Statutory Deed 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.Original documents should be hand delivered to the Board Office.The completed routing slip and original
documents are to be forwarded to the Board Office only after the Board has taken action on the item.)
ROUTING SLIP
Complete routing lines#1 through#4 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#4,complete the checklist,and forward to Ian Mitchell(line#6).
Route to Addressee(s) Office Initials Date
(List in routing order)
1.
2.
3.
4. e4_0 CA0 ioca'ta.dl a+ h->VS •-3N.3 \ \k3
5.5. BCC Office Board of County Commissioners 1- C-111
6. Minutes and Records Clerk of Court's Office PC r\ 216 f t3
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending BCC approval.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,including Sue Filson,need to contact staff for additional or missing
information.All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the
item.)
Name of Primary Staff 6472(1 (•tc � Phone Number Eh 73
Contact (/
Agenda Date Item was /Z/p/6 9 -- //o /04//, /Agenda Item Number /7/ ., /(o D/ —./0049
Approved by the BCC
Type of Document / Number of Original
Attached ? Documents Attached 2 Ct or
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. Original document has been si ne initialed for legal sufficiency. (All documents to be
signed by the Chairman,with the exception of most letters, must be reviewed and signed
by the Office of the County Attorney. This includes signature pages from ordinances, C flW J
resolutions, etc. signed by the County Attorney's Office and signature pages from
contracts, agreements,etc. that have been fully executed by all parties except the BCC
Chairman and Clerk to the Board and possibly State Officials.)
2. Is the Chairman's original signature required? 0
3. All handwritten strike-throughs and revisions have been initialed by the County Attorney's
Office and all other parties except the BCC Chairman and the Clerk to the Board.
4. The Chairman's signature line date has been entered as the date of BCC approval of the
document or the final negotiated contract date, whichever is applicable.
5. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's
signature and initials are required.
6. In most cases(some contracts are an exception),the original document and this routing slip
should be provided to the BCC office within 24 hours of BCC approval. Some documents 6
are time sensitive and require forwarding to Tallahassee within a certain time frame or the .€14-
BCC's actions are nullified. Be aware of your deadlines! S///no -4J/09 ,c
7. The document was approved by the BCC on /y/i;/,i (enter date)and all changes Q:
made during the meeting have been incorporated in the attached document.The OW
County Attorney's Office has reviewed the changes, if applicable. for too,.'
1:Forms/County Forms/BCC Forms/Original Documents Routing Slip,Revised 6-15-2011
MEMORANDUM
Date: February 26, 2013
To: Toni Mott, Property Acquisition Manager
Facilities Management
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Statutory Deed and Bill of Sale
Deed & BOS — Golden Gate Estates Unit No. 63
Attached for further processing is the original document, referenced
above (Item #10A), approved by the Board of County Commissioners on
Tuesday, December 14, 2011.
After fully executed please return the executed original document to this
office for the Board's Official Record.
If you should have any questions, please contact me at 252-8406.
Thank you.
NEIGHBORHOOD STABILIZATION PROGRAM
Property Address: 2820 47TH AVE NE, NAPLES,FL 34120
Folio Number: 39839280004
STATUTORY DEED
THIS STATUTORY DEED, made this 154—day of 5�( , 20 R, by COLLIER
COUNTY, a Political Subdivision of the State of Florida, whose mailing a dress is 3335 Tamiami Trail
East, Suite 101, Naples, Florida 34112-5356, hereinafter called the Grantor, to Roger A. Tiberio and
Suzanne M. Bygrave, husband and wife, whose mailing address is 2820 47th Avenue NE, Naples, FL
34120, hereinafter called the Grantee.
(Whenever used herein the terms "Grantor' and "Grantee" include all the parties to this instrument
and their respective heirs, successors or assigns.)
WITNESSETH that the Grantor, for and in consideration of the sum of Ten Dollars, ($10.00) to it in
hand paid by the Grantee, receipt whereof is hereby acknowledged, does hereby grant, bargain and sell
unto the Grantee, the following described land lying and being in Collier County, Florida:
The East 75 feet of the West 180 feet of Tract No.87,GOLDEN GATE ESTATES UNIT NO.63,
according to the Map or Plat thereof as recorded in Plat Book 7,Page 63,Public Records of Collier
County,Florida.
