99
212. Assessments
512.Assessments
213.
513.
214.
514.
216•
515.
216.
516.
217.
517.
218.
518.
219.
519.
220. Total paid by/for borrower:
10,364.99
520. Total reductions In amount due seller:
364.99
301. Gross amount due from bramwer
(line 120)
61,847.60
601. Gross amount due to seller
(line 420)
60,000.00
302. Less amount paid by/for the borrower
(line 220)
(10,364.99)
602. Less total reductions In amount due seller
(line 520)
(364.99)
303. Cash ( Q From To ) Borrower:
51,482.51
603. Cash( 0 To ❑ From ) Seller:
59,635.01
Substitute Form 1099 Seller Statement: The Information contained In blocks E, G, H, and I and on line 401 is important lax information and Is being
furnished to the IRS. If you are required to file a return, a negligence penalty or other sanction will be Imposed on you If this Item is required to be reported and
the IRS determines that It has not been reported.
Seller Instructions: To determine if you have to report the sale or exchange of your main home on your tax return, see Instructions for Schedule D
(Form 1040 or 1040-SR), If not your main home, report the transaction on Form 4797, Form 6252, and/or Schedule D for the appropriate Income tax form.
Borrower's Initials : Sellers Initials
DoubleTime®
HUD-1
U.S Department of Housing and Urban Devetopmenl
Page 2
700, Tolal SaleaMrokers Com. trased on price 555,000.00 % =
POC SellerPOA
Paid from
Borrowers
Paid from
Seller's
701.
% to
Funds at
Settlement
Funds at
Settlement
702.
% to
703. Commission paid at settlement
704.
r
to
••
801. Loan origination fee
% to
802. Loan discount
% to
803. Appraisal fee
to
804. Credit report
to
805. Lenders inspection fee
to
806. Mortgage insurance application fee
to
807. Assumption Fee
to
808.
to
809.
to
810.
to
811.
to
•rr
901. Interest from
to /day
POCSeller POC
902. Mortgage insurance premium for
months to
903. Hazard insurance premium for
years to
904. Flood insurance premium for
years to
905.
100
loci. Hazard insurance
years to
months @
er POCSefler-•
per month
1002. Mortgage insurance
months @
per month
1003. City property taxes
months
per month
1004. County property taxes
months @
per month
1005. Annual assessments
months @
per month
1006. Flood insurance
months @
permonth
1007.
months @
per month
1008.
months @
per month
1009. Ngrepate accounting adjustment
11 Do.
1101. Settlement or dosing fee
to Waugh PLLC
750.00
1102. Abstract or title search
to Attomeys' Title Fund Services, Inc.
325.00
1103. Title examination
to
1104. Title insurance binder
to
1105. Document preparation
to
1106. Notary fees
to
1107.
to
(includes above item numbers:
)
1108. Title Insurance to Old Republic National Tide Insurance Company/Waugh Grant
316.25
(includes above item numbers:
)
1109. Lenders coverage (Premium):
1110. Owners coverage (Premium): $55,000.00 ($316.25)
1111. Endorse:
1112.
to
1113.
rr Government recordinq -no transfer
to
charqes
1201. Recording fees Deed
$23.75 Mortgage(s)
Releases
23.75
1202. Citylcountytax/stamps Deed
Mortgage(s)
1203. State tax/stamps Deed
$385.00 Mortgage(s)
385.00
1204. Mortgage release recording fee
to State of Florida
23.75
1205. LLC affidavit recording fee
to State of Florida
POCSelie, ••
23.75
1301.
to
1302.
to
1303,
to
1304.
to
1305.
to
1306.
to
1307.
to
1308.
to
1309
1400. Total settlement charges:
Enter on frees 103 Section J and 502. Section K
1,64T.50
0.00
Borrowers Initial(s): Sellers Initial(s):
{'tU
DoubleTime®
HUD-1 U.S. Department of Housing and Urban Development Page 2
`
700. Total Sales/Brokers Com. based on price $55,000.00 @ %=
Paid from
Borrowers
Paid from
Sellers
701,
702.
%to
% to
Funds at
Settlement
Funds at
Settlement
703. Commission paid at settlement
704.
to
WINNER!
801. Loan origination fee
% to
802. Loan discount
%to
803. Appraisal fee
to
804. Credit report
to
605. Lenders lnspectian fee
to
806. Mortgage insurance application fee
to
807. Assumption Fee
to
808.
to
809.
to
810.
to
811.
to
ttI
901. Interest from •
RM-1111
to @ /da
ML
902. Mortgage Insurance premium for
months to
903. Hazard Insurance premium for
years to
904, Flood Insurance premium for
years to
905.
years to
r
1001. Hazard Insurance
months @
_
per month
•
1002. Mortgage Insurance
months @
per month
1003, City property taxes
months @
per month
1004. County property taxes
months @
Per month
1005. Annual assessments
months @
per month
1006. Flood Insurance
months @
per month
1007.
months @
per month
1008.
months @
per month
1009. Aggregate accounting adjustment
r -
1101.Settlement orclosing fee
to Waugh PLLC
750.00
1102. Abstractor title search
to Attorneys' Title Fund Services, Inc,
326.00
1103. TItleexamination
to
1104. This Insurance binder
to
ME Document proportion
to
1106. Notary fees
to
1107.
to
(includes above item numbers:
1108. Title Insurance to Old Republic National Title Insurance CompanylWaugh Grant
)
316.25
(includes above item numbers:
1109. Lender's coverage Premium:
)
1110. Owners coverage Premium): $55,000.00($316.25)
1111. Endorse:
1112.
to
1113.
to
rr
1201. Recording fees • Deed
$23.75 Modgage(s)
Releases
2375
1202. CIty/county tatfstamps Deed
Mortgage(s)
1203. Slate tax/stamps Deed
$385.00 Mortgage(s)
385.00
1204. Mortgage release recording fee
to State of Florida
23.75
1205. LLC afdavlt recording fee
to State of Florida
23.75
1301.
o
1302.
to
1303.
to
1304.
to
1305.
to
1306.
to
1307.
to
1308.
to
1309.
tr
Enter on lines 103, Section J and 502 Section K
1,847.50
0.00
Borrowers Initial(s): Sellers Initial(s):
DoubleTime®
HUD-1 SETTLEMENT STATEMENT ADDENDUM
File Number. 2025-0114
I have carefully reviewed the HUD-1 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 my account or by me in this transaction. I
further certify that I have received a copy of the HUD-1 Settlement Statement.
City of Clermont
By:
Tim Murry
Mayor
Borrower(s)
Seller(s)
Legacy Homes FL LLC
a Florida limited liability company
By:
Nicholas A. Burden
Manager
Settlement Agent
The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this transaction. I have
caused or will cause the funds to be disbursed in accordance with this statement.
Waugh PLLC
By:
Date:
WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar forme.
Penalties upon conviction can Include a fine and imprisonment. For details see: Title 18 U.S. Code Section 1001
and Section 1010.
Double? ime®
HUD-1 SETTLEMENT STATEMENT ADDENDUM
File Number: 2025-0114
have carefully reviewed the HUD-1 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 my account or by me in this transaction. I
further certify that 1 have received a copy of the HUD-1 Settlement Statement.
City of Clermont
Sy:
Tim Murry
.Mayor
Borrower(s)
Seller(s)
Legacy Ho FL LLC ,,
a Flori l ted liability bmpaay
By: v� n M Hager
Settlement Agent
The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this transaction. I have
caused or will cause the funds to be disbursed in accordance with this statement.
Waugh YLLC
By:
Date:
WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar form.
Penalties upon conviction can include a fine and imprisonment. For details see: Title 18 U.S. Code Section 1001
and Section 1010,
DoubleTlmee
Affidavit
[Part III, Ch. 692 F.S. - Conveyances to Foreign Entities - By Entity Buyer]
BEFORE ME, the undersigned authority, duly authorized to take acknowledgments and administer oaths,
personally appeared Tim Murry("Affiant") who deposes and says under penalties of perjury that:
(When used "Affiant" and `Buyer" include singular or plural as context so requires or admits.)
Affiant is the Mayor of the City of Clermont, Florida, which is hereinafter referred to as "Buyer." All
statements in Lines 4 through 5 below are made solely with respect to the Buyer and any holder of a
"Controlling Interest" in the Buyer (as defined in s. 287.138(1)(a), F.S.), in each case solely with respect to
the real property identified in Line 2.
2. Buyer is purchasing or acquiring an interest in the following described real property:
The East '/2 of Park Way Street, pursuant to Misc. Ordinance No. 20-M recorded in O.R. Book 1607,
Page 474, and the West 22.00 feet of Lot 11, Block 126A, SUNSET PARK, Official Map of the City of
Clermont, according to the map of plat thereof, as recorded in Plat Book 8, Page 17, Public Records of
Lake County, Florida
3. Affiant has been given the opportunity to consult with an attorney.
4. Buyer is (initial which is applicable):
Not a Foreign Principal as defined in s. 692.201, F.S., and is in compliance with the
requirements set out in ss. 692.202-205, F.S.
OR
A Foreign Principal as defined in s. 692.201, F.S., and is in compliance with the requirements
set out in ss. 692.202-205, F.S.
5. Affiant acknowledges the foregoing representations will be relied upon to establish compliance with the law.
STATE OF 101rCL
COUNTY OF
LrxEP—
(Affiant)
Print Name: Tim Murry
Official Capacity: Mayor
Name of Buyer: City of Clermont, Florida
Address: 685 W Montrose St. Clermont FL 34711
Sworn to (or affirmed) and subscribed before me by mea s of [physical presence or [ ] online notarization this day of
r 20�. by j rnLL [ 6j who [7is personally known or [ ] has produced as
idOntification. `
NICOLE MMW WMNEW81a
[No Notary Public
*-�/*CE
State of Florida Comm# HH269475Notary Public
Expires 6/12/2026 Printed Name:
My Commission Expires:-�a_oZ�.t
Approved by FREC pursuant to F.A. C. 61J2-10.200
Prepared by and return to:
Christian W. Waugh, Esq.
Waugh PLLC
201 E. Pine St, Ste 315
Orlando, FL 32801
File No.: 2025-0114
CONTRACTOR'S FINAL PAYMENT AFFIDAVIT AND LIEN WAIVER
BEFORE ME, the undersigned authority, duly authorized to take acknowledgements and
administer oaths, personally appeared a5FerPC- �'N�"' as of
MCLENNAN CONSTRUCTION GROUP, INC., a Florida for -profit corporation ("Affiant"), who
deposes and says under penalties of perjury that:
1. I am the )4A -A46 9 r? — of MCLENNAN CONSTRUCTION GROUP, INC., a Florida for -
profit corporation ("Contractor"), and as such am authorized to make this affidavit on behalf of the
company and have personal knowledge of the matters described herein.
2. At all times material hereto, Contractor has been doing business in Lake County, Florida.
3. This affidavit is made pursuant to Florida Statutes, for the purpose of acknowledging full payment
to the Contractor from the Owner at the property described in Exhibit "A," attached hereto.
4. That all lienors engaged by the Contractor to perform or provide labor, services, and/or materials
under the contract, including all extras and change orders, between Contractor and LEGACY
HOMES FL LLC, a Florida limited liability company ("Owner"), and pursuant to that certain
Notice of Commencement recorded on August 26, 2024, in O.R. Book 6387, Page 1646, and/or
Instrument No. 2024099928, of the Public Records of Lake County, have been paid in full and
signed lien waivers have been provided to Contractor and Owner by each of said lienors, except as
follows:
5. For and in consideration of the contract amount paid by Owner the undesigned hereby
acknowledges and does hereby waive, release, remise, and relinquish any and all right to claim any
lien or liens for work done or materials furnished, or any kind of class of lien waiver whatsoever
on the property described in Exhibit "A."
6. The undersigned certifies that all labor, services, and/or materials described herein have been
provided prior to execution and delivery of this document and that all construction on the property
described above was completed on or before !L4 2l S f , 202 S .
7. Contractor agrees to hold harmless Owner, Waugh PLLC, and Old Republic National Title
Insurance Company ("Title Company") free from any and all loss, costs, damage, and expense of
every kind, including attorney's fees, which it shall or may suffer, including, as to the Title
Company, under its said policy or policies now to be issued, or any reissue, renewal, or extension
Contractor's Final Payment Affidavit and Lien Waiver Pagel of 3
File No.: 2025-0114
thereof, or new policy at any time issued upon said real estate, part hereof or interest herein; arising,
directly or indirectly, out of or on account of any such mechanics' or materialmen's liens.
FURTHER AFFIANT SAYETH NOT.
STATE OF�
COUNTY OF
-C��
The foregoing instrument was sworn to and subscribed before me by means of VIphysical presence or L]
online notarization this :Z �- day of , 2025, by who
KI is personally known to me or L] ltas produced as identification.
T (Affiant)
Print Name: ice)
[Notary Seal] ►
Notary Public
Public State of Florida f
Wctorla 5tutts Printed Name: t li OOT`�fl
kINOWY
Commlasion +ik 809380
Expires 11/812028 (�
My Commission Expires: a
Contractor's Final Payment Affidavit and Lien Waiver Page 2 of 3
File No.: 2025-0114
EXHIBIT "A"
The East 'h of Park Way Street pursuant to Misc. Ordinance No. 20-M recorded in O.R. Book 1607, Page
474, and the West 22.00 feet of Lot 11, Block 126A, SUNSET PARK, Official Map of the City of Clermont
according to the map or plat thereof as recorded in Plat Book 8, Page 17, Public Records of Lake County,
Florida.
Contractor's Final Payment Affidavit and Lien Waiver Page 3 of 3
File No.: 2025-0114
BUYER: City of Clermont, Florida
SELLER: Legacy Homes FL LLC, a Florida limited liability company
CLOSING AGENT: Waugh PLLC
CLOSING DATE: April 23, 2025
PROPERTY: 0 Chestnut St, Clermont, FL 34711
We, the undersigned Seller(s) and Buyer(s) of the above -captioned property, hereby
acknowledge that the following are conditions regarding the transfer of the above -captioned property:
1. That all contingencies set forth in the contract between Buyer and Seller have been
complied with or waived as to the above -described Property, except as otherwise noted in writing in
any closing document executed by the parties contemporaneously herewith, and the Closing Statement
accurately reflects the terms of the Contract and any changes made at closing and agreed to by all
parties, if any. Buyer and Seller signing below acknowledge that Waugh PLLC has no obligation to
satisfy or confirm the satisfaction of any contingencies or conditions precedent to closing prescribed
by the agreement for purchase and sale between Buyer and Seller, as amended and modified, that
governs this sale and purchase of real property. Buyer and Seller agree to hold the Closing Agent
harmless from all fines, penalties, damages, expenses (including without implied limitation attorney
fees at trial and/or on appeal), losses, claims, obligations, and liabilities from or relating to any
Contingencies. Buyer and Seller have executed this Acknowledgment intending that Closing Agent
rely on it in effecting the closing under the Contract.
2. That all utility bills, including but not limited to water, sewer, gas, garbage, and electric
are, and homeowners and/or condominium assessments, if applicable, are the responsibility of the parties
involved in this transaction and not that of the Closing Agent. All matters in regard to utility bills will be
handled outside of closing even if such matters appear on the Closing Statement.
3. That each party will fully cooperate with the other party and Closing Agent to adjust for
clerical errors on any or all closing documentation, if deemed reasonably necessary.
4. Seller acknowledges that any payoff(s) of existing Mortgages reflected on the Closing
Statement are based upon the payoff statements received by Closing Agent from current mortgagee and
may be subject to said mortgagee's final audit after receipt ofpayoff funds resulting in a demand by said
mortgagee for additional funds, and Seller, upon request, agrees to forward said funds forthwith.
