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Backup Documents 05/12/2009 Item #16K 2 16K 2 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 fOlwarded 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 Sue Filson (line #5). Route to Addressee(s) Office Initials Date (List in routing order) 1. 2. 3. 4. Jeffrey A. Klatzkow, County Attorney County Attorney JAK 5-18-09 5. Sue Filson, Executive Manager Board of County Conunissioners 6. Minutes and Records Clerk of Court's Office PRIMARY CONTACT INFORMATION (The primary contact is the holder of the original document pending BCe 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 Bee Chairman's signature are to be delivered to the Bee office only after the BCC has acted to approve the item.) Name of Primary Staff Jeffrey A. Klatzkow Phone Number 252-8400 Contact Agenda Date Item was February 24, 2009 Agenda Item Number 16K2 Approved by the BCC Type of Document Applications for Tax Deed Number of Original 4 Attached Documents Attached INSTRUCTIONS & CHECKLIST Initial the Yes colwnn or mark "N/A" in the Not Applicable colunm, whichever is Yes N/A (Not a ro riate. (Initial) A licable) 1. Original document has been signed/initialed for legal sufficiency. (All documents to be JAK 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, 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 ossibl State Officials,) 2. All handwritten strike-through and revisions have been initialed by the County Attorney's JAK Office and all other arties exce t the BCC Chairnlan and the Clerk to the Board 3. The Chairman's signature line date has been entered as the date ofBCC approval of the JAK document or the final ne otiated contract date whichever is a licable. 4. "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's JAK si nature and initials are re uired, 5. In most cases (some contracts are an exception), the original document and this routing slip JAK should be provided to Sue Filson in the BCC office within 24 hours of BCC approval. 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 our deadlines! 6. The document was approved by the BeC on 2-24-09 and all changes made during the JAK meeting have been incorporated in the attached document. The County Attorney's Office has reviewed the chan es, if a licable. I: Forms/ County Forms/ BeC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05 04-COA-00003192I -."...._"_.""_0_.____,__,___ Ifl( 2 OFFICE OF THE COUNTY ATTORNEY INTEROFFICE MEMORANDUM TO: Trish Morgan, BMR Manager FROM: Virginia Neet, Legal Assistant V~ DA TE: May 18,2009 RE: 2003-2006 County-Held Tax Certificates, Applications for Tax Deed The attached Applications for Tax Deed (4) are corrected versions of those approved on February 24,2009 and signed by the Chairman. Please call when the revised documents are signed and attested and I will pick them up. If you have any questions, I can be reached at 252-8066 Thank you. cc: Jeffrey A. Klatzkow, County Attorney 04-COA-OOOO3/927 - ~,. . "..-.,., .. "ilI.." ...._,,-. .-.,_,_"...,___~ ....._.""-___n,..___.._.._._.... ' _.~ 16K 2 Approved as to form and legal sufficiency: Jeffrey A. Klatzkow County Attorney NOTICE TO TAX COLLECTOR OF APPLICATION FOR TAX DEED TO: Tax Collector of Collier County: In accordance with Section 197.502, Florida Statutes, the Board of County Commissioners, holder of the following tax sale certificate, hereby surrenders same to the Tax Collector and makes tax deed application thereon: CERT. NO. DATE LEGAL DESCRIPTION 04-0955 May 26, 2004 115229 WII2 OF SWII4 OD NE1I4 OF NW1/4 OF NEII4 1.25 AC OR 693 PG 1596 Tax ill: 01126200000 I agree to pay all tax collector's fees, ownership and encumbrance report costs, clerk of the court costs, charges and fees and sheriffs costs, if applicable. Attached is the above-mentioned tax sale certificate on which this application is based and all other certificates of the same legal description which are in my possession. ! V"'J_ d~ FEBRUARY 24, 2009 DONNA FIALA.. CHAIRMAN DATE " . ~nr., ", ,) 'I AIlt:S~ ' " '. ~ .' OwrOHT E~, ROCK;. Bw: >~:~ " ,~. 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