Backup Documents 05/14/2013 Item #16D 3ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLI.
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNAT
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
* *NEW ** ROUTING SLIP
Complete routing lines #1 through #2 as appropriate for additional signatures, dates, and/or information needed. Ifthe document is already complete with the
exrrntion of the Chairman's sienature_ draw a line through routine lines # I through #2. complete the checklist, and forward to the County Attomev Offic;.
Route to Addressees (List in routing order)
Office
Initials
Date
1. Wendy Klopf
HHVS
(Initial)
Applicable)
2.
05/14/2013
Agenda Item Number
16D.3
3. Jeffrey Wright
County Attorney Office
NA
S
4. BCC Office
Board of County
Commissioners
C-) H
Sb ? / 3
5. Minutes and Records
Clerk of Court's Office
Documents Attached
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the
addressees above. may need to contact staff for additional or missing information_
Name of Primary Staff
Wendy Klopf%HVS
Phone Number
252 -2901
Contact / Department
appropriate
(Initial)
Applicable)
Agenda Date Item was
05/14/2013
Agenda Item Number
16D.3
Approved by the BCC
Does the document need to be sent to another agency for additional signatures? If yes,
NA
Type of Document
Satisfaction of Mortgage
Number of Original
3v-'�
Attached
Original document has been signed/initialed for legal sufficiency. (All documents to be
Documents Attached
PO number or account
2 checks provided for recording,
number if document is
return MidouinBaptiste as Habitat will pay
to be recorded
to record the Satisfation
NA
Ce p C ex- INSTRUCTIONS & CHECKLIST
1; Forms/ County Forms / BCC Forms / Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24,05; Revised 11/30/12
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is
Yes
N/A (Not
appropriate
(Initial)
Applicable)
1.
Does the document require the chairman's original signature?
WK
2.
Does the document need to be sent to another agency for additional signatures? If yes,
NA
provide the Contact Information (Name; Agency; Address; Phone) on an attached sheet.
3.
Original document has been signed/initialed for legal sufficiency. (All documents to be
WK
signed by the Chairman, with the exception of most letters, must be reviewed and signed
by the Office of the County Attorney.
4.
All handwritten strike - through and revisions have been initialed by the County Attorney's
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Office and all other parties except the BCC Chairman and the Clerk to the Board
5.
The Chairman's signature line date has been entered as the date of BCC approval of the
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document or the final negotiated contract date whichever is applicable.
6.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
WK
signature and initials are required.
7.
In most cases (some contracts are an exception), the original document and this routing slip
NA
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware 9f your deadlines!
8.
The document was approved by the BCC on 05/14/l3 and all changes made during
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the meeting have been incorporated in the attached document. The County
Attorney's Office has reviewed the changes, if applicable.
9.
Initials of attorney verifying that the attached document is the version approved by the
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BCC, all changes directed by the BCC have been made, and the document is ready forte
J
Chairman's signature.
`/
1; Forms/ County Forms / BCC Forms / Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24,05; Revised 11/30/12
1603 4
INSTR 4842523 OR 4923 PG 3026
RECORDED 5/23/2013 8:51 AM PAGES 1
Prepared by: DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Collier County COLLIER COUNTY FLORIDA
Housing, Human & Veteran Services REC $10.00
3339 E. Tamiami Trail - - - -
Naples, FL 34112
THIS SPACE FOR RECORDING
SATISFACTION OF MORTGAGE
KNOW ALL MEN BY THESE PRESENTS: That COLLIER COUNTY, whose post office address is
3299 E TAMIAMI TRAIL, NAPLES, FLORIDA 34112, the owner(s) and holder(s) of a certain
Mortgage executed by Donald Sloat & Laura Sloat to
COLLIER COUNTY, recorded on April 3, 2009 in Official Records Book 1440, Page 3461
of the Public Records of Collier County, Florida, securing a principal sum of $2,746.00 and
certain promises and obligations set forth in said Mortgage, upon the property situated in said State and
County described as follows, to wit:
Legal Description: Golden Gate Est, Unit 93, E 306 FT of TR98. Collier County Florida.
3180 36th Ave SE Naples, FL 34117
COLLIER COUNTY hereby acknowledges full payment and satisfaction of said Mortgage, and
surrenders the same as cancelled, and hereby directs the Clerk of said Circuit Court to cancel the same of
record.