5. That the proration of taxes and rents as shown by the Closing Statement of this date has
been made on the basis of:
[ j Taxes for the previous year, based on the gross amount, and assuming the
same exemptions to be allowable for the current year; or
[ X ] Taxes for the previous year on unimproved land, where improvements did not
Estoppel, Compliance, and Tax Proration Agreement Page 1 of 2
File Number: 2025-0114
exist and the new assessment is not yet available; or,
[ ] An estimate of current year's tax, based on a comparable lot; or
[ ] The current year's tax bill; or
[ ] No tax pro -ration has been made.
6. That it is understood by the Buyer(s) and SeIler(s) with respect to tax and runt proration
that the following shall apply:
[ ] The parties agree to make any proration adjustments as might be indicated by
such figures. This adjustment will be made directly between the parties, and
Closing Agent will have no responsibility for same; or
IX Both parties have accepted such pro -ration asafmaldeterminationofliability for
taxes between the parties and taxes will not be subject to further adjustments.
SELLER
HOMES FLf,LC, a Florida limited liability company
By. --JF
�Camile A. Lopez,
BUYER
CITY OF CLERMONT, FLORIDA
2
Tire Murry, Mayor
Estoppel, Compliance, and Tar Proration Agreement
File Number: 2025-0114
Z3 2-
Date
Date
Page 2 of 2
exist and the new assessment is not yet available; or,
[ ] An estimate of current year's tax, based on a comparable lot; or
[ ] The current year's tax bill; or
[ ] No tax pro -ration has been made.
6. That it is understood by the Buyer(s) and Seller(s) with respect to tax and rent proration
that the following shall apply:
[ ] The parties agree to make any proration adjustments as might be indicated by
such figures. This adjustment will be made directly between the parties, and
Closing Agent will have no responsibility for same; or
[X ] Both parties have accepted such pro -ration as a final determination of liability for
taxes between the parties and taxes will not be subject to further adjustments.
SELLER
LEGACY HOMES FL LLC, a Florida limited liability company
Camilo A. Lopez, Manager
BUYER
CITY OF CLERMONT, FLORIDA
By:
Tim Murry, MVO
Estoppel, Compliance, and Tax Proration Agreement
File Number: 2025-0114
Date
tl-aa - ao0?5_
Date
Page 2 of 2
BUYER: City of Clermont, Florida
SELLER: Legacy Homes FL LLC, a Florida limited liability company
CLOSING AGENT: Waugh PLLC
CLOSING DATE: April 23, 2025
PROPERTY: 0 Chestnut St, Clermont, FL 34711
We, the undersigned Seller(s) and Buyer(s) of the above -captioned property, hereby
acknowledge that the following are conditions regarding the transfer of the above -captioned property:
1. That all contingencies set forth in the contract between Buyer and Seller have been
complied with or waived as to the above -described Property, except as otherwise noted in writing in
any closing document executed by the parties contemporaneously herewith, and the Closing Statement
accurately reflects the terms of the Contract and any changes made at closing and agreed to by all
parties, if any. Buyer and Seller signing below acknowledge that Waugh PLLC has no obligation to
satisfy or confirm the satisfaction of any contingencies or conditions precedent to closing prescribed
by the agreement for purchase and sale between Buyer and Seller, as amended and modified, that
governs this sale and purchase of real property. Buyer and Seller agree to hold the Closing Agent
harmless from all fines, penalties, damages, expenses (including without implied limitation attorney
fees at trial and/or on appeal), losses, claims, obligations, and liabilities from or relating to any
Contingencies. Buyer and Seller have executed this Acknowledgment intending that Closing Agent
rely on it in effecting the closing under the Contract.
2. That all utility bills, including but not limited to water, sewer, gas, garbage, and electric
are, and homeowners and/or condominium assessments, if applicable, arethe responsibility of the parties
involved in this transaction and not that of the Closing Agent. All matters in regard to utility bills will be
handled outside of closing even if such matters appear on the Closing Statement.
3. That each party will fully cooperate with the other party and Closing Agent to adjust for
clerical errors on any or all closing documentation, if deemed reasonably necessary.
4. Seller acknowledges that any payoff(s) of existing Mortgages reflected on the Closing
Statement are based upon the payoff statements received by Closing Agent from current mortgagee and
may be subject to said mortgagee's final audit after receipt of payoff funds resulting in a demand by said
mortgagee for additional funds, and Seller, upon request, agrees to forward said funds forthwith.
5. That the proration of taxes and rents as shown by the Closing Statement of this date has
been made on the basis of:
[ ] Taxes for the previous year, based on the gross amount, and assuming the
same exemptions to be allowable for the current year; or
IX ] Taxes for the previous year on unimproved land, where improvements did not
Estoppel, Compliance, and Tax Proration Agreement Pagel of 2
File Number: 2025-0114
exist and the new assessment is not yet available; or,
( ] An estimate of current year's tax, based on a comparable lot; or
[ ] The current year's tax bill; or
[ ] No tax pro -ration has been made.
6. That it is understood by the Buyer(s) and Seller(s) with respect to tax and cart proration
that the following shall apply:
( ] The parties agree to make any proration adjustments as might be indicated by
such figures. This adjustment will be made directly between the parties, and
Closing Agent will have no responsibility for same; or
(X ] Both parties have accepted such pro -ration asa fcnaldetermination of liability for
taxes between the parties and taxes will not be subject to further adjustments.
SELLER
LEGACY HOMES FL LLC, a Florida limited liability company
Camilo A. Lopez, Manager
BUYER
CITY OF CLERMONT, FLORIDA
By:
Tim Murry, or
Estoppel, Compliance, and Tax Proration Agreement
File Number: 2025-0114
Date
Date
Page 2 of 2
Affidavit
[Part III, Ch. 692 F.S. - Conveyances to Foreign Entities - By Entity Buyer]
BEFORE ME, the undersigned authority, duly authorized to take acknowledgments and administer oaths,
personally appeared Tim Murry("Affiant") who deposes and says under penalties of perjury that:
(When used "Affiant" and "Buyer" include singular or plural as context so requires or admits.)
1. Affiant is the Mayor of the City of Clermont, Florida, which is hereinafter referred to as "Buyer." All
statements in Lines 4 through 5 below are made solely with respect to the Buyer and any holder of a
"Controlling Interest" in the Buyer (as defined in s. 287.138(1)(a), F.S.), in each case solely with respect to
the real property identified in Line 2.
2. Buyer is purchasing or acquiring an interest in the following described real property:
The East '/z of Park Way Street, pursuant to Misc. Ordinance No. 20-M recorded in O.R. Book 1607,
Page 474, and the West 22.00 feet of Lot 11, Block 126A, SUNSET PARK, Official Map of the City of
Clermont, according to the map of plat thereof, as recorded in Plat Book 8, Page 17, Public Records of
Lake County, Florida
3. Affiant has been given the opportunity to consult with an attorney.
4. Buyer is (initial which is applicable):
Not a Foreign Principal as defined in s. 692.201, F.S., and is in compliance with the
requirements set out in ss. 692.202-205, F.S.
OR
A Foreign Principal as defined in s. 692.201, F.S., and is in compliance with the requirements
set out in ss. 692.202-205, F.S.
5. Affiant acknowledges the foregoing representations will be relied upon to establish compliance with the law.
(Affiant)
Print Name: Tim Murry
Official Capacity: Mayor
Name of Buyer: City of Clermont, Florida
Address: 685 W Montrose St, Clermont, FL 34711
STATE OF DY Q—,
COUNTY OF
Sworn to (or affirmed) and subscribed before me by me s of [physical presence or [ ] online notarization this day of
r 20 by TLM m r r who Mais personally known or [ ]has produced as
id ntification.
NICOLE MARIE WISNIEWSIQ
[No*-r*CS1vi;E1
Notary Public
State of Florida
Comm# HH269475 Notary Public
E tExpires 6/12/2026 Printed Name: 1 cJn�QWcJ ��
My Commission Expires:
Approved by FREC pursuant to F.A.C. 61J2-10.200
Prepared by and return to:
Christian Waugh
Attorney
Waugh PLLC
201 E. Pine Street Ste 315
Orlando, FL 32801
321-800-6008
File Number: 2025-0114
[Space Above This Line For Recording
Title Affidavit
(Buyer)
Before me, the undersigned authority, duly authorized to take acknowledgments and administer oaths, personally appeared
the undersigned ("Affiant"), who, after being by me first duly sworn, depose(s) and say(s) that:
1. City of Clermont ("Buyer"), is purchasing the following described property from Legacy Homes FL LLC, a Florida
limited liability company ("Seller"), to wit:
The East 1/2 of Park Way Street pursuant to Misc. Ordinance No. 20-M recorded in O.R. Book 1607,
Page 474, and the West 22.00 feet of Lot 11, Block 126A, SUNSET PARK, OFFICIAL MAP OF THE
CITY OF CLERMONT, according to the plat thereof, as recorded in Plat Book 8, Pages 17-23,
inclusive, Public Records of Lake County, Florida.
Parcel Identification Number: 23-22-25-0500-126-A1000
2. INTENTIONALLY DELETED.
3. All recording references set forth herein are to the Public Records of Lake County, Florida, unless otherwise noted.
"Affiant", "Seller" and "Buyer" include singular or plural as context so requires or admits. 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 Waugh PLLC and Old Republic National Title Insurance Company to issue title insurance on the subject
property, with the knowledge that said title companies are relying upon the statements set forth herein. Buyer hereby
holds Waugh PLLC 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.
Under penalties of perjury, I declare that I have read the foregoing Affidavit and that the facts stated in it are true.
City of Clermont
By:
Tim Nfu5iy, Ma r
DoubleTime®
State of Flo ida
County of
The foregoing instrument was sworn to and subscribed before me by means of [ ►physical presence or [__] online
nota ization, this �? 2_ day of April, 2025 by Tim Murry, Mayor of City of Clermont, on behalf of said firm. He/she
is personally known or [_] has produced as identificat' n.
[Notary Seal] NXXU MARE W W810 Not ,Public
Notary Public
state of Florida Printed Name:
Comm# HH269475
y s �g10Expires 6/12/2026 My Commission Expires:
Title Affidavit (Buyer) - Page 2
File Number: 2025-0114 DoubleTlme®
HUD-1 U.S. Department of Housing
A. Settlement Statement and Urban Development
OMB No. 2502-0265
B. Type of Loan
0 1. FHA Q 2. FmHA Q 3. Conv. Unins.
6. File Number
7. Loan Number
8. Mortg. Ins. Case Num.
0 4. V.A. O 5. Conv. Ins.
2025-0114
ID:
C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items
marked "(p.o.c.)" were paid outside the closing; they are shown here for informational purposes and are not included in the totals.
D. NAME OF BORROWER: City of Clermont
Address of Borrower: 685 W Montrose St, Clermont, Florida 34711
E. NAME OF SELLER: Legacy Homes FL LLC, a Florida limited liability company
Address of Seller: 2237 Kettle Dr, Orlando, Florida 32835
TIN: 86-3306380
F. NAME OF LENDER:
Address of Lender:
G. PROPERTY LOCATION: Chestnut St, Clermont, Florida 34711
H. SETTLEMENT AGENT: Waugh PLLC
TIN: 86-1945214
Place of Settlement: 201 E. Pine Street, Ste 315, Orlando, Florida 32801
Phone: 321-800-6008
I. SETTLEMENT DATE: 4123/25 DISBURSEMENT DATE: 4/23/25
J. Summary of borrower's transaction
K. Summary of seller's transaction
rr
101. Contract sales price
1 55,000.00
rr , Gross amount due to seller:
401. Contract sales price
55,000.00
102. Personal property
402. Personal property
103. Settlement charges to borrower (Line 1400)
1,847.50
403.
104. Seller's attorney's fees
5,000.00
404. Sellers attorney's fees
5,000.00
105.
405.
Adjustments for items paid by seller in advance:
106. City/town taxes
Adjustments for items paid by seller in advance:
406. City/town taxes
107. County taxes
407. County taxes
108. Assessments
408. Assessments
109.
409.
110.
410.
111.
411.
112.
412.
120. Gross amount due from borrower:
rr
61,847.50
420. Gross amount due to seller:
rr Reductions in amount due to seller:
1 60,000.00
201. Depositor earnest money
10,000.00
.
501. Excess deposit (see instructions)
202. Principal amount of new loan(s)
502. Settlement charges to seller (line 1400)
203. Existing loan(s) taken subject to
503. Existing loan(s) taken subject to
204. Principal amount of second mortgage
504. Payoff of first mortgage loan
205.
505. Payoff of second mortgage loan
206.
506. Deposits held by seller
207. Principal amt of mortgage held by seller
507. Principal amt of mortgage held by seller
2.
508.
209.
1509.
Adjustments for items unpaid by seller:
210. City/town taxes
Adjustments for items unpaid by seller:
510. Cityrtown taxes
211. County taxes from 01/01/25 to 04/23/25
364.99
511. County taxes from 01/01/25 to 04/23/25
364.99
212. Assessments
512. Assessments
213.
513.
214.
514.
215.
515.
216.
516.
217.
517.
218.
518.
219.
519.
220. Total paid by/for borrower:
rr
10,364.99
520. Total reductions in amount due seller:
rr Cash at settlement to/from seller:
364.99
301. Gross amount due from borrower
(line 120)
61,847.50
.
601. Gross amount due to seller
(line 420)
60,000.00
302. Less amount paid by/for the borrower
(line 220)
(10,364.99)
602. Less total reductions in amount due seller
(line 520)
(364.99)
303. Cash ( Q From ❑ To ) Borrower:
51,482.51
603. Cash( �✓ To ❑ From ) Seller:
59,635.01
Substitute Forth 1099 Seller Statement: The information contained in blocks E, G. H, and I and on line 401 is important tax information and is being
furnished to the IRS. If you are required to file a return, a negligence penalty or other sanction will be imposed on you if this item is required to be reported and
the IRS determines that it has not been reported.
Seller Instructions: To determine if you have to report the sale or exchange of your main home on your tax return, see Instructions for Schedule D
(Forth 1040 or 1040-SR). If not your main home, report the transaction on Form 4797, Forth 6252, and/or Schedule D for the appropriate income tax forth.
Borrowers 1 ' ' I s : Sellers Initials :
DoubleTrmeO
HUD-1
U.S. Department of Housing and Urban Development
Page 2
L. Settlement charges
Borrower POC SetterPOC
IPaid from
Borrowers
Paid from
Sellers
700. Total Sales/Brokers Cam. based on price $55,000.00 % =
701.
% to
Funds at
Settlement
Funds at
Settlement
702.
% to
703. Commission paid at settlement
704.
1111-1111111111111�.yable in �connec�fion with loan:
to
Borrower POC Seller
POC
801. Loan origination fee
% to
802. Loan discount
% to
803, Appraisal fee
to
804. Credit report
to
805, Lenders inspection fee
to
806. Mortgage insurance application fee
to
807. Assumption Fee
to
808.
to
809.
to
810.
to
811.
900.to be in
to
advance�
BorrowerlenderPOCSeller.O
901. Interest from
to @ /day
902. Mortgage insurance premium for
months to
903. Hazard insurance premium for
years to
904. Flood insurance premium for
years to
905.
