Quit Claim Deed Flori
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Quit Claim Deed Flori document sample
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FLORIDA DEPARTMENT OF REVENUE
RETURN FOR TRANSFERS OF INTEREST IN REAL PROPERTY
(
-(PLEASE READ INSTRUCTIONS BEFORE-
-- -- - - - -- - - -
COMPLETING)
--
Use black ink. Enter numbers as shown below. If typing, enter numbers as shown below.
?NET
1. Parcel ldentlflcation Numbel
(If Parcel ID not available
i mmnmm~n~mo~ A F ~ T F I L I ~
E I
please call County Property
Appraiser's Office) -)
-
Mark (x) all
that apply
Multi-parcel
transaction? -)
-
L~
Transaction is a split
or cutout from
another parcel? ' IX1
Property was improved
with building@)at time
of s a e ~ r a n s e + 11
Pasco County
3. Grantor (Seller):
Last First MI Corporate Name (if applicable)
37918 Meridian Ave, Dade City FL 33525 ( )
Mailing Address City State Zip Code Phone No.
Florida Department of Transportation
4. Grantee (Buyer):
Last First MI Corporate Name (if applicable)
11201 Malcolm McKinley Dr Tampa FL 33612 ( )
Mailing Address City State Zip Code Phone No.
5. Date of Salerrransfer Salerrransfer Price
Month Day Year
. Property
Located In Pasco
6, T~~~of D~~~~~~~
u
m :;:;
ia
ConttncffAgreement
for Deed
j-1
1)(1
Other 7. Are any mortgages on the property? If "Yes",
outstanding mortgage balance:
(Round to the nearest dollar.) $
-- . _ -
- ~ - .
, ~;
YES
.-~, r-- ~. r--
I I I 1s- ~I i I .
,
/
.o 0:
:%:NO
8. To the best of your knowledge, were there unusual circumstances or conditions to the saleltransfer
such as: Forced sale by court order? Foreclosure pending? Distress Sale? Title defects? Corrective Deed? Mineral rights?
Sale of a partial or undivided interest? Related to seller by blood or marriage. YES I ] / Yi NO
9. Was the salenransfer financed? YES / --NO If "Yes", please indicate type or types of tinancing:
/I]
-.
Conventional
I
-
,
: Seller Provided Ij Agreement or
Contract for Deed Other /1
Institutional1
10. Property Type: Residential Commercial Industrial Agricultural Miscellaneous Government Vacant Acreage Timeshare
-.
Mark (xj ail
that apply b
Ic
L_ ~ -
---- Cents-
1 ! / % ' NO -
- 01 r:l~
~r-1
11. To the best of your knowledge, was personal property YES .. .
included in the saleltransfer? If 'Yes". i lease state the
~
amount attributable to the personal p;operty. (Round to the nearest dollar.)
12. Amount of Documentary Stamp Tax S 10 1 . :.7 i -i
~--'
-7 ~
,
L
r
I
13. If Stamp Tax under s. 201.02(6), Florida Statutes?
is due in number 12, is deed exempt from Documenta~ YES/X~ / NO
Under penalties of perjur\/. I declare that I
s
than the taxpayer, hls.'hcr declaration 1 b
Signature of ranio or or Gr-antccor Agent
..,
v.+,L(!~ll:.iG ?&I' x q k O
T -,I V F i .)HI.. j K A
C
57;!r:f?bE.J*l ,
1f it,:,>:>:;: 1 nv TL+L k?r..:: ;\,,I: , l : ~ [ !;:<,!>;>, : ,
2 :
, , . ' ; ~
To be completed by the Clerk of the Circuit Court's Office Clerks Date Stamp
This copy to Property Appraiser
0 . R. Book
and
,
-
and
Date Recorded a
Month
/ 1, Day
n/ /-I ~7
1'--- Year
This copy to Property Appraiser
111 11 I
FDORIM40300
FLORIDA DEPARTMENT OF REVENUE
NET
DR-219
RETURN FOR TRANSFERS OF INTEREST IN REAL PROPERTY
(PLEASE READ INSTRUCTIONS BEFORE COMPLETING) R. 07/98
1. Parcel Identification Number
(If Parcel ID not available
please call County Property
Enter numbers as shown below.
0 1 2 3 4 5 6 7 8 9
If typing, enter numbers as shown below
0123456789 r
Appraiser's Office) -)
Transaction is a split Property was improved
2. Mark (x) all Multi-parcel
that apply transaction? ' or cutout from
another arce el? '% with building(s) at time
of sale/transfef? '
Pasco County
3. Grantor (Seller):
Last First MI Corporate Name (if applicable)
37918 Meridian Ave, Dade City FL 33525 ,
\
\
I
Mailing Address City State Zip Code Phone No.
Florida Department of Transportation
4. Grantee (Buyer):
Last First MI Corporate Name (if applicable)
11201 Malcolm McKinley Dr Tampa FL 33612 ,
\
1
I
Mailing Address City State Zip Code Phone No.
5. Date of Salerrransfer Salerrransfer Price
$ Property 61 County Code
1 22 2008 00 Located In
Month Day Year (Round to the nearest dollar.)
6. T~~~of D~~~~~~~ ContracVAgreement )( Other 7. Are any mortgages on the property? If "Yes", YES NO
for Deed outstanding mortgage balance:
Warranty
Deed
Quit Claim
Deed
(Round to the nearest dollar.) $ .OO
8. To the best of your knowledge, were there unusual circumstances or conditions to the saleltransfer
such as: Forced sale by court order? Foreclosure pending? Distress Sale? Title defects? Corrective Deed? Mineral rights?
Sale of a partial or undivided interest? Related to seller by blood or maniage. YES NO
9. Was the salehransfer financed? YES NO If "Yes", please indicate type or types of financing:
Agreement or
Conventional Seller Provided Contract for Deed Other
Institutionall
10. PropertyType: Residential Commercial Industrial Agricultural Miscellaneous Government Vacant Acreage Timeshare
Mark (x) all
that apply % % %
Cents
1 . To the best of your knowledge, was personal property
1
included in the saleltransfel? If "Yes", please state the
YES
amount attributable to the personal property. (Round to the nearest dollar.)
%NO $
moo
0.00
12. Amount of Documentaly Stamp Tax
13. If no is due in number 12, is deed exempt from Documentary Stamp Tax under s. 201.02(6), Florida Statutes? YES NO
Under penalties of perjury. I declare that I ~t are truc If prepared by someone other
than the taxpayer, histher declaration is b
Signature of Grantor or. Grantee or Agent
FILE WlS RETURN OR ALT
\.:&RI~IIl,iG F A I I ~ U R E I O
3TI~ltR PENkLTf IMFOSED 0 'THE REi'ENUE LAIPJ OF FLORI!lA
1
To be completed by the Clerk of the Circuit Court's Office Clerks Date Stamp
This copy to Department of Revenue
0. R. Book 1
and . .
and
Date Recorded
Month Day Year
This copy to Department of Revenue
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