Backup Documents 10/22/2013 Item #16D 2ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 6
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATU
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
than Monday preceding the Board meeting.
* *NEW ** ROUTING SLIP rerz�r�'y�q i� �,q
Complete routing lines #1 through #2 as appropriate for additional signatures, dates, and/or information needed. If the dodument is alre y complete with the
exce tion of the Chairman's signature, draw a line through routing lines #I throw #2, complete the checklist, and forward to the Coun Attorney Office.
Route to Addressees (List in routing order)
Office
Initials
Date
1. Wendy Klo
HHVS
(Initial)
10/22/13
2. Jennifer Belpedio
County Attorney Office
Agenda Item Number
16.D.2
3. BCC Office
Board of County
Commissioners
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4. Minutes and Records
Clerk of Court's Office
Number of Original
1
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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 KlopVMVS
Phone Number
252 -2901
Contact / Department
appropriate.
(Initial)
,Applicable)
Agenda Date Item was
10/22/13
Agenda Item Number
16.D.2
Approved by the BCC
Does the document need to be sent to another agency for additional signatures? If yes,
NA
Type of Document
Short Sale Satisfaction of Mortgage -1
Number of Original
1
Attached
Original document has been signed/initialed for legal sufficiency. (All documents to be
Documents Attached
PO number or account
1 check # 10640 for $10.00 a�de # to the
number if document is
Clerk of Courts
to be recorded
All handwritten strike - through and revisions have been initialed by the County Attorney's
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INSTRUCTIONS & CHECKLIST
I: 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?
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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.
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Of
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
NA
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.
AV
6.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
WK
signature and initials are required.
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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 to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8.
The document was approved by the BCC on 10/22/13 and all changes made during
WK V
N/A is not
the meeting have been incorporated in the attached document. The County
an option for
Attorney's Office has reviewed the changes, if applicable.
this line.
9.
Initials of attorney verifying that the attached document is the version approved by the
WK
A is not
BCC, all changes directed by the BCC have been made, and the document is ready for th
option for
P
Chairman's signature.
Ois line.
I: 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
160 2
INSTR 4907296 OR 4979 PG 133
RECORDED 10/29/2013 3:49 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Prepared by: Wendy Klopf COLLIER COUNTY FLORIDA
Collier County REC $10.00
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 Scott Selznick aka Scott G. Selznick to COLLIER COUNTY, bearing the
date of December 14, 2007 , recorded December 20, 2007 , in Official Records Book 4313 , Page
3314 , of the Public Records of Collier County, Florida, securing a principal sum of $ 41,250.00 and
certain promises and obligations set forth in said Mortgage, upon the property described in the
aforementioned Mortgage.
COLLIER COUNTY hereby acknowledges payment and satisfaction of said Mortgage, in accordance
with Collier County Short Sale Policy, approved by the Board of County Commissioners on February 28,
2012, Agenda Item 16.13.7, and surrenders the same as cancelled, and hereby directs the Clerk of said
Circuit Court to cancel the same record.
This Satisfaction of Mortgage was approved by the Board of County Commissioners on -
() , ± 0� a,;�, , 2013, Agenda Item Number
ATTEST: BO,
DWIGHT E. BROCK;.CLERK OF
By: By:
Attest as to ChM Ni RK
signature only.
Approved for form and legality:
Jenm er A. Belpedi ..� \ ��
Assistant County And ey 1
CHAIRWOMAN