1000.
years to
1001, Hazard insurance
months @
per month
1002. Mortgage insurance
months @
per month
1003. City property taxes
months @
per month
1004. County property taxes
months @
per month
1005. Annual assessments
months @
per month
1006. Flood insurance
months @
per month
1007.
months @
per month
1008.
months @
per month
1009. Aggregate accounting adjustment
00
1101. Settlement or closing fee
to Waugh PLLC
750.00
1102. Abstract or title search
to Attomeys' Title Fund Services, Inc.
325.00
1103. Title examination
to
1104. Title insurance binder
to
1105. Document preparation
to
1106. Notary fees
to
1107.
to
(includes above item numbers.
)
1108. Title Insurance to Old Republic National Title Insurance Company/Waugh Grant
316.25
(includes above item numbers.
)
1109. Lenders coverage (Premium):
1110. Owners coverage (Premium): $55,000.00
($31625)
1111. Endorse:
1112.
to
1113,
1200.
to
1201. Recording fees Deed
$23.75 Mortgage(s)
Releases
23.75
1202. City/county tax/stamps Deed
Mortgage(s)
1203. State tax/stamps Deed
$385.00 Mortgage(s)
385.00
1204. Mortgage release recording fee
to State of Florida
23.75
1205. LLC affidavit recording fee
1300. Additional settlement charges:
to State of Florida
Borrower POC Seller
POC
23.75
1301.
to
1302.
to
1303.
to
1304.
to
1305.
to
1306.
to
1307.
to
1308.
to
1309
rr Total settlement charges:
.
Enter on lines 103 Section J and 502, Section K
1,847.50
0.00
Borrower's Initial(s): Sellers Initial(s):
DoubleTimeO
HUD-1 SETTLEMENT STATEMENT ADDENDUM
File Number: 20250114
I have carefully reviewed the HUD-1 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 my account or by me in this transaction. I
further certify that I have received a copy of the HUD-1 Settlement Statement.
City of Clermont
By:
Tim Murry
Mayor
Borrower(s)
Seller(s)
Legacy Homes FL LLC
a Florida limited liability company
By:
Nicholas A. Burden
Manager
Settlement Agent
The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this transaction. I have
caused or will cause the funds to be disbursed in accordance with this statement.
Waugh PLLC
By:
Date:
WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar form.
Penalties upon conviction can include a fine and imprisonment. For details see: Title 18 U.S. Code Section 1001
and Section 1010.
DoubleTime®
INSTRUMENT#: 2025051248 OR BK 6516 PG 2380 PAGES: 2 4/28/2025 10:24:55 AM
GARY J. COONEY, CLERK OF THE CIRCUIT COURT & COMPTROLLER, LAKE COUNTY, FLORIDA
REC FEES: $18.50 DEED DOC:$385.00
Prepared by and return to:
Christian Waugh
Attorney
Waugh PLLC
201 E. Pine Street Ste 315
Orlando, FL 32801
321-800-6008
File Number: 2025-0114
Above This Line For Recording
Special Warranty Deed
This Special Warranty Deed made this 23rd day of April, 2025 between Legacy Homes FL LLC, a Florida limited
liability company whose post office address is 2237 Kettle Dr, Orlando, FL 32835, grantor, and City of Clermont,
Florida whose post office address is 685 W Montrose St, Clermont, FL 34711, grantee:
(Whenever used herein the terms grantor and grantee include all the parties to this instrument and the heirs, legal representatives, and assigns of individuals,
and the successors and assigns of corporations, trusts and trustees)
Witnesseth, that said grantor, for and in consideration of the sum TEN AND NO/100 DOLLARS ($10.00) and other good
and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has
granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate,
lying and being in Lake County, Florida, to -wit:
The East 1/2 of the vacated Park Way Street right -of --way pursuant to Misc. Ordinance No. 20-M
recorded in O.R. Book 1607, Page 474, and the West 22.00 feet of Lot 11, Block 126A, SUNSET
PARK, OFFICIAL MAP OF THE CITY OF CLERMONT, according to the plat thereof, as
recorded in Plat Book 8, Pages 17-23, inclusive, Public Records of Lake County, Florida.
Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold, the same in fee simple forever.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the
grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said
land and will defend the same against the lawful claims of all persons claiming by, through or under grantors.
In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written.
REST OFPAGE INTENTIONALLYBLANK
SIGNATURE'S ON FOLLOWING PAGE
Special Wan -arty Deed - Page 1 of 2
INSTRUMENT# 2025051248 OR BOOK 6516/PAGE 2381 PAGE 2 of 2
Signed; sealed and delivered in oin- presence:
Witness Name r; ,.� s Esc
Wita?ess Add€ass
6-' F
f ;
ti-Ilness ,Narle:
Witness Address : .)
4.4c' ` L. `f Lwv vu
Legacy FI"oyes FL LL , a Itorida limited liability company
F
By: i r,
C% milo A. Lopez, Mani' ger
State of Florida
County of
L
The oregoing instrument was acknowledged before nee by means of 1 physivai presence or �J online notarization, this
,-2]LI day of April, 2025 by Canino A. Lopez. Manager of Legacy Homes, FL LLC, on behalf of the company, who L] is
personally known to me or has produced f-t Ot— as identification,
[Notary Seal]
'tPRY nUe �. M1R 6LZ.q WAUGH
°' aw Notary Pubfic State of Fiorida
Commission No. HH 492067
MY Comm. ExP, May 3, 2028
[►!
Fainted Name;
My Cormnission Expires;
Put'lal IT'urr- ir( Dee(i - F�Ivo of }
HUD-1 U.S. Department of Housing
A. Settlement Statement and Urban Development OMB No. 2502-0265
B. Type of Loan
0 1. FHA Q 2. FmHA Q 3. Conv. Unins. 6. File Number 7. Loan Number 8. Mortg. Ins. Case Num.
O 4. V.A. Q 5. Conv. Ins. 2025.0114
ID:
C. NOTE:This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items
marked "(p.o.c.)" were paid outside the dosing; they are shown here for informational purposes and are not included in the totals.
D. NAME OF BORROWER: City of Clermont
Address of Borrower: 685 W Montrose St, Clermont, Florida 34711
E. NAME OF SELLER: Legacy Homes FL LLC, a Florida limited liability company
Address of Seller: 2237 Kettle Dr, Orlando, Florida 32835 TIN: 86-3306380
F. NAME OF LENDER:
Address of Lender:
G. PROPERTY LOCATION: Chestnut St, Clermont, Florida 34711
H. SETTLEMENT AGENT: Waugh PLLC TIN: 86-1945214
Place of Settlement: 201 E. Pine Street, Ste 315, Orlando, Florida 32801 Phone: 321-800-6008
I. SETTLEMENT DATE: 4/23/25 DISBURSEMENT DATE: 4/23/25
J. Summary of borrower's transaction
K Summary of seller's transaction
rr400.
101. Contract sales pnce
55,000.00
Gross arriouni due to seller:
401. Contract sales price
55,000.00
102. Personal property
402. Personal property
103. Settlement charges to borrower (Line 1400)
1,847.50
403.
104. Seller's attorneys fees
5,000.00
404. Seller's attorneys fees
5,000.00
105,
405.
Adjustments for items paid by seller in advance:
106. CityAcwn taxes
Adjustments for items paid by seller in advance:
406. City/town taxes
107. County taxes
407. County taxes
108. Assessments
408. Assessments
109.
409•
110.
410.
111.
411 _
112.
412.
120. Gross amount due from borrower.
61,847.50
420. Gross amount due to seller
00
60,000.00
00
201. Depositor earnest money
10,000.00
�J1. Excess deposit (see instructions)
202. Principal amount of new loan(s)
502. Settlement charges to seller (fine 1400)
203. Existing loan(s) taken subject to
503. Existing loan(s) taken subject to
204. Principal amount of second mortgage
504. Payoff of first mortgage loan
P05.
505. Payoff of second mortgage loan
206.
506. Deposits held by seller
207. Principal amt of mortgage held by seller
507. Principal amt of mortgage held by seller
1208,
508•
1209,
`09.
by
Adjustments for Ptems unpaid byseller:
210. Cdyrtown taxes
Adjustments for items unpaid seller:
510. Citynom taxes
211. County taxes from 01/01/25 to 04/23/25
364,99
511. County taxes from 01/01/25 to 04/23/25
364.99
212. Assessments
512. Assessments
213.
513.
214.
514.
215.
515.
216.
516.
217.
517.
218.
518.
219.
519.
220. Total paid by/for borrower:
10,364.99
520. Total reductions in amount due seller.
364.99
00
301, Gross amount due from borrower
(line 120)
61.847.50
601. Gross amount due to seller
(line 420)
60,000.00
302. Less amount paid by/for the borrower
(line 220)
(10,364.99)
602. Less total reductions in amount due seller
(line 520)
(364.99)
303. Cash ( Q From To ) Borrower:
51,482.51
603. Cash ( ❑✓ To From ) Seller:
59,635.01
Substitute Forth 1099 Seller Statement: The information contained in blocks E, G, H, and I and on line 401 is important tax information and is being
fumished to the IRS. If you are required to file a return, a negligence penalty or other sanction will be imposed on you if this item is required to be reported and
the IRS determines that it has not been reported.
Seller Instructions: To determine if you have to report the sale or exchange of your main home on your tax return, see Instructions for Schedule D
(Form 1040 or 1040-SR). If not your main home, report the transaction on Forth 4797, Form 6252, and/or Schedule D for the appropriate income tax form.
Borrower's I ' 1 s : Seller's Inifial(s):
1
Doublerrme®
HUD-1
U.S. Department of Housing and Urban Development
Page 2
700. Total SaieslBrokers Com. based on price $55,000.00 ;: % _
701- %to
702. % to
703. Commission paid at settlement
�•`•`���� ` - •�:.:.-
-
Paid from
Borrower's
Funds at
Settlement
Paid from
Sellers
Funds at
Settlement
704.
:rr
601. Loan origination fee
to
% to
•• Seller ••
802. Loan discount
% to
803. Appraisal fee
to
804. Credit report
to
805. Lender's inspection fee
to
806. Mortgage insurance application fee
to
807. Assumption Fee
to
808.
to
809.
to
810.
to
811.
•rr
901- Interest from
to
to /da
'•
902. Mortgage insurance premium for
months to
903. Hazard insurance premium for
yearsto
904. Flood insurance premium for
yearsto
905.
yearsto
POC Seller POC
rr
1001. Hazard insurance
months
per month
1002. Mortgage insurance
months @
per month
1003. City property taxes
months @
per month
1004. County property taxes
months @
per month
1005. Annual assessments
months @
per month
1006. Flood insurance
months Q
per month
1007.
months Q
per month
1008.
months
per month
1009. Aggregate accounting adjustment
••
110 t. Settlement or dosing fee
to Waugh PLLC
750•Uu
1102- Abstract or title search
to Attomeys' Title Fund Services, Inc.
325.00
1103. Title examination
to
1104. Title insurance binder
to
1105. Document preparation
to
1106. Notary fees
to
1107.
to
(includes above item numbers:
)
1108. Title Insurance to Old Republic National Title Insurance ComparryMaugh Grant
316.25
(includes above item numbers:
)
1109. Lender's coverage (Premium):
1110. Owner's coverage (Premium): $55,000.00 ($316.25)
1111. Endorse:
1112.
to
1113,
to
1201. Recording fees Deed
$23.75 Mortgage(s)
Releases
23.75
12U2. City/county taxlstamps Deed
Mortgage(s)
1203. State taxlstamps Deed
$385.00 Mortgage(s)
385.00
1204. Mortgage release recording fee
to State of Florida
23.75
1205- LLC affidavit recording fee
to Slate of Florida
POCSeller -•
23.75
rr
1301-
to
1302-
to
1303.
to
1304.
to
1305.
to
1306.
to
1307.
to
1308.
to
1309.
1400. Total settlement charges�
Faster on lines 103 SeUian J and 502 Section K
1,847.50
g.00
Borrower's Initial(s): Seller's Initial(s):
DoubleTime®
HUD-1 SETTLEMENT STATEMENT ADDENDUM
File Number: 20250114
I have carefully reviewed the HUD-1 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 my account or by me in this transaction. I
further certify that I have received a copy of the HUD-1 Settlement Statement.
Borrower(s)
City of Clermont
By:
Tim Murry
Mayor
Seller(s)
Legacy Homes FL LLC
a Florida limited liability company
By:
Nicholas A. Burden
Manager
Settlement Agent
The HUD-1 Settlement Statement which I have prepared Is a true and accurate account of this transaction. I have
caused or will cause the funds to be disbursed in accordance with this statement.
Waugh PLLC
By:
Date:
WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar form.
Penalties upon conviction can include a fine and imprisonment. For details see: Title 18 U.S. Code Section 1001
and Section 1010.
DoubleTime®
Prepared by and return to:
Christian Waugh
Attorney
Waugh PLLC
201 E. Pine Street Ste 315
Orlando, FL 32801
321-800-6008
File Number: 2025-0114
Above This Line For Recording
Title Affidavit
(Buyer)
Before me, the undersigned authority, duly authorized to take acknowledgments and administer oaths, personally appeared
the undersigned ("Affiant"), who, after being by me first duly sworn, depose(s) and say(s) that:
1. City of Clermont ("Buyer"), is purchasing the following described property from Legacy Homes FL LLC, a Florida
limited liability company ("Seller"), to wit:
The East 1/2 of Park Way Street pursuant to Misc. Ordinance No. 20-M recorded in O.R. Book 1607,
Page 474, and the West 22.00 feet of Lot 11, Block 126A, SUNSET PARK, OFFICIAL MAP OF THE
CITY OF CLERMONT, according to the plat thereof, as recorded in Plat Book 8, Pages 17-23,
inclusive, Public Records of Lake County, Florida.
Parcel Identification Number: 23-22-25-0500-126-AI000
2. INTENTIONALLY DELETED.
3. All recording references set forth herein are to the Public Records of Lake County, Florida, unless otherwise noted.
"Affiant", "Seller" and "Buyer" include singular or plural as context so requires or admits. 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 Waugh PLLC and Old Republic National Title Insurance Company to issue title insurance on the subject
property, with the knowledge that said title companies are relying upon the statements set forth herein. Buyer hereby
holds Waugh PLLC 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.
Under penalties of perjury, I declare that I have read the foregoing Affidavit and that the facts stated in it are true.
City of Clermont
By:
Tim Murry, Ma r
DoubleTlme®
State of Flo ida ''JJ
County of F
The foregoing instrument was sworn to and subscribed before me by means of [ ►physical presence or L] online
nota 'nation, this �?_Z_ day of April, 2025 by Tim Murry, Mayor of City of Clermont, on behalf of said firm. He/she
is personally known or L] has produced as identificat' n.
N=W MAW
[Notary Seal] Notary Public No ,Public
Public'
y State of Florida Printed Name:�(t
Comm#HH26947S
1Expires 6/12/2026 My Commission Expires:
Title Afdavit (Buyer) - Page 2
File Number: 2025-0114 DoubleTime®
Affidavit
[Part III, Ch. 692 F.S. - Conveyances to Foreign Entities - By Entity Buyer]
BEFORE ME, the undersigned authority, duly authorized to take acknowledgments and administer oaths,
personally appeared Tim Murry("Affiant") who deposes and says under penalties of perjury that:
(When used "Affiant" and "Buyer" include singular or plural as context so requires or admits.)
1. Affiant is the Mayor of the City of Clermont, Florida, which is hereinafter referred to as "Buyer." All
statements in Lines 4 through 5 below are made solely with respect to the Buyer and any holder of a
"Controlling Interest" in the Buyer (as defined in s. 287.138(1)(a), F.S.), in each case solely with respect to
the real property identified in Line 2.
