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Backup Documents 11/12/2024 Item #16D 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP , 6 ,n 2 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. Wendy Klopf Community and Human 6sk 11/12/2024 Services 2. County Attorney County Attorney Office cS 3. BCC Office Board of County tll Commissioners al tI 11(5 4. Minutes & Records Clerk of Court's Office CY IA -4kt 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/CHS Phone Number 252-2901 Contact/ Department Agenda Date Item was 11/12/2024 Agenda Item Number 16D2 Approved by the BCC Type of Document Satisfaction of Mortgage-SHIP Loans Number of Original 2 Attached SAWCC&CCHA Documents Attached PO number or account NA number if document is 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? 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 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 WK 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 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 11/12/2024 and all changes made WK during 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 WK BCC,all changes directed by the BCC have been made,and the document is ready for the Chairman's signature. 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 .E INSTR 6613960 OR 6415 PG 2585 RECORDED 11/19/2024 1:22 PM PAGES 1 Prepared by: Wendy Klopf CLERK OF THE CIRCUIT COURT AND COMPTROLLER COLLIER COUNTY FLORIDA Collier County-Community and Human Services REC$10.00 Court Plaza-2671 Airport Road S#203 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 the Collier County Housing Authority to COLLIER COUNTY, dated August 1 2004 and recorded on September 7,2004 in Official Records Book 3636 Page 4167 of the Public Records of Collier County,having met the affordability housing obligation associated with the$228,000.00 of SHIP funds and certain promises and obligations set forth in said Mortgage, upon the property described in the aforementioned mortgage. COLLIER COUNTY hereby acknowledges the met obligation set forth in said Mortgage 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 Al ot/ci ir.'r /.,,zbieJ- Agenda Number 16D 4 . ATTEST' BOARD OF TY COMMISSIONERS CRYSTAL.K:'KINZ L', CLERK OF COL UN—Y LOR A `r� 8 :. By: r!. Attest as to C �i CLERK C ALL, CHAIRPERS . signature only '" Approval for fo nd legality: CAR ANSEVERINO Assistant County Attorney 10 S Cx10 6 2 INSTR 6613961 OR 6415 PG 2586 RECORDED 11/19/2024 1:22 PM PAGES 1 CLERK OF THE CIRCUIT COURT AND COMPTROLLER Prepared by: Wendy Klopf COLLIER COUNTY FLORIDA Collier County-Community and Human Services REC$10.00 3339 E.Tamiami Trail Ste 211 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 The Shelter for Abused Women of Collier County_to COLLIER COUNTY,dated November 1, 2001 and recorded on December 14, 2001 in Official Records Book 2944 Page 1890. including the Mortgage Modification dated on June 28, 2004, and recorded on July 1,2004 in Official Records Book 3598, page 1200 of the Public Records of Collier County, Florida, having met the affordability housing obligation associated with the $180,000.00 of SHIP funds and certain promises and obligations set forth in said Mortgage, upon the property described in the aforementioned mortgage. COLLIER COUNTY hereby acknowledges the met obligation set forth in said Mortgage 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 Abbe 1)rjeAdli Agenda Number 16D4 . ` T1ST" BOARD OF TY COMMISSIONERS '*CRYSTAL ,,,KINZEL, CLERK OF COLLI T , ORI A By l 1, _ � St� .�(�1� By: Attest as to Gra Y CLERK CH A L, CHAIRPERSO signature only Approval for form and legality: CARL S S ERINO Assi County Attorney Cit f'j CAO