Backup Documents 10/11/2016 Item #16A 6 ORIGINAL DOCUMENTS CHECKLIST & ROU'TIP J I 1°-18-14,
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 Co At orney 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.
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.
2.
3. County Attorney Office County Attorney Office
(co(ItA
4. BCC Office Board of County `b1\r —
Commissioners
5. Minutes and Records Clerk of Court's Office • ACC 01 4 91 Io
►/
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 John Houldsworth Phone Number x-5757
Contact/ Department
Agenda Date Item was October 11,2016 / Agenda Item Number 16-A-6
Approved by the BCC
Type of Document Warranty Deed -Madison Park Boulevard Number of Original One
Attached Documents Attached
PO number or account
number if document is
to be recorded
INSTRUCTIONS & CH CKLIST
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? N/A
2. Does the document need to be sent to another agency for additional signatures? If yes, JH
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 JH
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 JH
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 JH
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip
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 October 11,2016 and all changes made
during the meeting have been incorporated in the attached document. The County
Attorney's Office has reviewed the changes,if applicable.
Initia
ls of attorney
ifying that the attached document is the
rsion
a
oved by the
9 BCCI all changes directed ed by the BCC have been made, and the edo umentriis ready for th
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
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INSTR 5324331 OR 5324 PG 3172
RECORDED 10/19/2016 8:22 AM PAGES 2
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
DOC@.70$0.70 REC$18.50
Consideration:$10.00 Documentary Stamp Tax Amount: .70 1 6 A 6
Property Identification Numbers: 56324009362 and 56324012168
Prepared without opinion of title by:
Steven M.Falk,Esq.
Roetzel&Andress,LPA
850 Park Shore Drive,Third Floor
Naples,Florida 34103
(239)649-6200
WARRANTY DEED
This Warranty Deed is made on the date and year set forth below, by CENTEX HOMES, a
Nevada general partnership, whose mailing address is 24311 Walden Center Drive, Suite 300, Bonita
Springs, FL 34134 ("Grantor"), to COLLIER COUNTY, a political subdivision of the State of Florida,
whose mailing address is 3299 Tamiami Trail East, c/o the Office of the County Attorney, Suite 800,
Naples,FL 34112("Grantee"):
(Whenever used herein the terms"Grantor"and"Grantee"include all the parties to this instrument and the heirs,
legal representatives,and assigns of individuals,and the successors and assigns of corporations,trusts and trustees.)
Witnesseth, that the Grantor, for and in consideration of $10.00 and other good and valuable
consideration, receipt of which is hereby acknowledged, hereby grants, bargains, sells, aliens, remises,
releases, conveys and confirms unto the Grantee, all that certain land situate, lying and being in Collier
County,Florida,to wit:
Tract"R",Madison Park Phase One, according to the plat thereof recorded in Plat Book 42, Page
1,Public Records of Collier County,Florida.
and
Tract"R",Madison Park Phase Two, according to the plat thereof recorded in Plat Book 42, Page
68,Public Records of Collier County, Florida.
Together with all the tenements, hereditaments and appurtenances thereto belonging or in
anywise appertaining.
To have and to hold,the same in fee simple forever.
And the Grantor hereby covenants with said Grantee that the Grantor is lawfully seized of said
land in fee simple; that the Grantor has good right and lawful authority to sell and convey said land; that
the Grantor hereby fully warrants the title to said land and will defend the same against the lawful claims
of all persons whomsoever; and that said land is free of all encumbrances, except taxes for the current and
subsequent years, zoning, building code and other use restrictions imposed by governmental authority,
restrictions, reservations and easements common to the subdivision, and all outstanding oil, gas and
mineral instruments of record, if any.
In witness whereof, Grantor has hereunto set Grantor's hand and seal the day and year set forth
below.
7551710_1
1 6 A 6
Witnesses: CENTEX HOMES,a Nevada general partnership
By: Centex Real Estate Corporation,a Nevada
corporation,its Managi .General Partner
By
0 ,,,..,,,,._
fitness Name ,,,,i,"-' 6-75f"Sl/ti -.......--- /11110
is Hasty
Its: Vice President—Land Deve .. nt and Acquisition
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(kb) South Florida Division
Witness N e: Kimberly L. Howes
STATE OF FLORIDA
COUNTY OF LEE
The foregoing instrument was acknowledged before me this 10 day of June, 2015,by Chris Hasty, as Vice
President—Land Development and Acquisition, South Florida Division of Centex Real Estate Corporation, a
Nevada corporation,the Managing General Partner of Centex Homes, a Nevada general partnership. He is
personally known to me.
I
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A lrl,)
°:Y.os1''% KIMBERLY HOWES NOTAR PUBLIC
r0. ' �' - MY COMMISSION#FF 015933
-*� �=� •*= Name:
r--7..',..;'4....4;f EXPIRES:May 7,2017
`-...mss:a
ofr.pssge•' Bonded Thru Notary Public Underwriters My Commission Expires:
7551710_1