2. Buyer is purchasing or acquiring an interest in the following described real property:
The East %2 of Park Way Street, pursuant to Misc. Ordinance No. 20-M recorded in O.R. Book 1607,
Page 474, and the West 22.00 feet of Lot 11, Block 126A, SUNSET PARK, Official Map of the City of
Clermont, according to the map of plat thereof, as recorded in Plat Book 8, Page 17, Public Records of
Lake County, Florida
3. Affiant has been given the opportunity to consult with an attorney.
4. Buyer is (initial which is applicable):
Not a Foreign Principal as defined in s. 692.201, F.S., and is in compliance with the
requirements set out in ss. 692.202-205, F.S.
OR
_A Foreign Principal as defined in s. 692.201, F.S., and is in compliance with the requirements
set out in ss. 692.202-205, F.S.
5. Affiant acknowledges the foregoing representations will be relied upon to establish compliance with the law.
(Affiant)
Print Name: Tim Murry
Official Capacity: Mayor
Name of Buyer: City of Clermont. Florida
Address: 685 W Montrose St Clermont, FL 34711
STATE OF
COUNTY OF
Sworn to (or affirmed) and subscribed before me by ms of [physical presence or [ ] online notarization this _�Z day of
r 20 6 by 1'Y1 f_l l f� who [ea is personally known or [ ] has produced as
iication. `
NICOLE MARIE wISNIEWS'a
[NotS.r,*CE
Notary Public
State of Florida - '
c Notary Public
Comm# HH269475 ���Expires 6/12/2026 Printed Name: 1 l SaIQ ld%S �
My Commission Expires: &Jd—Ae
Approved by ERE pursuant to F:A. C. 61J2-10.200
BUYER: City of Clermont, Florida
SELLER: Legacy Homes FL LLC, a Florida limited liability company
CLOSING AGENT: Waugh PLLC
CLOSING DATE: April 23, 2025
PROPERTY: 0 Chestnut St, Clermont, FL 34711
We, the undersigned Seller(s) and Buyer(s) of the above -captioned property, hereby
acknowledge that the following are conditions regarding the transfer of the above -captioned property:
1. That all contingencies set forth in the contract between Buyer and Seller have been
complied with or waived as to the above -described Property, except as otherwise noted in writing in
any closing document executed by the parties contemporaneously herewith, and the Closing Statement
accurately reflects the terms of the Contract and any changes made at closing and agreed to by all
parties, if any. Buyer and Seller signing below acknowledge that Waugh PLLC has no obligation to
satisfy or confirm the satisfaction of any contingencies or conditions precedent to closing prescribed
by the agreement for purchase and sale between Buyer and Seller, as amended and modified, that
governs this sale and purchase of real property. Buyer and Seller agree to hold the Closing Agent
harmless from all fines, penalties, damages, expenses (including without implied limitation attorney
fees at trial and/or on appeal), losses, claims, obligations, and liabilities from or relating to any
Contingencies. Buyer and Seller have executed this Acknowledgment intending that Closing Agent
rely on it in effecting the closing under the Contract.
2. That all utility bills, including but not limited to water, sewer, gas, garbage, and electric
are, and homeowners and/or condominium assessments, if applicable, are the responsibility of the parties
involved in this transaction and not that of the Closing Agent. All matters in regard to utility bills will be
handled outside of closing even if such matters appear on the Closing Statement.
3. That each party will fully cooperate with the other party and Closing Agent to adjust for
clerical errors on any or all closing documentation, if deemed reasonably necessary.
4. Seller acknowledges that any payoff(s) of existing Mortgages reflected on the Closing
Statement are based upon the payoff statements received by Closing Agent from current mortgagee and
may be subject to said mortgagee's final audit after receipt of payoff funds resulting in a demand by said
mortgagee for additional funds, and Seller, upon request, agrees to forward said funds forthwith.
5. That the proration of taxes and rents as shown by the Closing Statement of this date has
been made on the basis of:
[ ] Taxes for the previous year, based on the gross amount, and assuming the
same exemptions to be allowable for the current year; or
[ X ] Taxes for the previous year on unimproved land, where improvements did not
Estoppel, Compliance, and Tax Proration Agreement Pagel of 2
File Number: 2025-0114
exist and the new assessment is not yet available; or,
[ ] An estimate of current year's tax, based on a comparable lot; or
[ ] The current year's tax bill; or
[ ] No tax pro -ration has been made.
6. That it is understood by the Buyer(s) and Seller(s) with respect to tax and rent proration
that the following shall apply:
[ ] The parties agree to make any proration adjustments as might be indicated by
such figures. This adjustment will be made directly between the parties, and
Closing Agent will have no responsibility for same; or
[X ] Both parties have accepted such pro -ration as a finaldetermination of liability for
taxes between the parties and taxes will not be subject to further adjustments.
SELLER
LEGACY HOMES FL LLC, a Florida limited liability company
Camilo A. Lopez, Manager
BUYER
CITY OF CLERMONT, FLORIDA
By.
Tim Murry, . or
Estoppel, Compliance, and Tax Proration Agreement
File Number: 2025-0114
Date
y-aa - aoa
Date
Page 2 of 2
W. BROADWAY ST
LEGAL DESCRIPTION
STE 1001
THE WEST 1/2 OF LOT 10 AND LOT 11, BLOCK 126A, SUNSET PARK, ACCORDING TO THE MAP OR
PLAT THEREOF AS RECORDED IN PLAT BOOK 8,
n131
OVIEDO, FL 32765
PAGES 17-23, OF THE PUBLIC RECORDS OF LAKE COUNTY, FLORIDA.
OFFICE: (407) 542-4977
SITE ADDRESS JOB NUMBER
Z��
INFO@HNHSURVEY.COM
L6:8291
TBD CHESTNUT ST, CLERMONT, FLORIDA 34711 24-08-082-SP
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LOT 11 m THE W 1/2
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BLOCK 126A OF-LOT-10
OF LOT 10
BLOCK 126A
BL010K 10?68-
LOT 1 & PART OF ROAD
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BLOCK 126
LOT 9
IMPROVED
BLOCK 126A
FFE: 118.45'
� 110.0'
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ELV: 122.08' ELV: I i.98'
CHESTNUT
STREET
60.0' R/W (P)
66 `91
QS '�9
VERTICAL DATUM
HORIZONTAL DATUM
NORTH AMERICAN VERTICAL DATUM OF 1988 BASED ON THE FLORIDA PERMANENT REFERENCE NETWORK
NORTH AMERICAN DATUM OF 1983, 2011 ADJUSTMENT, ZONE 0901, FLORIDA EAST. THE BASIS OF BEARING FOR
(FPRN) CONTINUOUSLY OPERATING
REFERENCE STATIONS (CORS): ORLI, FLDC, & FLEU.
THIS SURVEY IS THE NORTHERLY LINE OF CHESNUT STREET, BEING N89'26'43"E, AS MEASURED.
LEGEND & SYMBOLS
FIELD DATE:09/19/2024
SIGN DATE: 09/24/24
1 HEREBY CERTIFYTHATTHIS SURVEY ISTRUE
=
PSM = PROFESSIONAL SURVEYOR & MAPPER
BENCHMARK
FIELD CREW: J.H.
DRAFTER: J.W.
AND CORRECTTOTHE BEST OF MY KNOWL-
LB = LICENSED BUSINESS
=
DRAINAGEARROW
LOT SIZE: 9,359 SQ. FT.
MODEL: 1744-A (RH)
EDGE AND THAT THIS SURVEY MEETS THE
LS = LICENSEDSURVEYOR
x00.00 =ROAD
GRADE
STANDARDS OF PRACTICE AS REQUIRED IN
CLIENT NAME:
CERTIFICATIONS:
FND = FOUND
SET = SET "LB 8291" = GROUND GRADE
CHAPTER 5J-17, FLORIDA ADMINISTRATIVE
IR[C] = IRON ROD [& CAP]
COMMENCE LOGISTICS
COMMENCE LOGISTICS
CODE, PURSUANTTO SECTION 472.027 OFTHE
NL(D] = NAIL [& DISK]
=
PROPOSED GRADE
FLORIDA STATUES. THIS SURVEY IS NOT VALID
CM = CONCRETE MONUMENT
SS =
SANITARY MANHOLE
WITHOUT EITHER THE SIGNED AND ORIGINAL
CLIENT FILE NUMBER:
TYP = TYPICAL
FFE = FINISHED FLOOR ELEVATION
RAISED SEAL OFTHE SURVEYOR, OR DIGITAL
BFE = BASE FLOOD ELEVATION ®W =
WELL
SIGNATURE IF VIEWING A PDF COPY OF THE
BSL = BUILDING SETBACK LINE
BM = BENCHMARK ® =
WATER METER
SURVEY.THE DIGITAL COPY OFTHE SIGNATURE
PP = POWER POLE
m =
ELECTRIC METER
IS NOT VALID WHEN PRINTED.
CONC= CONCRETE
SW = SIDEWALK
@ =
CLEANOUT
FEMA FIRM INFORMATION:
0111"1111"
01 1111
Hasa ''�
EP = EDGE OF PAVEMENT
® =ELECTRICAL
RISER
BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING MUNICIPALITY OR WWW.
0 15�R.E
�' "' a t/
N�•.,
CM = CORRUGATED METAL
INV = INVERT
PIPE
1� =
TELEPHONE RISER
FEMA.GOV, THE PROPERTY APPEARS TO BE LOCATED IN ZONE X. THIS PROPERTY
WAS FOUND IN SUNSET PARK, MAP NUMBER 12069CO570E, DATED 12/18/2012.
�` ? •�ze F� 6
Q f: �e :, F s
R/W = RIGHT-OF-WAY
® =
CABLE RISER
`� LS6552
o =
A/C = AIR CONDITIONER
°^
D.E. = DRAINAGE EASEMENT
U.E. = UTILITY EASEMENT
=
POWER POLE
VALVE
SURVEYOR'S NOTES
% t STATE OF .•
: s
FLORIDA
$5
WBF = WOOD BOARD FENCE
D4 =
ADDITIONS, MODIFICATIONS, OR DELETIONS TO THIS SURVEY ARE PROHIBITED WITHOUT WRITTEN
; Sri=
CLF = CHAIN LINKED FENCE
=
IR[C] FOUND
CONSENT BY THE SIGNING SURVEYOR.
�r a7 Survey°t r.��
WVF = WHITE VINYL FENCE
Q =
5/8" IRC SET
�h4unumO�n�
HWF = HOG WIRE FENCE
PROPERTY LINES SHOULD NOT BE RE-ESTABLISHED BY NOTED FENCES OR BUILDING TIES.
BWF = BARBED WIRE FENCE
A =
NL[D] FOUND
(P) = PLAT (M) = MEASURED (C)=CALCED =
NLDSET
NO UNDERGROUND INSTALLATIONS OR IMPROVEMENTS WERE LOCATED, INCLUDING BUT NOT LIMITED
— -
EXISTING
PROPOSED
TO BURIED UTILITIES, FOUNDATIONS, AND FOOTERS.
FAUN HOFFMEIER LS 6552
CULVERT — —
UTILITIES
=
CM FOUND
NO INSTRUMENTS OF RECORD REFLECTING OWNERSHIP OR ENCUMBRANCES WERE PROVIDED, EXCEPT
H&H SURVEY CONSULTANTS LB 8291
SEPTIC/SEWER
_
CM SET
AS NOTED, NOR DID THE SURVEYOR ABSTRACT THESE LANDS.
AN EXACTA COMPANY
131 W. BROADWAY ST, STE 1001, OVIEDO, FL 32765
INFO@HNHSURVEY.COM
OFFICE: (407) 542,4977
Docusign Envelope ID: E62EE9C4-33E1-4515-B010-2DDB7208630D
Vacant Land Contract
1 1. Sale and Purchase ("Contract"): LEGACY HOMES LLC
2 ("Seller") and City of Clermont
3 ("Buyer") (the "parties") agree to sell and buy on the terms and conditions specified below the property ("Property")
4 described as:
5 Address: 0 Chestnut St Clermont FL 34711
6 Legal Description:
7 The East 112 of the vacated Park Way Street [Wht-of-way and the West 22.00 feet of Lot 11 Block 126A Sunset
8 Park Official Map of the City of Clermont according to the plat thereof, as recorded in Plat Book 8 Pages 17-
9 23 inclusive Public Records of Lake County, Florida See attached Lot Sketch - Described as Parcel A
10
11
12
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SEC /TWP / /RNG _ of Lake County, Florida. Real Property ID No.:
including all improvements existing on the Property and the following additional property:
tax Parcel.
23-22-25-0500-126-A1000
A portion of the above
14 2. Purchase Price: (U.S. currency)...............................................................................................
15 All deposits will be made payable to "Escrow Agent" named below and held in escrow by:
16 Escrow Agent's Name: Waugh PPLC
17 Escrow Agent's Contact Person: Christian Waugh cc: MireNa Waugh
18 Escrow Agent's Address: 201 E. Pine Street, Suite 315, Orlando, FL 32801
19 Escrow Agent's Phone: 321-800-6008, 407-716-4290
20 Escrow Agent's Email: cwaualh wau h.legat cc:mwaughC�waugh.legal
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$ 55,000.00
(a) Initial deposit ($0 if left blank) (Check if applicable)
❑ accompanies offer
J� will be delivered to Escrow Agent within days (3 days if left blank)
after Effective Date............................................................................................. $ 10,000.00
(b) Additional deposit will be delivered to Escrow Agent (Check if applicable)
❑ within days (10 days if left blank) after Effective Date
❑ within days (3 days if left blank) after expiration of Due Diligence Period .......... $
(c) Total Financing (see Paragraph 6) (express as a dollar amount or percentage) ................. $
(d) Other. ........... $
(e) Balance to close (not including Buyer's closing costs, prepaid items, and prorations)
to be paid at closing by wire transfer or other Collected funds ............................................. $
45, 000.00
32 (f) ❑ (Complete only if purchase price will be determined based on a per unit cost instead of a fixed price.) The
33 unit used to determine the purchase price is ❑ lot ❑ acre ❑ square foot ❑ other (specify):
34 prorating areas of less than a full unit. The purchase price will be $ . per unit based on a
35 calculation of total area of the Property as certified to Seller and Buyer by a Florida licensed surveyor in
36 accordance with Paragraph 8(c). The following rights of way and other areas will be excluded from the
37 calculation:
38 3. Time for Acceptance; Effective Date: Unless this offer is signed by Seller and Buyer and an executed copy
39 delivered to all parties on or before February 10, 2025 , this offer will be withdrawn and Buyer's deposit, if
40 any, will be returned. The time for acceptance of any counter-offer will be 3 days after the date the counter-offer is
41 delivered. The "Effective Date" of this Contract is the date on which the last one of the Seller and Buyer
42 has signed or initialed and delivered this offer or the final counter-offer.
43 4. Closing Date: This transaction will close on or before April 11, 2025 ("Closing Date"), unless specifically
44 extended by other provisions of this Contract. The Closing Date will prevail over all other time periods including,
45 but not limited to, Financing and Due Diligence periods. However, if the Closing Date occurs on a Saturday,
46 Sunday, or national legal holiday, it will extend to 5:00 p.m. (where the Property is located) of the next business
47 day. In the event insurance underwriting is suspended on Closing Date and Buyer is unable to obtain property
48 insurance, Buyer may postpone closing for up to 5 days after the insurance underwriting suspension is lifted. If
49 this transaction does not close for any reason, Buyer will immediately return all Seller provided documents and
50 other items.