Subject to easements, restrictions, and reservations of record.
IN WITNESS WHEREOF the said Grantor has caused these presents to be executed by its Board
of County Commissioners acting through its Chairman, the day and year aforesaid.
This Conveyance Approved by BCC: December 1, 2009— Item 17B; and May 11, 2010—Item 16D1; and
December 13, 2011 —Item 10A
ATTEST:
Dwight E. iwk, Clerk : BOARD OF COUNTY COMMISSIONERS
COLLI O NTY, F ORIDA
Amielk
9 By:
• 3 ar @. • I..`' p ty ''*rk Geo LW!, sq., Chairwoman
IAJ SEAL•)"
'el onto'
Approved as to form
And legal sufficiency:
fi e_ \N
Jenn r B. White, y
Assistant County Attorney � ,�,
■
NEIGHBORHOOD STABILIZATION PROGRAM
Property Address: 2820 47TH AVE NE,NAPLES,FL 34120
Folio Number: 39839280004
BILL OF SALE
THIS BILL OF SALE evidencing the sale and conveyance of furniture, fixtures, furnishings,
appliances and equipment described herein is made this 15 ►— day of g,S,JlrwA.u.+, , 20/3� by
COLLIER COUNTY, a Political Subdivision of the State of Florida, whose mailing address is 3335
Tamiami Trail East,Suite 101, Naples, Florida 34112-5356,(hereinafter referred to as"Grantor"),and Roger
A.Tiberio and Suzanne M. Bygrave, husband and wife,whose address is 2820 47th Avenue NE,Naples,Florida
34120, (hereinafter referred to as "Grantee").
WITNESSETH:
That said Grantor, for and in consideration of the sum of Ten Dollars($10.00) and other good and
valuable consideration to said Grantor in hand paid by the said Grantee, the receipt whereof is hereby
acknowledged, has granted, bargained,sold,transferred,set over and delivered,and by these presents does
grant, bargain,sell,transfer,set over and deliver unto the Grantee,and the Grantee's successors and assigns
forever, certain furniture, fixtures, furnishings, appliances, equipment and other personalty located upon
those lands and premises conveyed on this date by Grantor to Grantee lying and being in Collier County,
Florida and known as 5031 32nd Avenue SW, Naples, Florida 34116. Those items of personalty conveyed
hereby are listed on Exhibit"A"attached hereto and incorporated by reference herein.
Grantor warrants that Collier County is the lawful owner in every respect of all of the personalty
described in Exhibit "A" attached hereto and that it is free and clear of all liens, security agreements,
encumbrances, claims, demands, and charges of every kind whatsoever.
Grantor binds Grantor, and its successors and assigns, to warrant and defend the title to all of the
personalty described in Exhibit"A"attached hereto to Grantee or Grantee's successors and assigns, forever
against every person lawfully claiming the described property or any part of it.
THE PERSONALTY DESCRIBED IN EXHIBIT"A"ATTACHED HERETO IS SOLD"AS-IS"WITHOUT ANY
WARRANTIES, EXPRESS OR IMPLIED, AS TO THE CONDITION OF SUCH PROPERTY. BY ACCEPTING THIS
BILL OF SALE,GRANTEE(S)REPRESENT THAT GRANTEE(S)HAVE PERSONALLY INSPECTED THE DESCRIBED
PROPERTY AND ACCEPTS THE PROPERTY "AS-IS".
IN WITNESS WHEREOF the said Grantor has caused these presents to be executed by its Board of
County Commissioners acting through its Chairman, the day and year aforesaid.
ATTEST.
..... '•.
DWIqkfrE..8ROCietcCierk BOARD OF COUNTY CJMMISSIONERS
COL • , F '•RIDA
(tp:Cf181r1Tt ,S'', pu C e By:
a' . Hiller, Esq., Chairwoman
Si- g ure0�i11(. gd ��''�I
Approved as to form and
legal sufficiency:
Jennifer'White,Assistant County Attorney ,Lo'
NEIGHBORHOOD STABILIZATION PROGRAM
Property Address: 2820 47TH AVE NE,NAPLES,FL 34120
Folio Number: 39839280004
EXHIBIT"A"
Refrigerator
Range
Dishwasher
Microwave
Washer(from previous owner)
Dryer(from previous owner)
Central Air Conditioning
Four(4)Ceiling Fans