Same Name Affidavit 11/14/2019 Doc#2247567 Bk#2998 Pg#392
Recorded 12/9/2019 2:46 PM Page 1 of 2
Prepared by/Return to:
e Adle V.Stones,Esq.
Adele
Stones Cardenas Filed and Recorded in Official Records of
221 Simonton Street MONROE COUNTY KEVE t MADOK,CPA
Key West,FL 33040
Space Above This Line For Recording
SAME NAME AFFIDAVIT AND INDEMNITY AGREEMENT
Personally appeared Nancy Klinefelter,the undersigned Affiant,after being duly sworn,depose,and state
the following:
1. At the time of making this Affidavit, Affiant is the current title holder of the following described
property:
Primary Parcel:
Lot 29, SUGARLOAF SHORES,Plat Number 2, Section C, a subdivision of part of Government Lot
I, 3-67-27 and part of Government Lot 3, 11-67-27 on Sugarloaf Key, according to the Plat thereof,
as recorded in Plat Book 3,page 53, of the Public Records of Monroe County,Florida.
Parcel Address: 1081 Sugarloaf Blvd Sugarloaf Kev FL 33042
Parcel ID Number: 00166110-000000
Secondary Parcel:
Lot 30, SUGARLOAF SHORES,Plat Number 2, Section C, a subdivision of part of Government Lot
I, 3-67-27 and part of Government Lot 3, 11-67-27 on Sugarloaf Key, according to the Plat thereof,
as recorded in Plat Book 3,page 53, of the Public Records of Monroe County,Florida.
Parcel Address: Vacant Land Sugarloaf Blvd, Sugarloaf Key,FL 33042
Parcel ID Number: 00166120-000000
2. Affiant have firsthand knowledge NANCY KLINEFELTER and NANCY M.KLINEFELTER 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.
Signature Page to Follow
4"h
DATED this 1 day of December 2019:
Witnesses as to all:
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Nancy Klineft.-r
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STATE OF FLORIDA— r1Y1.Sl..f Iv 4-.K1 A
COUNTY OF M NR
SWORN TO AND SUBSCRIBED before me this I day of December 2019, by Nancy
Klinefelter,who is personally known to me or have produce nor s L,`G o
me. a 'dentification to
Nota. Public
Commonwealth of Penn dt nia—Notary eal
•
Marilyn Lopez,Notary Public
Lancaster County
My c-:mmission expires December 23,2019
Commission number 1295330