51 5. Extension of Closing Date: If Paragraph 6(b) is checked and Closing Funds from Buyer's lender(s) are not
52 available on Closing Date due to Consumer Financial Protection Bureau Closing Disclosure delivery requirements
LrLb
_ Buyer () L ) and Sell (__) acknowledge receipt of a copy of this page, which is 1 of 8 pages.
©2024 Florida Realtors®
VAC-14)m Rev 8/24
Licensed to Alta Star software and ID1836150.469414
Software and added formatting © 2025 Alta Star Software, all rights reserved. - www.altastar.com - (877) 279-8898
Docusign Envelope ID: E62EE9C4-33E1-4515-B010-2DDB7208630D
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("CFPB Requirements), if applicable, then Closing Date shall be extended for such period necessary to satisfy
CFPB Requirements, provided such period shall not exceed 10 days.
6. Financing: (Check as applicable)
(a) 0 Buyer will pay cash for the Property with no financing contingency.
(b) ❑ This Contract is contingent on Buyer qualifying for and obtaining the commitment(s) or approval(s)
specified below ("Financing") within days after Effective Date (Closing Date or 30 days after Effective
Date, whichever occurs first, if left blank) ("Financing Period"). Buyer will apply for Financing within
days after Effective Date (5 days if left blank) and will timely provide any and all credit, employment, financial,
and other information required by the lender. If Buyer, after using diligence and good faith, cannot obtain the
Financing within the Financing Period, either party may terminate this Contract and Buyer's deposit(s) will be
returned.
(1) ❑ New Financing: Buyer will secure a commitment for new third party financing for $
or % of the purchase price at (Check one) ❑ a fixed rate not exceeding % ❑ an
adjustable interest rate not exceeding % at origination (a fixed rate at the prevailing interest rate
based on Buyer's creditworthiness if neither choice is selected). Buyer will keep Seller and Broker fully
informed of the loan application status and progress and authorizes the lender or mortgage broker to
disclose all such information to Seller and Broker.
(2) ❑ Seller Financing: Buyer will execute a ❑ first ❑ second purchase money note and mortgage to
Seller in the amount of $ , bearing annual interest at °/a and payable as follows:
The mortgage, note, and any security agreement will be in a form acceptable to Seller and will follow
forms generally accepted in the county where the Property is located; will provide for a late payment fee
and acceleration at the mortgagee's option if Buyer defaults; will give Buyer the right to prepay without
penalty all or part of the principal at any time(s) with interest only to date of payment; will be due on
conveyance or sale; will provide for release of contiguous parcels, if applicable; and will require Buyer to
keep liability insurance on the Property, with Seller as additional named insured. Buyer authorizes Seller
to obtain credit, employment, and other necessary information to determine creditworthiness for the
financing. Seller will, within 10 days after Effective Date, give Buyer written notice of whether or not Seller
will make the loan.
(3) ❑ Mortgage Assumption: Buyer will take title subject to and assume and pay existing first mortgage to
LN# _ in the approximate amount of $ . currently payable at
$ per month, including principal, interest, ❑ taxes and insurance, and having a
❑ fixed ❑ other (describe)
interest rate of % which ❑ will ❑ will not escalate upon assumption. Any variance in the mortgage
will be adjusted in the balance due at closing with no adjustment to purchase price. Buyer will purchase
Seller's escrow account dollar for dollar. If the interest rate upon transfer exceeds % or the
assumption/transfer fee exceeds $_ , either party may elect to pay the excess, failing
which this Contract will terminate; and Buyer's deposit(s) will be returned. If the lender disapproves
Buyer, this Contract will terminate; and Buyer's deposit(s) will be returned.
93 7. Assignability: (Check one) Buyer ❑ may assign and thereby be released from any further liability under this
94 Contract, ❑ may assign but not be released from liability under this Contract, or X may not assign this Contract.
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8. Title: Seller has the legal capacity to and will convey marketable title to the Property by ❑ statutory warranty
deed X special warranty deed ❑ other (specify) , free of liens, eassammkip.
SsUw, but subject to property taxes for the year of closing; covenants,
restrictions, and public utility easements of record; existing zoning and governmental regulations; and (list any
other matters to which title will be subject) Subject to all matters of record, except mortgages and monetary liens. ,
provided there exists at closing no violation of the foregoing.
(a) Title Evidence: The party who pays for the owner's title insurance policy will select the closing agent and pay
for the title search, including tax and lien search (including municipal lien search) if performed, and all other
fees charged by closing agent. Seller will deliver to Buyer, at
(Check one) ❑ Seller's 22 Buyer's expense and
(Check one) ❑ within days after Effective Date ❑ at least days before Closing Date,
(Check one)
(1) 0 a title insurance commitment by a Florida licensed title insurer setting forth those matters to be
discharged by Seller at or before closing and, upon Buyer recording the deed, an owner's policy in the
D¢S.,
Buyer �_) (—� and Sell r (Ny� (_) acknowledge receipt of a copy of this page, which is 2 of 8 pages.
VAC-14xoa Rev 8124 ©2024 Florida Realtors®
Licensed to Alta Star Software and ID1836150.469414
Software and added formatting © 2025 Alta Star Software, all rights reserved. • www.altastar.com • (877) 279-8898
Docusign Envelope ID: E62EE9C4-33E1-4515-B010-2DDB7208630D
109 amount of the purchase price for fee simple title subject only to the exceptions stated above. If Buyer is
110 paying for the owner's title insurance policy and Seller has an owner's policy, Seller will deliver a copy to
111 Buyer within 15 days after Effective Date.
112 (2) ❑ an abstract of title, prepared or brought current by an existing abstract firm or certified as correct by an
113 existing firm. However, if such an abstract is not available to Seller, then a prior owner's title policy
114 acceptable to the proposed insurer as a base for reissuance of coverage may be used. The prior policy will
115 include copies of all policy exceptions and an update in a format acceptable to Buyer from the policy
116 effective date and certified to Buyer or Buyer's closing agent together with copies of all documents
117 recited in the prior policy and in the update. If such an abstractor prior policy is not available to Seller,
118 then (1) above will be the title evidence.
119 (b) Title Examination: After receipt of the title evidence, Buyer will, within days (10 days if left blank) but
120 no later than Closing Date, deliver written notice to Seller of title defects. Title will be deemed acceptable to
121 Buyer if (i) Buyer fails to deliver proper notice of defects or (ii) Buyer delivers proper written notice and Seller
122 cures the defects within days (30 days if left blank) ("Cure Period") after receipt of the notice. If the
123 defects are cured within the Cure Period, closing will occur within 10 days after receipt by Buyer of notice of
124 such cure. Seller may elect not to cure defects if Seller reasonably believes any defect cannot be cured within
125 the Cure Period. If the defects are not cured within the Cure Period, Buyer will have 10 days after receipt of
126 notice of Seller's inability to cure the defects to elect whether to terminate this Contract or accept title subject
127 to existing defects and close the transaction without reduction in purchase price.
128 (c) Survey: Buyer may, at Buyer's expense, have the Property surveyed and must deliver written notice to
129 Seller, within 5 days after receiving survey but not later than 5 days before Closing Date, of any
130 encroachments on the Property, encroachments by the Property's improvements on other lands, or deed
131 restriction or zoning violations. Any such encroachment or violation will be treated in the same manner as a
132 title defect and Seller's and Buyer's obligations will be determined in accordance with Paragraph 8(b).
133 (d) Ingress and Egress: Seller warrants that the Property presently has ingress and egress.
134 9. Property Condition: Seller will deliver the Property to Buyer at closing in its present "as is" condition, with
135 conditions resulting from Buyer's Inspections and casualty damage, if any, excepted. Seller will not engage in or
136 permit any activity that would materially alter the Property's condition without the Buyer's prior written consent.
137 (a) Inspections: (Check (1) or (2))
138 (1) ❑ Due Diligence Period: Buyer will, at Buyer's expense and within days (30 days if left blank)
139 ("Due Diligence Period") after Effective Date and in Buyer's sole and absolute discretion, determine
140 whether the Property is suitable for Buyer's intended use. During the Due Diligence Period, Buyer may
141 conduct a Phase 1 environmental assessment and any other tests, analyses, surveys, and investigations
142 ("Inspections") that Buyer deems necessary to determine to Buyer's satisfaction the Property's
143 engineering, architectural, and environmental properties; zoning and zoning restrictions; subdivision
144 statutes; soil and grade; availability of access to public roads, water, and other utilities; consistency with
145 local, state, and regional growth management plans; availability of permits, government approvals, and
146 licenses; and other inspections that Buyer deems appropriate. If the Property must be rezoned, Buyer will
147 obtain the rezoning from the appropriate government agencies. Seller will sign all documents Buyer is
148 required to file in connection with development or rezoning approvals. Seller gives Buyer, its agents,
149 contractors, and assigns, the right to enter the Property at any time during the Due Diligence Period for the
150 purpose of conducting Inspections, provided, however, that Buyer, its agents, contractors, and assigns
151 enter the Property and conduct Inspections at their own risk. Buyer will indemnify and hold Seller
152 harmless from losses, damages, costs, claims, and expenses of any nature, including attorneys' fees,
153 expenses, and liability incurred in application for rezoning or related proceedings, and from liability to any
154 person, arising from the conduct of any and all Inspections or any work authorized by Buyer. Buyer will
155 not engage in any activity that could result in a construction lien being filed against the Property without
156 Seller's prior written consent. If this transaction does not close, Buyer will; at Buyer's expense, (i) repair
157 all damages to the Property resulting from the Inspections and return the Property to the condition it was in
158 before conducting the Inspections and (ii) release to Seller all reports and other work generated as a
159 result of the Inspections.
160 Before expiration of the Due Diligence Period, Buyer must deliver written notice to Seller of Buyer's
161 determination of whether or not the Property is acceptable. Buyer's failure to comply with this notice
162 requirement will constitute acceptance of the Property as suitable for Buyer's intended use in its "as is"
163 condition. If the Property is unacceptable to Buyer and written notice of this fact is timely delivered to
164 Seller, this Contract will be deemed terminated, and Buyer's deposit(s) will be returned.
DS
Buyer C __) (_, and Sell r (_� acknowledge receipt of a copy of this page, which is 3 of 8 pages.
VAC- I )= Rev 8124 ©2024 Florida Realtors
Licensed to Alta Star Software and ID1836150.469414
Software and added formatting © 2025 Alta Star Software, all rights reserved. • www.altastar.com • (877) 279-8898
Docusign Envelope ID: E62EE9C4-33E1-4515-B010-2DDB7208630D
165 (2) 0 No Due Diligence Period: Buyer is satisfied that the Property is suitable for Buyer's purposes,
166 including being satisfied that either public sewerage and water are available to the Property or the
167 Property will be approved for the installation of a well and/or private sewerage disposal system and that
168 existing zoning and other pertinent regulations and restrictions, such as subdivision or deed restrictions,
169 concurrency, growth management, and environmental conditions, are acceptable to Buyer. This Contract
170 is not contingent on Buyer conducting any further investigations.
171 (b) Government Regulations: Changes in government regulations and levels of service which affect Buyer's
172 intended use of the Property will not be grounds for terminating this Contract if the Due Diligence Period has
173 expired or if Paragraph 9(a)(2) is selected.
174 (c) Flood Zone: Buyer is advised to verify by survey, with the lender, and with appropriate government agencies
175 which flood zone the Property is in, whether flood insurance is required, and what restrictions apply to
176 improving the Property and rebuilding in the event of casualty.
177 (d) Coastal Construction Control Line ("CCCL"): If any part of the Property lies seaward of the CCCL as
178 defined in Section 161.053, Florida Statutes, Seller will provide Buyer with an affidavit or survey as required
179 by law delineating the line's location on the Property, unless Buyer waives this requirement in writing. The
180 Property being purchased may be subject to coastal erosion and to federal, state, or local regulations that
181 govern coastal property, including delineation of the CCCL, rigid coastal protection structures, beach
182 nourishment, and the protection of marine turtles. Additional information can be obtained from the Florida
183 Department of Environmental Protection, including whether there are significant erosion conditions associated
184 with the shore line of the Property being purchased.
185 ❑ Buyer waives the right to receive a CCCL affidavit or survey.
186 10. Closing Procedure; Costs: Closing will take place in the county where the Property is located and may be
187 conducted by mail or electronic means. If title insurance insures Buyer for title defects arising between the title
188 binder effective date and recording of Buyer's deed, closing agent will disburse at closing the net sale proceeds to
189 Seller (in local cashier's check if Seller requests in writing at least 5 days before closing) and brokerage fees to
190 Broker as per Paragraph 21. In addition to other expenses provided in this Contract, Seller and Buyer will pay the
191 costs indicated below.
192 (a) Seller Costs:
193 Taxes on deed
194 Recording fees for documents needed to cure title
195 Title evidence (if applicable under Paragraph 8)
196 Estoppel Fee(s)
197 Other: All other closing costs and $5,000 paid to Seller at Closing for Seller s attorneys' fees and costs
198 (Iii! Rmyvpl Gevkw
199
200
201
202
203
204 Iq IGas
205�
206 ilioY:i1F1�
207 Other
208 (c) Prorations: The following items will be made current and prorated as of the day before Closing Date: real
209 estate taxes (including special benefit tax liens imposed by a CDD), interest, bonds, assessments, leases, and
210 other Property expenses and revenues. If taxes and assessments for the current year cannot be determined,
211 the previous year's rates will be used with adjustment for any exemptions.
212 (d) Special Assessment by Public Body: Regarding special assessments imposed by a public body, Seller will
213 pay (i) the full amount of liens that are certified, confirmed, and ratified before closing and (ii) the amount of the
214 last estimate of the assessment if an improvement is substantially completed as of Effective Date but has not
215 resulted in a lien before closing; and Buyer will pay all other amounts. If special assessments may be paid in
216 installments, ❑ Seller ❑ Buyer (Buyer if left blank) will pay installments due after closing. If Seller is
217 checked, Seller will pay the assessment in full before or at the time of closing. Public body does not include a
218 Homeowners' or Condominium Association.
219 (e) PROPERTY TAX DISCLOSURE SUMMARY: BUYER SHOULD NOT RELY ON THE SELLER'S CURRENT
220 PROPERTY TAXES AS THE AMOUNT OF PROPERTY TAXES THAT BUYER MAY BE OBLIGATED TO
221 PAY IN THE YEAR SUBSEQUENT TO PURCHASE. A CHANGE OF OWNERSHIP OR PROPERTY
DS
Buyer (____) L� and Sell r U (_� acknowledge receipt of a copy of this page, which is 4 of 8 pages.
VAC-14xxx Rev 8/24 02024 Florida Realtors®
Licensed to Alta Star Software and ID1836150.469414
Software and added formatting © 2025 Alta Star Software, all rights reserved. • www.altastar.com • (877) 279-8898
Docusign Envelope ID: E62EE9C4-33E1-4515-B010-2DDB7208630D
222 IMPROVEMENTS TRIGGERS REASSESSMENTS OF THE PROPERTY THAT COULD RESULT IN HIGHER
223 PROPERTY TAXES. IF YOU HAVE ANY QUESTIONS CONCERNING VALUATION, CONTACT THE
224 COUNTY PROPERTY APPRAISER'S OFFICE FOR FURTHER INFORMATION.
225 (f) Foreign Investment in Real Property Tax Act ("FIRPTA"): If Seller is a "foreign person" as defined by
226 FIRPTA, Seller and Buyer will comply with FIRPTA, which may require Seller to provide additional cash at
227 closing.
