Same Name Affidavit Doc#2245234 Bk#2995 Pg#954
Recorded 11119,2019 3:59 PM Page 1 of 2
Prepared by/Return to:
Adele V.Stones,Esq. Filed and Recorded in Official Records of
Oropeza Stones Cardenas MONROE COUNTY KEVIi 1 MADOK,CPA
221 Simonton Street
Key West,FL 33040
Space Above This Line For Recording
SAME NAME AFFIDAVIT AND INDEMNITY AGREEMENT
Personally appeared Allan S. Burns III, also known as Allan Henry Burns III and Susan Burns, also
known as Susan Haynes Burns,the undersigned Affiants, after being duly sworn, depose, and state the
following:
1. At the time of making this Affidavit, Affiants are the current title holder of the following described
property:
Primary Parcel:
Lot 20,Block 6, Cahill Pines and Palms,according to the Plat thereof,recorded in Plat Book 3,Page
94,of the Public Records of Monroe County, Florida.
Parcel Address: 286 Lobsterstail Road,Big Pine Key,FL 33043
Parcel ID Number: 00244870-000000
Secondary Parcel:
Lot 21,Block 6,Cahill Pines and Palms, according to the Plat thereof,recorded in Plat Book 3,Page
94, of the Public Records of Monroe County,Florida
Parcel Address: Vacant Land Lobstertail Road,Big Pine Key,FL 33043
Parcel ID Number: 00244880-000000
2. Affiants have firsthand knowledge ALLAN S. BURNS III and ALLAN HENRY BURNS III are
one and the same person.
3. Affiants have firsthand knowledge SUSAN BURNS AND SUSAN HAYNES BURNS are one and
the same person.
That this Affidavit is made for the purpose of inducing MONROE COUNTY PROPERTY APPRAISER
OFFICE to process and grant my Application to Request for Parcel Combination(MCPA-204)Affiant
agrees to hold harmless MCPA Oropeza Stones & Cardenas, PLLC from and all loss, costs or damages,
including attorney's fees, which they may incur or become liable for as a result of relying on the
statements and representations made herein.
DATED this 14+14sy of November 2019:
Witnesses as to all:
Wi Allan S. urn II,
also known as Allan Henry Burns III
Wi �� ��
Susan Burns,
/ ;rid i ' also known as Susan Haynes Burns
P
STATE OF FLORIDA
COUNTY OF MONROE
SWORN TO AND SUBSCRIBED before me this 14 day of November 2019,by Allan S.Burns
III, also known as Allan Henry Burns HI and Susan Burns, also known as Susan Haynes Burns,
who are personally known to me or have produce as identification to me.
N, DINAGAMSUZZA otary Pub c/�J,
% `" EXPIRES:September 17,2023 7 T�' �l&A/14447-
. Ft'••` Bonded ihu Notary Public Undemw rs