This Satisfaction of Mortgage was approved by the Board of County Commissioners on -
Mo"�� \, , 2013, Agenda Item Number l b -fc> 3
ATTEST:
DWIGHT E',,BRQCK, Clerk
r
h ;v9
By:
N4DC
`eputy Clerk
sr a4re.only, :,�v
Approved as to form
and jegq sufficiency:
J ff E. right
AksisVnt County Attorney
BOARD OF COUNTY
COLLIER COUNTY, F
By: U_ / v y
GEORGIA A. HILLER, ESQ, CHAIRWOMAN
29
INSTR 4842524 OR 4923 PG 3027
RECORDED 5/23/2013 8:51 AM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
REC $10.00
Prepared by:
Collier County —
Housing, Human & Veteran Services 1603
3339 E. Tamiami Trail
Naples, FL 34112
THIS SPACE FOR RECORDING
SATISFACTION OF MORTGAGE
KNOW ALL MEN BY THESE PRESENTS: That COLLIER COUNTY, whose post office address is
3299 E TAMIAMI TRAIL, NAPLES, FLORIDA 34112, the owner(s) and holder(s) of a certain
Mortgage executed by Kristy Brodbeck to COLLIER COUNTY, recorded on June 6, 2008 in Official
Records Book 4367, Page 2714, and re- recorded on December 3, 2008 in Official Records Book 4411,
Page 1020, of the Public Records of Collier County, Florida, securing a principal sum of $27,448.50 and
certain promises and obligations set forth in said Mortgage, upon the property situated in said State and
County described as follows, to wit:
Legal Description: Unit 1403, Vista III at Heritage Bay Commons, a subdivision as recorded in Plat
Book 43, pages 46 through 54 of the Public Records of Collier County, Florida (9055 Gervais
Circle #1403 Naples, FL 34120)
COLLIER COUNTY hereby acknowledges full payment and satisfaction of said Mortgage, and
surrenders the same as cancelled, and hereby directs the Clerk of said Circuit Court to cancel the same of
record.
This Satisfaction of Mortgage was approved by the Board of County Commissioners on -
�Aqt�tA X_k4_ , 2013, Agenda Item Number % t. I> —.b—.
ATTEST:
DWIGHT E..,BROCK,4,,P1erk
rho
A
By' A
�puty Clerk
Atf t as to
signatur +1y - -
Approved as to form
and lt,gal sufficiency:
Jeright
Ass s nt County Attorney
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
HILLER, ESQ, CHAIRWOMAN
IM
INSTR 4842374 OR 4923 PG 2562
RECORDED 5/22/2013 2:56 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
Prepared by: REC $10.00
Collier County
Housing, Human & Veteran Services
3339 E. Tamiami Trail
Naples, FL 34112
THIS SPACE FOR RECORDING
SATISFACTION OF MORTGAGE
KNOW ALL MEN BY THESE PRESENTS: That COLLIER COUNTY, whose post office address is
3299 E TAMIAMI TRAIL, NAPLES, FLORIDA 34112, the owner(s) and holder(s) of a certain
Mortgage executed by Marie Midouin and Jn Robert Jn Baptiste to
COLLIER COUNTY, recorded on August 17, 2007 in Official Records Book 4271 , Page 2218 ,
of the Public Records of Collier County, Florida, securing a principal sum of $20,250.00 and
certain promises and obligations set forth in said Mortgage, upon the property situated in said State and
County described as follows, to wit:
Legal Description: Lot 149 Trail Ridge, Collier County, Florida which has as address of
13686 Legacy Lane Naples Fl 34114
COLLIER COUNTY hereby acknowledges full payment and satisfaction of said Mortgage, and
surrenders the same as cancelled, and hereby directs the Clerk of said Circuit Court to cancel the same of
record.
This Satisfaction of Mortgage was approved by the Board of County Commissioners on -
HPVA 14 , 2013, Agenda Item Number I ID'G 3
ATTEST: BOARD OF COUNTY
DWIGHT E. BRQCK, Clerk COLL1 COUNTY, F
B ''r By:
+SDeputy Clerk i
tesa
Slt�ft'dtuFe Oq% �
Approved as to form
and le sufficiency:
Jet E. AVright
As ' ant County Attorney
IA A. HILLER, ESQ, CHAIRWOMAN
M