228 (g) 1031 Exchange: If either Seller or Buyer wish to enter into a like -kind exchange (either simultaneously with
229 closing or after) under Section 1031 of the Internal Revenue Code ("Exchange"), the other party will cooperate
230 in all reasonable respects to effectuate the Exchange including executing documents, provided, however, that
231 the cooperating party will incur no liability or cost related to the Exchange and that the closing will not be
232 contingent upon, extended, or delayed by the Exchange.
233 11. Computation of Time: Calendar days will be used when computing time periods, except time periods of 5 days
234 or less. Time periods of 5 days or less will be computed without including Saturday, Sunday, or national legal
235 holidays specified in 5 U.S.C. 6103(a). Other than time for acceptance and Effective Date as set forth in Paragraph
236 3, any time periods provided for or dates specified in this Contract, whether preprinted, handwritten, typewritten or
237 inserted herein, which shall end or occur on a Saturday, Sunday, or national legal holiday (see 5 U.S.C. 6103)
238 shall extend until 5:00 p.m. (where the Property is located) of the next business day. Time is of the essence in
239 this Contract.
240 12. Risk of Loss; Eminent Domain: If any portion of the Property is materially damaged by casualty before closing
241 or Seller negotiates with a governmental authority to transfer all or part of the Property in lieu of eminent domain
242 proceedings or an eminent domain proceeding is initiated, Seller will promptly inform Buyer. Either party may
243 terminate this Contract by written notice to the other within 10 days after Buyer's receipt of Seller's notification,
244 and Buyer's deposit(s) will be returned, failing which Buyer will close in accordance with this Contract and receive
245 all payments made by the governmental authority or insurance company, if any.
246 13. Force Majeure: Seller or Buyer will not be required to perform any obligation under this Contract or be liable to
247 each other for damages so long as the performance or non-performance of the obligation is delayed, caused, or
248 prevented by an act of God or force majeure. An "act of God or "force majeure" is defined as hurricanes,
249 earthquakes, floods, fire, unusual transportation delays, wars, insurrections, and any other cause not reasonably
250 within the control of Seller or Buyer and which by the exercise of due diligence the non -performing party is unable
251 in whole or in part to prevent or overcome. All time periods, including Closing Date, will be extended for the period
252 that the act of God or force majeure is in place. However, in the event that such act of God or force majeure event
253 continues beyond 30 days, either party may terminate this Contract by delivering written notice to the other; and
254 Buyer's deposit(s) will be returned.
255 14. Notices: All notices will be in writing and delivered to the parties and Broker by mail, personal delivery, or
256 electronic means. Buyer's failure to timely deliver written notice to Seller, when such notice is required by
257 this Contract, regarding any contingency will render that contingency null and void, and this Contract will
258 be construed as if the contingency did not exist. Any notice, document, or item delivered to or received by
259 an attorney or licensee (including a transactions broker) representing a party will be as effective as if
260 delivered to or received by that party.
261 15. Complete Agreement; Persons Bound: This Contract is the entire agreement between Seller and Buyer.
262 Except for brokerage agreements, no prior or present agreements will bind Seller, Buyer, or Broker unless
263 incorporated into this Contract. Modifications of this Contract will not be binding unless in writing, signed or
264 initialed, and delivered by the party to be bound. Electronic signatures will be acceptable and binding. This
265 Contract, signatures, initials, documents referenced in this Contract, counterparts, and written modifications
266 communicated electronically or on paper will be acceptable for all purposes, including delivery, and will be binding.
267 Handwritten or typewritten terms inserted in or attached to this Contract prevail over preprinted terms. If any
268 provision of this Contract is or becomes invalid or unenforceable, all remaining provisions will continue to be fully
269 effective. Seller and Buyer will use diligence and good faith in performing all obligations under this Contract. This
270 Contract will not be recorded in any public record. The terms "Seller," "Buyer," and "Broker" may be singular or
271 plural. This Contract is binding on the heirs, administrators, executors, personal representatives, and assigns, if
272 permitted, of Seller, Buyer, and Broker.
273 16. Default and Dispute Resolution: This Contract will be construed under Florida law. This Paragraph will survive
274 closing or termination of this Contract.
275 (a) Seller Default: If Seller fails, neglects, or refuses to perform Seller's obligations under this Contract, Buyer
276 may elect to receive a return of Buyer's deposit(s) without thereby waiving any action for damages resulting
Lti
Buyer ��� and Sell (_) acknowledge receipt of a copy of this page, which is 5 of 8 pages.
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277 from Seller's breach and may seek to recover such damages or seek specific performance. Seller will also be
278 liable for the full amount of the brokerage fee.
279 (b) Buyer Default: If Buyer fails, neglects, or refuses to perform Buyer's obligations under this Contract,
280 including payment of deposit(s), within the time(s) specified, Seller may elect to recover and retain the
281 deposit(s), paid and agreed to be paid, for the account of Seller as agreed upon liquidated damages,
282 consideration for execution of this Contract, and in full settlement of any claims, whereupon Seller and Buyer
283 will be relieved from all further obligations under this Contract; or Seller, at Seller's option, may proceed in
284 equity to enforce Seller's rights under this Contract.
285 17. Attorney's Fees; Costs: In any litigation permitted by this Contract, the prevailing party shall be entitled to
286 recover from the non -prevailing party costs and fees, including reasonable attorneys fees, incurred in conducting
287 the litigation. This Paragraph 17 shall survive Closing or termination of this Contract.
288 18. Escrow Agent; Closing Agent: Seller and Buyer authorize Escrow Agent and closing agent (collectively
289 "Agent") to receive, deposit, and hold funds and other items in escrow and, subject to Collection, disburse them
290 upon proper authorization and in accordance with Florida law and the terms of this Contract, including disbursing
291 brokerage fees. "Collection" or "Collected" means any checks tendered or received have become actually and
292 finally collected and deposited in the account of Agent. The parties agree that Agent will not be liable to any person
293 for misdelivery of escrowed items to Seller or Buyer, unless the misdelivery is due to Agent's willful breach of this
294 Contract or gross negligence. If Agent interpleads the subject matter of the escrow, Agent will pay the filing fees
295 and costs from the deposit and will recover reasonable attorneys' fees and costs to be paid from the escrowed
296 funds or equivalent and charged and awarded as court costs in favor of the prevailing party.
297 19. Professional Advice; Broker Liability: Broker advises Seller and Buyer to verify all facts and representations
298 that are important to them and to consult an appropriate professional for legal advice (for example, interpreting this
299 Contract, determining the effect of laws on the Property and this transaction, status of title, foreign investor
300 reporting requirements, the effect of property lying partially or totally seaward of the CCCL, etc.) and for tax,
301 property condition, environmental, and other specialized advice. Buyer acknowledges that all representations
302 (oral, written, or otherwise) by Broker are based on Seller representations or public records. Buyer agrees to rely
303 solely on Seller, professional inspectors, and government agencies for verification of the Property
304 condition and facts that materially affect Property value. Seller and Buyer respectively will pay all costs and
305 expenses, including reasonable attomeys' fees at all levels, incurred by Broker and Broker's officers, directors,
306 agents, and employees in connection with or arising from Seller's or Buyer's misstatement or failure to perform
307 contractual obligations. Seller and Buyer hold harmless and release Broker and Broker's officers, directors,
308 agents, and employees from all liability for loss or damage based on (i) Seller's or Buyer's misstatement or failure
309 to perform contractual obligations; (ii) the use or display of listing data by third parties, including, but not limited to,
310 photographs, images, graphics, video recordings, virtual tours, drawings, written descriptions, and remarks related
311 to the Property; (iii) Broker's performance, at Seller's or Buyer's request, of any task beyond the scope of
312 services regulated by Chapter 475, Florida Statutes, as amended, including Broker's referral, recommendation, or
313 retention of any vendor; (iv) products or services provided by any vendor; and (v) expenses incurred by any
314 vendor. Seller and Buyer each assume full responsibility for selecting and compensating their respective vendors.
315 This Paragraph will not relieve Broker of statutory obligations. For purposes of this Paragraph, Broker will be
316 treated as a party to this Contract. This Paragraph will survive closing.
317 20. Commercial Real Estate Sales Commission Lien Act: If the Property is commercial real estate as defined by
318 Section 475.701, Florida Statutes, the following disclosure will apply: The Florida Commercial Real Estate Sales
319 Commission Lien Act provides that when a broker has earned a commission by performing licensed services
320 under a brokerage agreement with you, the broker may claim a lien against your net sales proceeds for the
321 broker's commission. The broker's lien rights under the act cannot be waived before the commission is earned.
322 21. Brokers: The licensee(s) and brokerage(s) named below are collectively referred to as "Broker." Instruction to
323 closing agent: Seller and Buyer direct Closing Agent to disburse at Closing the full amount of the brokerage
324 fees as specified in separate brokerage agreements with the parties and cooperative agreements between the
325 Brokers, except to the extent Broker has retained such fees from the escrowed funds. This Paragraph will not be
326 used to modify any offer of compensation made by Seller or listing broker to cooperating brokers.
327
328
Seller's Sales Associate/License No.
DS
Buyer (__) ( ) and Sell r L ) acknowledge receipt of a copy of this page, which is 6 of 8 pages.
©2024 Florida Realtors®
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Buyer's Sales Associate/License No.
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Seller's Sales Associate Email Address
Seller's Sales Associate Phone Number
Listing Brokerage
Listing Brokerage Address
Buyer's Sales Associate Email Address
Buyer's Sales Associate Phone Number
Buyer's Brokerage
Buyers Brokerage Address
34o 22. Addenda: The following additional terms are included in the attached addenda and incorporated into this Contract
341 (Check if applicable):
342 ❑ A. Back-up Contract
343 ❑ B. Kick Out Clause
344 ❑ C. Other
345 23. Additional Terms:
346 (1) This contract is contingent upon approval by the City of Clermont City Council which must occur on or before February 28, 2025 or this contract may
347 be terminated by the Seller. (2) Buyer shall pay all closing costs. (3) In addition to the Purchase Price, at Closing Buyer shall pay Seller $5,000 for
348 Seller's attorneys' fees and other expenses Incurred as the result of evaluating the City's unauthorized, mislocated drainage improvements on the subject
349 property that resulted in this Contract negotiating and draftlng this Contrac4 reviewing and commenting on closing documents and lot line boundary
3550 adjustment documents. (4) Except for the warranty of title under a special warranty deed, the Seller makes no Implied or expressed warranties or
351 representations concerning the subject property and the Buyer takes the subject property 'as -Is'. (5) Buyer recognizes that Its acquisition of the subject
352 property (Parcel A) will result In the remaining Parcel B and Parcel C (see attached Lot Sketch) owned by Seller becoming non -buildable without a lot line
353 readjustment approval from the City of Clermont City Council. On or before March 28, 2025, the Buyer, at Buyer's expense, must obtain lot line
3554 readjustment and variances (If needed) approvals from the City Council In order to make Parcel B and Parcel C conforming lots and buildable for standard
35555 single-family residential dwellings pursuant to the Land Development Code and Florida Building Code and provide Seller with a written development
356 order evidencing the same ('Development Order Contingency'). If the Development Order Contingency Is not timely met Seller may terminate this
357 Contract. (6) !f any of the contingencies of Closing are not met due to the Buyer's acts or omissions, the Seller may terminate this Contract and receive
3558 the $10,000 Deposit funds as liquidated damages without waiving any other claims Seller has concerning Buyer's unauthorized, mislocated drainage
359 Improvements being located on the subject property.
360
361 COUNTER-OFFER/REJECTION
362 ❑ Seller counters Buyer's offer (to accept the counter-offer, Buyer must sign or initial the counter -offered terms and
363 deliver a copy of the acceptance to Seller).
364 ❑ Seller rejects Buyer's offer
365 [The remainder of this page is intentionally left blank.
366 This Contract continues with Line 367 on Page 8 of 8.]
DS
Buyer L —) ( and Sell r cNl� L� acknowledge receipt of a copy of this page, which is 7 of 8 pages.
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367 This is intended to be a legally binding Contract. If not fully understood, seek the advice of an attorney before
368 signing.
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ATTENTION: SELLER AND BUYER
CONVEYANCES TO FOREIGN BUYERS: Part III of Chapter 692, Sections 692.201 - 692.205, Florida Statutes, 2023
(the "Act"), in part, limits and regulates the sale, purchase and ownership of certain Florida properties by certain buyers
who are associated with a "Foreign country of concern", namely: the People's Republic of China, the Russian
Federation, the Islamic Republic of Iran, the Democratic People's Republic of Korea, the Republic of Cuba, the
Venezuelan regime of Nicol6s Maduro, or the Syrian Arab Republic. It is a crime to buy or knowingly sell property
in violation of the Act.
At time of purchase, Buyer must provide a signed Affidavit which complies with the requirements of the Act.
Seller and Buyer are advised to seek legal counsel regarding their respective obligations and liabilities under the Act.
378 City of Clermont
379 Buyer: -
380 Print name:
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Rr warn
Print name: _
Buyer's address for purpose of notice:
Address:
Phone: Fax:
LEGACY HOMESLLC
386 Seller: ,
387 Print name:
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392
rden
Seller:
Print name:
Seller's address for purpose of notice:
Address:
Phone: Fax:
Email:
Email:
Date:
Date:
Date:
Date:
2/17/2025
Florida REALTORS* makes no representation as to the legal validity or adequacy of any provision of this form In any specific transaction. This standardized form should
not be used in complex transactions or with extensive riders or additions. This form is available for use by the entire real estate industry and is not intended to identify the
user as REALTOR`. REALTOR' is a registered collective membership mark which may be used only be real estate licensees who are members of the NATIONAL
ASSOCIATION OF REALTORS' and who subscribe to its Code of Ethics. The copyright laws of United States (17 U.S. Code) forbid the unauthorized reproduction of this
form by any means Including facsimile or computerized forms.
DS
Buyer (_ j ( and Sell r L
__� (`_) acknowledge receipt of a copy of this page, which is 8 of 8 pages.
VAG14xxx Rev 8/24 ®2024 Florida Realtors®
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Software and added formatting © 2025 Alta Star Software, all rights reserved. • www.altastar.com • (877) 279-8898
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Vacant Land Contract
1 1. Sale and Purchase ("Contract"): LEGACY HOMES LLC
2 ("Seller") and City of Clermont
3 ("Buyer") (the "parties") agree to sell and buy on the terms and conditions specified below the property ("Property")
4 described as:
5 Address: 0 Chestnut St Clermont FL 34711
6 Legal Description:
7 The East 112 of the vacated Park Way Street [Wht-of-way and the West 22.00 feet of Lot 11 Block 126A Sunset
8 Park Official Map of the City of Clermont according to the plat thereof, as recorded in Plat Book 8 Pages 17-
9 23 inclusive Public Records of Lake County, Florida See attached Lot Sketch - Described as Parcel A
10
11
12
13
SEC /TWP / /RNG _ of Lake County, Florida. Real Property ID No.:
including all improvements existing on the Property and the following additional property:
tax Parcel.
23-22-25-0500-126-A1000
A portion of the above
14 2. Purchase Price: (U.S. currency)...............................................................................................
