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Backup Documents 07/12/2022 Item #16D13 MEMORANDUM Date: August 1, 2022 To: Karina Bardales- Grants Support Specialist Community & Human Services From: Mende Ragan Minutes & Records Department Re: Item #16D13 Please find the attached Release of Lien — CWIF: Dumel and the attached receipt from the Recording Department. The Minutes and Record's Department has kept the original of the agreement as part of the Board's Official Record. If you have any questions, please feel free to call me at 252-8411. Thank you. Attachment ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP �. TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE 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. If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. Karina Bardales Community and Human KB 07/07/2022 Services 2. Derek D. Perry County Attorney Office ooe -A\taya- 3. BCC Office Board of County Commissioners (,14 by to/$/ 7/ZO/7iZ 4. Minutes and Records Clerk of Court's Office LAX De -0 zZ-- 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 Karina Bardales,Grants Support Phone Number 239-252-2338 Contact/ Depattinent Specialist/CHS Division Agenda Date Item was July 12,2022 Agenda Item Number 16.D. I Approved by the BCC Type of Document Release of Lien-CWIF: Dumel Number of Original 1 Attached Documents Attached PO number or account number if document is 001-155930-369620 to be recorded INSTRUCTIONS & CHECKLIST 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? KB 2. Does the document need to be sent to another agency for additional signatures? If yes, N/A 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 KB 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 N/A 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 KB 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 KB signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip N/A 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 07/12/2022 and all changes made during not the meeting have been incorporated in the attached document. The County ©P 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 e N/A is not BCC, all changes directed by the BCC have been made,and the document is ready for the (�p an option for Chairman's signature. �J this line. ** Please e-mail a recorded copy to Karina.Bardales@colliercountyfl.gov** 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 Receipt# 008598439 7/21/2022 11:14:49 AM ��� u7),,I,T!- Crystal K. Kinzel ,`- Clerk of the Circuit Court and Comptroller o 0 0 �r)nsc_wcs� LLLJJJ Customer Deputy Clerk Clerk Office Location CLERK TO THE BOARD/MINS Anahi Ramirez Collier County Govt. Center & REC Anahi.Ramirez@collierclerk.com Building LA, 2nd Floor 3299 TAMIAMI TRL E STE 401 239-252-2646 3315 Tamiami Trl E Ste 102 NAPLES, FL 34112 Naples, Florida 34112-4901 1 Document Recorded DOC TYPE INSTRUMENT BOOK PAGE AMOUNT Release 6285959 6155 1291 $10.00 TOTAL AMOUNT DUE $10.00 Clerk Account#: BCC ($10.00) BALANCE DUE $0.00 Note: 7/21/2022 11:14:49 AM Anahi Ramirez: PICKUP BOX CHARGE ACCOUNT 001-155930-369620 DEPARTMENT: CHS DIVISION Disclaimer: All transactions are subject to review/verification. The Clerk reserves the right to correct for clerical errors and to assess or refund charges as needed. g liffig [I@ gg° Page 1 of 1 INSTR 6285959 OR 6155 PG 1291 Prepared by:Karina Bardales RECORDED 7/21/2022 11:14 AM PAGES 1 CLERK OF THE CIRCUIT COURT AND COMPTROLLER Collier County Community and Human Services COLLIER COUNTY FLORIDA 3339 E.Tamiami Trail,Building H,#211 REC$10 00 Naples,FL 34112 THIS SPACE FOR RECORDING RELEASE OF LIEN 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 Lien Agreement for Deferral of 100% of Collier County Impact Fees for Owner Occupied Affordable Housing Dwelling (the "Impact Fee Lien") executed by Nadeje Dumel, to COLLIER COUNTY, recorded on 09/17/2007 in Official Records Book 4282,Page 2467 of the Public Records of Collier County,Florida,in consideration of$12,722.05 ($10,177.64 plus$2,544.41 in interest)having met the term is hereby acknowledged does satisfy, remise, release, quitclaim, exonerate and discharge the Impact Fee Lien against the premises conveyed by said Impact Fee Lien and more particularly described as follows: LOT 134,INDEPENDENCE,PHASE II,ACCORDING TO THE PLAT THEROF,AS RECORDED IN PLAT BOOK 43, PAGES 64 THROUGH 66 INCLUSIVE, OF THE PUBLIC RECORDS OF COLLIER COUNTY,FLORIDA The undersigned is authorized to and does hereby satisfy and release this Lien with respect to the above-named property, and consents to this Lien being forever discharged of record with respect to said property. This Release of Lien was approved by the Board of County Commissioners on Ju 1.v 12t h 2022, Agenda Item Number 16.D.13 . ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL-K.KINZEL, CLERK COLLIER CO Air, _ I RIDA lbC1) / 1„,-_ OA By: S. By. �„ i 44LJ&.. y Clerk Willim L. McDaniel Jr., Chairman tol Ci�amin' ! _ ti in+3tu«cinh'l Ar . 1lved for 1ar1-gality: 1 CZ N erek D. Perry �� �� Assistant County Attorney , [22-SOC-00908/1723114/1] Page 1 of 1 CAC