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S"CATE OF FLURlD.1 ~
C:OUNTY OF rtARTlN ~ ~
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Bc[ore me [~crsonally appea«d- David Ault and Tina Ault, his wife ~
t~~ me ~vell l;nown and kno~vn to me to be the individ?!al s deseribeci in and who executed the foregaing instrument, and acknowl-
~•~I~;ecl before_ m~ that t he~Y_ execi~trd the same for the purposcs themin expressed.
K!I'I#~SS my hanc~ and offa•i~~l seal eh~t 26th ~ay of December _ 19 75.
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; Sg~, Notary Public in and for the County • e Aforesaid.
~ ~t~• rnmmissiVOt•arpu6'~: . . ~ Z
` t J: ~ .~'o:~do of lorge ~
. My !o:r,n::, . F,.r:.~s Nuv. 14, 1977
~ 6onded by lui..r:cvn F,re & E~eu_~ty Co.
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c :OL'\T'~'' OF ~iARTIN 1
Befure me personally uppcamd . _ _ _ - - - - - - - - - -
:~nd - - - - - - - - _ . - - - - to me well la~own and
l.u~~~~~~ to me to be the _ _ . . . . Fresident and---------- . _ Secretary respectively of
- . - - - - - _ , the corporation named in the foregoing insUu-
n~ent, and kno~~n to me to be the persons ~vho as such officers of said corporati~~n. executed the same; and then and there the said
_ - - - - - --------__und the said-- - -
~lid acla?o~vledge before me that said instrument is the frce act and mortgage of said rnrporation by them re~ectively esecuted
such officers for the pur~wses therein expressed; that the seal thereto attached is the corporate seal by them in like capacity
,~ffixed; all under the auth~~rity in them duly vesieci by the Boarcl of Direetors of said eorporation.
\~'1T\GSS m~• hand anJ o(ficiul seal this . day of - - - - . 19----- •
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; tiF.aL) ~~E~S.~~4~~ ~ Notarp Public in and for die County and State Aforesaid. ~
~~rt'i 11 / ~fy commission espires:
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Reoeived _ in paym taxes due on ~
~ s 34~..8. _ Fla. R~enue Stanips Class "C" Intangible P Property pnrsuant to `
~ c:,incellecl on Ori inal N . Chapter 2 24, I.aws lorida, Acts of 1941.
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Tax col~«ro. M..Nn couMy ~I«~a.
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INTANGIBLE PERSONAL PROPERTY RECEIPT N~ 4286~H ; ~
~ TO BE ISSUE~ BY THE CLERK OF THE CIRCUtT COURT OR COUNTY COMPTROLLER IN THE PAYMENT OF TAX ON ~
~ MORTGAGE, DEED OF TRUST QR OTHER LIENS UPON REAL PROPERTY BEARING ~ATE SUBSEQUENT TO DECEMBER, 31, 19,1.
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STATE OF FLORIDA, COUNTY OF ~-~~~~-"=u'~y 197-
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~ Obligee - ~~S_ l ,1-t~- p~ ~f ~~r~t, r
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~ ~ % 4 ~ r THIS F6RM 6ECOtaES A RECEIPT ONLY `
WMEN VAItDATED BY RECEIPTING ~
~ O s ~ G - MACHINE OR SIGNED BY THE CLERK, s :
CO iDERATION COMPTROLLER OR AUTHORRED DEPUTY. AMOUNT PAID ~
~ TAX MUST BE PAID TO ENTITIE ABOVE
DESCRIBEO INSTRUMENT TO RECORD.
~ SEE F.S. CMAPTER f~9. l^ ~~jf
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~ CLER . COUNTY COMP~ LLER OR AUTHORIZED DEPUTY
~ OR•610-8 PAYMENT IiEG VED Ai GERTIiIEp ABOVE
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