15 All deposits will be made payable to "Escrow Agent" named below and held in escrow by:
16 Escrow Agent's Name: Waugh PPLC
17 Escrow Agent's Contact Person: Christian Waugh cc: MireNa Waugh
18 Escrow Agent's Address: 201 E. Pine Street, Suite 315, Orlando, FL 32801
19 Escrow Agent's Phone: 321-800-6008, 407-716-4290
20 Escrow Agent's Email: cwaualh wau h.legat cc:mwaughC�waugh.legal
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$ 55,000.00
(a) Initial deposit ($0 if left blank) (Check if applicable)
❑ accompanies offer
J� will be delivered to Escrow Agent within days (3 days if left blank)
after Effective Date............................................................................................. $ 10,000.00
(b) Additional deposit will be delivered to Escrow Agent (Check if applicable)
❑ within days (10 days if left blank) after Effective Date
❑ within days (3 days if left blank) after expiration of Due Diligence Period .......... $
(c) Total Financing (see Paragraph 6) (express as a dollar amount or percentage) ................. $
(d) Other. ........... $
(e) Balance to close (not including Buyer's closing costs, prepaid items, and prorations)
to be paid at closing by wire transfer or other Collected funds ............................................. $
45, 000.00
32 (f) ❑ (Complete only if purchase price will be determined based on a per unit cost instead of a fixed price.) The
33 unit used to determine the purchase price is ❑ lot ❑ acre ❑ square foot ❑ other (specify):
34 prorating areas of less than a full unit. The purchase price will be $ . per unit based on a
35 calculation of total area of the Property as certified to Seller and Buyer by a Florida licensed surveyor in
36 accordance with Paragraph 8(c). The following rights of way and other areas will be excluded from the
37 calculation:
38 3. Time for Acceptance; Effective Date: Unless this offer is signed by Seller and Buyer and an executed copy
39 delivered to all parties on or before February 10, 2025 , this offer will be withdrawn and Buyer's deposit, if
40 any, will be returned. The time for acceptance of any counter-offer will be 3 days after the date the counter-offer is
41 delivered. The "Effective Date" of this Contract is the date on which the last one of the Seller and Buyer
42 has signed or initialed and delivered this offer or the final counter-offer.
43 4. Closing Date: This transaction will close on or before April 11, 2025 ("Closing Date"), unless specifically
44 extended by other provisions of this Contract. The Closing Date will prevail over all other time periods including,
45 but not limited to, Financing and Due Diligence periods. However, if the Closing Date occurs on a Saturday,
46 Sunday, or national legal holiday, it will extend to 5:00 p.m. (where the Property is located) of the next business
47 day. In the event insurance underwriting is suspended on Closing Date and Buyer is unable to obtain property
48 insurance, Buyer may postpone closing for up to 5 days after the insurance underwriting suspension is lifted. If
49 this transaction does not close for any reason, Buyer will immediately return all Seller provided documents and
50 other items.
51 5. Extension of Closing Date: If Paragraph 6(b) is checked and Closing Funds from Buyer's lender(s) are not
52 available on Closing Date due to Consumer Financial Protection Bureau Closing Disclosure delivery requirements
LrLb
_ Buyer () L ) and Sell (__) acknowledge receipt of a copy of this page, which is 1 of 8 pages.
©2024 Florida Realtors®
VAC-14)m Rev 8/24
Licensed to Alta Star software and ID1836150.469414
Software and added formatting © 2025 Alta Star Software, all rights reserved. - www.altastar.com - (877) 279-8898
Docusign Envelope ID: E62EE9C4-33E1-4515-B010-2DDB7208630D
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("CFPB Requirements), if applicable, then Closing Date shall be extended for such period necessary to satisfy
CFPB Requirements, provided such period shall not exceed 10 days.
6. Financing: (Check as applicable)
(a) 0 Buyer will pay cash for the Property with no financing contingency.
(b) ❑ This Contract is contingent on Buyer qualifying for and obtaining the commitment(s) or approval(s)
specified below ("Financing") within days after Effective Date (Closing Date or 30 days after Effective
Date, whichever occurs first, if left blank) ("Financing Period"). Buyer will apply for Financing within
days after Effective Date (5 days if left blank) and will timely provide any and all credit, employment, financial,
and other information required by the lender. If Buyer, after using diligence and good faith, cannot obtain the
Financing within the Financing Period, either party may terminate this Contract and Buyer's deposit(s) will be
returned.
(1) ❑ New Financing: Buyer will secure a commitment for new third party financing for $
or % of the purchase price at (Check one) ❑ a fixed rate not exceeding % ❑ an
adjustable interest rate not exceeding % at origination (a fixed rate at the prevailing interest rate
based on Buyer's creditworthiness if neither choice is selected). Buyer will keep Seller and Broker fully
informed of the loan application status and progress and authorizes the lender or mortgage broker to
disclose all such information to Seller and Broker.
(2) ❑ Seller Financing: Buyer will execute a ❑ first ❑ second purchase money note and mortgage to
Seller in the amount of $ , bearing annual interest at °/a and payable as follows:
The mortgage, note, and any security agreement will be in a form acceptable to Seller and will follow
forms generally accepted in the county where the Property is located; will provide for a late payment fee
and acceleration at the mortgagee's option if Buyer defaults; will give Buyer the right to prepay without
penalty all or part of the principal at any time(s) with interest only to date of payment; will be due on
conveyance or sale; will provide for release of contiguous parcels, if applicable; and will require Buyer to
keep liability insurance on the Property, with Seller as additional named insured. Buyer authorizes Seller
to obtain credit, employment, and other necessary information to determine creditworthiness for the
financing. Seller will, within 10 days after Effective Date, give Buyer written notice of whether or not Seller
will make the loan.
(3) ❑ Mortgage Assumption: Buyer will take title subject to and assume and pay existing first mortgage to
LN# _ in the approximate amount of $ . currently payable at
$ per month, including principal, interest, ❑ taxes and insurance, and having a
❑ fixed ❑ other (describe)
interest rate of % which ❑ will ❑ will not escalate upon assumption. Any variance in the mortgage
will be adjusted in the balance due at closing with no adjustment to purchase price. Buyer will purchase
Seller's escrow account dollar for dollar. If the interest rate upon transfer exceeds % or the
assumption/transfer fee exceeds $_ , either party may elect to pay the excess, failing
which this Contract will terminate; and Buyer's deposit(s) will be returned. If the lender disapproves
Buyer, this Contract will terminate; and Buyer's deposit(s) will be returned.
93 7. Assignability: (Check one) Buyer ❑ may assign and thereby be released from any further liability under this
94 Contract, ❑ may assign but not be released from liability under this Contract, or X may not assign this Contract.
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8. Title: Seller has the legal capacity to and will convey marketable title to the Property by ❑ statutory warranty
deed X special warranty deed ❑ other (specify) , free of liens, eassammkip.
SsUw, but subject to property taxes for the year of closing; covenants,
restrictions, and public utility easements of record; existing zoning and governmental regulations; and (list any
other matters to which title will be subject) Subject to all matters of record, except mortgages and monetary liens. ,
provided there exists at closing no violation of the foregoing.
(a) Title Evidence: The party who pays for the owner's title insurance policy will select the closing agent and pay
for the title search, including tax and lien search (including municipal lien search) if performed, and all other
fees charged by closing agent. Seller will deliver to Buyer, at
(Check one) ❑ Seller's 22 Buyer's expense and
(Check one) ❑ within days after Effective Date ❑ at least days before Closing Date,
(Check one)
(1) 0 a title insurance commitment by a Florida licensed title insurer setting forth those matters to be
discharged by Seller at or before closing and, upon Buyer recording the deed, an owner's policy in the
D¢S.,
Buyer �_) (—� and Sell r (Ny� (_) acknowledge receipt of a copy of this page, which is 2 of 8 pages.
VAC-14xoa Rev 8124 ©2024 Florida Realtors®
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Docusign Envelope ID: E62EE9C4-33E1-4515-B010-2DDB7208630D
109 amount of the purchase price for fee simple title subject only to the exceptions stated above. If Buyer is
110 paying for the owner's title insurance policy and Seller has an owner's policy, Seller will deliver a copy to
111 Buyer within 15 days after Effective Date.
112 (2) ❑ an abstract of title, prepared or brought current by an existing abstract firm or certified as correct by an
113 existing firm. However, if such an abstract is not available to Seller, then a prior owner's title policy
114 acceptable to the proposed insurer as a base for reissuance of coverage may be used. The prior policy will
115 include copies of all policy exceptions and an update in a format acceptable to Buyer from the policy
116 effective date and certified to Buyer or Buyer's closing agent together with copies of all documents
117 recited in the prior policy and in the update. If such an abstractor prior policy is not available to Seller,
118 then (1) above will be the title evidence.
119 (b) Title Examination: After receipt of the title evidence, Buyer will, within days (10 days if left blank) but
120 no later than Closing Date, deliver written notice to Seller of title defects. Title will be deemed acceptable to
121 Buyer if (i) Buyer fails to deliver proper notice of defects or (ii) Buyer delivers proper written notice and Seller
122 cures the defects within days (30 days if left blank) ("Cure Period") after receipt of the notice. If the
123 defects are cured within the Cure Period, closing will occur within 10 days after receipt by Buyer of notice of
124 such cure. Seller may elect not to cure defects if Seller reasonably believes any defect cannot be cured within
125 the Cure Period. If the defects are not cured within the Cure Period, Buyer will have 10 days after receipt of
126 notice of Seller's inability to cure the defects to elect whether to terminate this Contract or accept title subject
127 to existing defects and close the transaction without reduction in purchase price.
128 (c) Survey: Buyer may, at Buyer's expense, have the Property surveyed and must deliver written notice to
129 Seller, within 5 days after receiving survey but not later than 5 days before Closing Date, of any
130 encroachments on the Property, encroachments by the Property's improvements on other lands, or deed
131 restriction or zoning violations. Any such encroachment or violation will be treated in the same manner as a
132 title defect and Seller's and Buyer's obligations will be determined in accordance with Paragraph 8(b).
133 (d) Ingress and Egress: Seller warrants that the Property presently has ingress and egress.
134 9. Property Condition: Seller will deliver the Property to Buyer at closing in its present "as is" condition, with
135 conditions resulting from Buyer's Inspections and casualty damage, if any, excepted. Seller will not engage in or
136 permit any activity that would materially alter the Property's condition without the Buyer's prior written consent.
137 (a) Inspections: (Check (1) or (2))
138 (1) ❑ Due Diligence Period: Buyer will, at Buyer's expense and within days (30 days if left blank)
139 ("Due Diligence Period") after Effective Date and in Buyer's sole and absolute discretion, determine
140 whether the Property is suitable for Buyer's intended use. During the Due Diligence Period, Buyer may
141 conduct a Phase 1 environmental assessment and any other tests, analyses, surveys, and investigations
142 ("Inspections") that Buyer deems necessary to determine to Buyer's satisfaction the Property's
143 engineering, architectural, and environmental properties; zoning and zoning restrictions; subdivision
144 statutes; soil and grade; availability of access to public roads, water, and other utilities; consistency with
145 local, state, and regional growth management plans; availability of permits, government approvals, and
146 licenses; and other inspections that Buyer deems appropriate. If the Property must be rezoned, Buyer will
147 obtain the rezoning from the appropriate government agencies. Seller will sign all documents Buyer is
148 required to file in connection with development or rezoning approvals. Seller gives Buyer, its agents,
149 contractors, and assigns, the right to enter the Property at any time during the Due Diligence Period for the
150 purpose of conducting Inspections, provided, however, that Buyer, its agents, contractors, and assigns
151 enter the Property and conduct Inspections at their own risk. Buyer will indemnify and hold Seller
152 harmless from losses, damages, costs, claims, and expenses of any nature, including attorneys' fees,
153 expenses, and liability incurred in application for rezoning or related proceedings, and from liability to any
154 person, arising from the conduct of any and all Inspections or any work authorized by Buyer. Buyer will
155 not engage in any activity that could result in a construction lien being filed against the Property without
156 Seller's prior written consent. If this transaction does not close, Buyer will; at Buyer's expense, (i) repair
157 all damages to the Property resulting from the Inspections and return the Property to the condition it was in
158 before conducting the Inspections and (ii) release to Seller all reports and other work generated as a
159 result of the Inspections.
160 Before expiration of the Due Diligence Period, Buyer must deliver written notice to Seller of Buyer's
161 determination of whether or not the Property is acceptable. Buyer's failure to comply with this notice
162 requirement will constitute acceptance of the Property as suitable for Buyer's intended use in its "as is"
163 condition. If the Property is unacceptable to Buyer and written notice of this fact is timely delivered to
164 Seller, this Contract will be deemed terminated, and Buyer's deposit(s) will be returned.
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165 (2) 0 No Due Diligence Period: Buyer is satisfied that the Property is suitable for Buyer's purposes,
166 including being satisfied that either public sewerage and water are available to the Property or the
167 Property will be approved for the installation of a well and/or private sewerage disposal system and that
168 existing zoning and other pertinent regulations and restrictions, such as subdivision or deed restrictions,
169 concurrency, growth management, and environmental conditions, are acceptable to Buyer. This Contract
170 is not contingent on Buyer conducting any further investigations.
171 (b) Government Regulations: Changes in government regulations and levels of service which affect Buyer's
172 intended use of the Property will not be grounds for terminating this Contract if the Due Diligence Period has
173 expired or if Paragraph 9(a)(2) is selected.
174 (c) Flood Zone: Buyer is advised to verify by survey, with the lender, and with appropriate government agencies
175 which flood zone the Property is in, whether flood insurance is required, and what restrictions apply to
176 improving the Property and rebuilding in the event of casualty.
177 (d) Coastal Construction Control Line ("CCCL"): If any part of the Property lies seaward of the CCCL as
178 defined in Section 161.053, Florida Statutes, Seller will provide Buyer with an affidavit or survey as required
179 by law delineating the line's location on the Property, unless Buyer waives this requirement in writing. The
180 Property being purchased may be subject to coastal erosion and to federal, state, or local regulations that
181 govern coastal property, including delineation of the CCCL, rigid coastal protection structures, beach
182 nourishment, and the protection of marine turtles. Additional information can be obtained from the Florida
183 Department of Environmental Protection, including whether there are significant erosion conditions associated
184 with the shore line of the Property being purchased.
185 ❑ Buyer waives the right to receive a CCCL affidavit or survey.
186 10. Closing Procedure; Costs: Closing will take place in the county where the Property is located and may be
187 conducted by mail or electronic means. If title insurance insures Buyer for title defects arising between the title
188 binder effective date and recording of Buyer's deed, closing agent will disburse at closing the net sale proceeds to
189 Seller (in local cashier's check if Seller requests in writing at least 5 days before closing) and brokerage fees to
190 Broker as per Paragraph 21. In addition to other expenses provided in this Contract, Seller and Buyer will pay the
191 costs indicated below.
192 (a) Seller Costs:
193 Taxes on deed
194 Recording fees for documents needed to cure title
195 Title evidence (if applicable under Paragraph 8)
196 Estoppel Fee(s)
197 Other: All other closing costs and $5,000 paid to Seller at Closing for Seller s attorneys' fees and costs
198 (Iii! Rmyvpl Gevkw
199
200
201
202
203
204 Iq IGas
205�
206 ilioY:i1F1�
207 Other
208 (c) Prorations: The following items will be made current and prorated as of the day before Closing Date: real
209 estate taxes (including special benefit tax liens imposed by a CDD), interest, bonds, assessments, leases, and
210 other Property expenses and revenues. If taxes and assessments for the current year cannot be determined,
211 the previous year's rates will be used with adjustment for any exemptions.
212 (d) Special Assessment by Public Body: Regarding special assessments imposed by a public body, Seller will
213 pay (i) the full amount of liens that are certified, confirmed, and ratified before closing and (ii) the amount of the
214 last estimate of the assessment if an improvement is substantially completed as of Effective Date but has not
215 resulted in a lien before closing; and Buyer will pay all other amounts. If special assessments may be paid in
216 installments, ❑ Seller ❑ Buyer (Buyer if left blank) will pay installments due after closing. If Seller is
217 checked, Seller will pay the assessment in full before or at the time of closing. Public body does not include a
218 Homeowners' or Condominium Association.
219 (e) PROPERTY TAX DISCLOSURE SUMMARY: BUYER SHOULD NOT RELY ON THE SELLER'S CURRENT
220 PROPERTY TAXES AS THE AMOUNT OF PROPERTY TAXES THAT BUYER MAY BE OBLIGATED TO
221 PAY IN THE YEAR SUBSEQUENT TO PURCHASE. A CHANGE OF OWNERSHIP OR PROPERTY
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Buyer (____) L� and Sell r U (_� acknowledge receipt of a copy of this page, which is 4 of 8 pages.
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222 IMPROVEMENTS TRIGGERS REASSESSMENTS OF THE PROPERTY THAT COULD RESULT IN HIGHER
223 PROPERTY TAXES. IF YOU HAVE ANY QUESTIONS CONCERNING VALUATION, CONTACT THE
224 COUNTY PROPERTY APPRAISER'S OFFICE FOR FURTHER INFORMATION.
225 (f) Foreign Investment in Real Property Tax Act ("FIRPTA"): If Seller is a "foreign person" as defined by
226 FIRPTA, Seller and Buyer will comply with FIRPTA, which may require Seller to provide additional cash at
227 closing.
228 (g) 1031 Exchange: If either Seller or Buyer wish to enter into a like -kind exchange (either simultaneously with
229 closing or after) under Section 1031 of the Internal Revenue Code ("Exchange"), the other party will cooperate
230 in all reasonable respects to effectuate the Exchange including executing documents, provided, however, that
231 the cooperating party will incur no liability or cost related to the Exchange and that the closing will not be
232 contingent upon, extended, or delayed by the Exchange.
233 11. Computation of Time: Calendar days will be used when computing time periods, except time periods of 5 days
234 or less. Time periods of 5 days or less will be computed without including Saturday, Sunday, or national legal
235 holidays specified in 5 U.S.C. 6103(a). Other than time for acceptance and Effective Date as set forth in Paragraph
236 3, any time periods provided for or dates specified in this Contract, whether preprinted, handwritten, typewritten or
237 inserted herein, which shall end or occur on a Saturday, Sunday, or national legal holiday (see 5 U.S.C. 6103)
238 shall extend until 5:00 p.m. (where the Property is located) of the next business day. Time is of the essence in
239 this Contract.
240 12. Risk of Loss; Eminent Domain: If any portion of the Property is materially damaged by casualty before closing
241 or Seller negotiates with a governmental authority to transfer all or part of the Property in lieu of eminent domain
242 proceedings or an eminent domain proceeding is initiated, Seller will promptly inform Buyer. Either party may
243 terminate this Contract by written notice to the other within 10 days after Buyer's receipt of Seller's notification,
244 and Buyer's deposit(s) will be returned, failing which Buyer will close in accordance with this Contract and receive
245 all payments made by the governmental authority or insurance company, if any.
246 13. Force Majeure: Seller or Buyer will not be required to perform any obligation under this Contract or be liable to
247 each other for damages so long as the performance or non-performance of the obligation is delayed, caused, or
248 prevented by an act of God or force majeure. An "act of God or "force majeure" is defined as hurricanes,
249 earthquakes, floods, fire, unusual transportation delays, wars, insurrections, and any other cause not reasonably
250 within the control of Seller or Buyer and which by the exercise of due diligence the non -performing party is unable
251 in whole or in part to prevent or overcome. All time periods, including Closing Date, will be extended for the period
252 that the act of God or force majeure is in place. However, in the event that such act of God or force majeure event
253 continues beyond 30 days, either party may terminate this Contract by delivering written notice to the other; and
254 Buyer's deposit(s) will be returned.
255 14. Notices: All notices will be in writing and delivered to the parties and Broker by mail, personal delivery, or
256 electronic means. Buyer's failure to timely deliver written notice to Seller, when such notice is required by
257 this Contract, regarding any contingency will render that contingency null and void, and this Contract will
258 be construed as if the contingency did not exist. Any notice, document, or item delivered to or received by
259 an attorney or licensee (including a transactions broker) representing a party will be as effective as if
260 delivered to or received by that party.
261 15. Complete Agreement; Persons Bound: This Contract is the entire agreement between Seller and Buyer.
262 Except for brokerage agreements, no prior or present agreements will bind Seller, Buyer, or Broker unless
263 incorporated into this Contract. Modifications of this Contract will not be binding unless in writing, signed or
264 initialed, and delivered by the party to be bound. Electronic signatures will be acceptable and binding. This
265 Contract, signatures, initials, documents referenced in this Contract, counterparts, and written modifications
266 communicated electronically or on paper will be acceptable for all purposes, including delivery, and will be binding.
267 Handwritten or typewritten terms inserted in or attached to this Contract prevail over preprinted terms. If any
268 provision of this Contract is or becomes invalid or unenforceable, all remaining provisions will continue to be fully
269 effective. Seller and Buyer will use diligence and good faith in performing all obligations under this Contract. This
270 Contract will not be recorded in any public record. The terms "Seller," "Buyer," and "Broker" may be singular or
271 plural. This Contract is binding on the heirs, administrators, executors, personal representatives, and assigns, if
272 permitted, of Seller, Buyer, and Broker.
273 16. Default and Dispute Resolution: This Contract will be construed under Florida law. This Paragraph will survive
274 closing or termination of this Contract.
275 (a) Seller Default: If Seller fails, neglects, or refuses to perform Seller's obligations under this Contract, Buyer
276 may elect to receive a return of Buyer's deposit(s) without thereby waiving any action for damages resulting
Lti
Buyer ��� and Sell (_) acknowledge receipt of a copy of this page, which is 5 of 8 pages.
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277 from Seller's breach and may seek to recover such damages or seek specific performance. Seller will also be
278 liable for the full amount of the brokerage fee.
279 (b) Buyer Default: If Buyer fails, neglects, or refuses to perform Buyer's obligations under this Contract,
280 including payment of deposit(s), within the time(s) specified, Seller may elect to recover and retain the
281 deposit(s), paid and agreed to be paid, for the account of Seller as agreed upon liquidated damages,
282 consideration for execution of this Contract, and in full settlement of any claims, whereupon Seller and Buyer
283 will be relieved from all further obligations under this Contract; or Seller, at Seller's option, may proceed in
284 equity to enforce Seller's rights under this Contract.
285 17. Attorney's Fees; Costs: In any litigation permitted by this Contract, the prevailing party shall be entitled to
286 recover from the non -prevailing party costs and fees, including reasonable attorneys fees, incurred in conducting
287 the litigation. This Paragraph 17 shall survive Closing or termination of this Contract.
288 18. Escrow Agent; Closing Agent: Seller and Buyer authorize Escrow Agent and closing agent (collectively
289 "Agent") to receive, deposit, and hold funds and other items in escrow and, subject to Collection, disburse them
290 upon proper authorization and in accordance with Florida law and the terms of this Contract, including disbursing
291 brokerage fees. "Collection" or "Collected" means any checks tendered or received have become actually and
292 finally collected and deposited in the account of Agent. The parties agree that Agent will not be liable to any person
293 for misdelivery of escrowed items to Seller or Buyer, unless the misdelivery is due to Agent's willful breach of this
294 Contract or gross negligence. If Agent interpleads the subject matter of the escrow, Agent will pay the filing fees
295 and costs from the deposit and will recover reasonable attorneys' fees and costs to be paid from the escrowed
296 funds or equivalent and charged and awarded as court costs in favor of the prevailing party.
297 19. Professional Advice; Broker Liability: Broker advises Seller and Buyer to verify all facts and representations
298 that are important to them and to consult an appropriate professional for legal advice (for example, interpreting this
299 Contract, determining the effect of laws on the Property and this transaction, status of title, foreign investor
300 reporting requirements, the effect of property lying partially or totally seaward of the CCCL, etc.) and for tax,
301 property condition, environmental, and other specialized advice. Buyer acknowledges that all representations
302 (oral, written, or otherwise) by Broker are based on Seller representations or public records. Buyer agrees to rely
303 solely on Seller, professional inspectors, and government agencies for verification of the Property
304 condition and facts that materially affect Property value. Seller and Buyer respectively will pay all costs and
305 expenses, including reasonable attomeys' fees at all levels, incurred by Broker and Broker's officers, directors,
306 agents, and employees in connection with or arising from Seller's or Buyer's misstatement or failure to perform
307 contractual obligations. Seller and Buyer hold harmless and release Broker and Broker's officers, directors,
308 agents, and employees from all liability for loss or damage based on (i) Seller's or Buyer's misstatement or failure
309 to perform contractual obligations; (ii) the use or display of listing data by third parties, including, but not limited to,
310 photographs, images, graphics, video recordings, virtual tours, drawings, written descriptions, and remarks related
311 to the Property; (iii) Broker's performance, at Seller's or Buyer's request, of any task beyond the scope of
312 services regulated by Chapter 475, Florida Statutes, as amended, including Broker's referral, recommendation, or
313 retention of any vendor; (iv) products or services provided by any vendor; and (v) expenses incurred by any
314 vendor. Seller and Buyer each assume full responsibility for selecting and compensating their respective vendors.
315 This Paragraph will not relieve Broker of statutory obligations. For purposes of this Paragraph, Broker will be
316 treated as a party to this Contract. This Paragraph will survive closing.
317 20. Commercial Real Estate Sales Commission Lien Act: If the Property is commercial real estate as defined by
318 Section 475.701, Florida Statutes, the following disclosure will apply: The Florida Commercial Real Estate Sales
319 Commission Lien Act provides that when a broker has earned a commission by performing licensed services
320 under a brokerage agreement with you, the broker may claim a lien against your net sales proceeds for the
321 broker's commission. The broker's lien rights under the act cannot be waived before the commission is earned.
322 21. Brokers: The licensee(s) and brokerage(s) named below are collectively referred to as "Broker." Instruction to
323 closing agent: Seller and Buyer direct Closing Agent to disburse at Closing the full amount of the brokerage
324 fees as specified in separate brokerage agreements with the parties and cooperative agreements between the
325 Brokers, except to the extent Broker has retained such fees from the escrowed funds. This Paragraph will not be
326 used to modify any offer of compensation made by Seller or listing broker to cooperating brokers.
327
328
Seller's Sales Associate/License No.
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Buyer (__) ( ) and Sell r L ) acknowledge receipt of a copy of this page, which is 6 of 8 pages.
©2024 Florida Realtors®
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Buyer's Sales Associate/License No.
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Seller's Sales Associate Email Address
Seller's Sales Associate Phone Number
Listing Brokerage
Listing Brokerage Address
Buyer's Sales Associate Email Address
Buyer's Sales Associate Phone Number
Buyer's Brokerage
Buyers Brokerage Address
34o 22. Addenda: The following additional terms are included in the attached addenda and incorporated into this Contract
341 (Check if applicable):
342 ❑ A. Back-up Contract
343 ❑ B. Kick Out Clause
344 ❑ C. Other
345 23. Additional Terms:
346 (1) This contract is contingent upon approval by the City of Clermont City Council which must occur on or before February 28, 2025 or this contract may
347 be terminated by the Seller. (2) Buyer shall pay all closing costs. (3) In addition to the Purchase Price, at Closing Buyer shall pay Seller $5,000 for
348 Seller's attorneys' fees and other expenses Incurred as the result of evaluating the City's unauthorized, mislocated drainage improvements on the subject
349 property that resulted in this Contract negotiating and draftlng this Contrac4 reviewing and commenting on closing documents and lot line boundary
3550 adjustment documents. (4) Except for the warranty of title under a special warranty deed, the Seller makes no Implied or expressed warranties or
351 representations concerning the subject property and the Buyer takes the subject property 'as -Is'. (5) Buyer recognizes that Its acquisition of the subject
352 property (Parcel A) will result In the remaining Parcel B and Parcel C (see attached Lot Sketch) owned by Seller becoming non -buildable without a lot line
353 readjustment approval from the City of Clermont City Council. On or before March 28, 2025, the Buyer, at Buyer's expense, must obtain lot line
3554 readjustment and variances (If needed) approvals from the City Council In order to make Parcel B and Parcel C conforming lots and buildable for standard
35555 single-family residential dwellings pursuant to the Land Development Code and Florida Building Code and provide Seller with a written development
356 order evidencing the same ('Development Order Contingency'). If the Development Order Contingency Is not timely met Seller may terminate this
357 Contract. (6) !f any of the contingencies of Closing are not met due to the Buyer's acts or omissions, the Seller may terminate this Contract and receive
3558 the $10,000 Deposit funds as liquidated damages without waiving any other claims Seller has concerning Buyer's unauthorized, mislocated drainage
359 Improvements being located on the subject property.
360
361 COUNTER-OFFER/REJECTION
362 ❑ Seller counters Buyer's offer (to accept the counter-offer, Buyer must sign or initial the counter -offered terms and
363 deliver a copy of the acceptance to Seller).
364 ❑ Seller rejects Buyer's offer
365 [The remainder of this page is intentionally left blank.
366 This Contract continues with Line 367 on Page 8 of 8.]
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Docusign Envelope ID: E62EE9C4-33E1-4515-B010-2DDB7208630D
367 This is intended to be a legally binding Contract. If not fully understood, seek the advice of an attorney before
368 signing.
369
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ATTENTION: SELLER AND BUYER
CONVEYANCES TO FOREIGN BUYERS: Part III of Chapter 692, Sections 692.201 - 692.205, Florida Statutes, 2023
(the "Act"), in part, limits and regulates the sale, purchase and ownership of certain Florida properties by certain buyers
who are associated with a "Foreign country of concern", namely: the People's Republic of China, the Russian
Federation, the Islamic Republic of Iran, the Democratic People's Republic of Korea, the Republic of Cuba, the
Venezuelan regime of Nicol6s Maduro, or the Syrian Arab Republic. It is a crime to buy or knowingly sell property
in violation of the Act.
At time of purchase, Buyer must provide a signed Affidavit which complies with the requirements of the Act.
Seller and Buyer are advised to seek legal counsel regarding their respective obligations and liabilities under the Act.
378 City of Clermont
379 Buyer: -
380 Print name:
381
382
383
384
385
Rr warn
Print name: _
Buyer's address for purpose of notice:
Address:
Phone: Fax:
LEGACY HOMESLLC
386 Seller: ,
387 Print name:
388
389
390
391
392
rden
Seller:
Print name:
Seller's address for purpose of notice:
Address:
Phone: Fax:
Email:
Email:
Date:
Date:
Date:
Date:
2/17/2025
Florida REALTORS* makes no representation as to the legal validity or adequacy of any provision of this form In any specific transaction. This standardized form should
not be used in complex transactions or with extensive riders or additions. This form is available for use by the entire real estate industry and is not intended to identify the
user as REALTOR`. REALTOR' is a registered collective membership mark which may be used only be real estate licensees who are members of the NATIONAL
ASSOCIATION OF REALTORS' and who subscribe to its Code of Ethics. The copyright laws of United States (17 U.S. Code) forbid the unauthorized reproduction of this
form by any means Including facsimile or computerized forms.
DS
Buyer (_ j ( and Sell r L
__� (`_) acknowledge receipt of a copy of this page, which is 8 of 8 pages.
VAG14xxx Rev 8/24 ®2024 Florida Realtors®
Licensed to Alta Star Software and ID1836150.469414
Software and added formatting © 2025 Alta Star Software, all rights reserved. • www.altastar.com • (877) 279-8898
