Closing Affidavit 04/29/2022 Closing Affidavit
(Seller)
Before me, the undersigned authority, personally appeared Michael I. Bloch and Nancy Chicca-Bloch ("Affiant"), who
being by me first duly sworn,on oath,depose(s)and say(s)that:
1. Michael I. Bloch and Nancy Chicca-Bloch ("Seller"), is the owner of and is selling the following described property
to Monroe County,a political subdivision of the State of Florida("Buyer"),to wit:
Lot 1, Block 9, Tropical Bay Subdivision Third Addition, according to the plat thereof as recorded in
Plat Book 5,Page 81, Public Records of Monroe County, Florida.
2. The above described property is free and clear of all liens, taxes, encumbrances and claims of every kind, nature and
description of record whatsoever, except for mortgage or mortgages, if any, described in the Deed and except for real
estate and personal property taxes for the year 2022,which are not yet due and payable.
3. There have been no improvements, alterations, or repairs since acquisition by the Seller to the above described property
for which the costs thereof remain unpaid, that there are no claims for labor or material furnished for repairing or
improving the same, which remain unpaid since the acquisition by Seller, and that there are no mechanic's,
materialmen's,or laborer's liens since acquisition by Seller against the above described property.
4. There have been no documents recorded in the Public Records of Monroe County, Florida subsequent to March 22,
2022, which affect title to the Property and Seller has not entered into any contracts for the sale, disposition or leasing
of the Property since said date except as may have been disclosed to Oropeza Stones Cardenas, PLLC in writing,and
Seller has no knowledge of any matter affecting title to the Property.
5. The personal property contained in the building on said property, or on the said premises, and which, if any, is being
sold free and clear of all liens, encumbrances, claims and demands whatsoever. The Seller knows of no violations of
Municipal or County Ordinances pertaining to the above described property.No judgment or decree has been entered in
any court in this State or the United States against said Seller which remains unsatisfied. There are no persons other
than Seller in possession of the above described property.
6. Seller agrees that in the event the current real estate or personal property taxes vary in amount from the figures used in
making the prorations used in closing the transfer and conveyance of the above described property to said buyers,then a
new proration and a correct and proper adjustment will be made upon demand.
7. There are no matters pending against the Seller that could give rise to a lien that would attach to the property between
the effective date of commitment and the recording of the interest to be insured. Seller has not and will not execute any
instruments that would adversely affect the interest to be insured.
8. Seller's title to, and possession and enjoyment of, the property have been open, notorious, peaceable and undisturbed,
and have never been disputed nor questioned.
9. There are no disputes concerning the boundary lines of the property, and the operation of any buildings on said
property has been in compliance with the applicable building codes,ordinances and statutes.
10. Affiant has received no notice of any public hearing regarding assessment for improvements or changes in applicable
zoning laws concerning said property within the past ninety(90)days.
11. There are no actions or proceedings now pending in any State or Federal Court to which the Seller is a party, including
but not limited to, proceedings in bankruptcy, receivership or insolvency, nor are there any judgments, bankruptcies,
liens or executions of any nature which constitute or could constitute a charge or lien upon said property.
12. There are no unrecorded easements, claims of easement or rights-of-way affecting all or any portion of the property.
13. Seller understands that Section 1445 of the Internal Revenue Code provides that a Buyer of a United States real
property interest must withhold tax if the Seller is a foreign person. To inform the Buyer that withholding of tax is not
required upon purchase of the above described property, Seller certifies the following:
File Number:22-384 DoubleTime°
a. Seller is not a nonresident alien individual, foreign corporation, foreign partnership, foreign trust or foreign estate
for purposes of United States federal income taxation.
b. Seller's U.S. Taxpayer Identification Number is .
c. Seller's address is: .
d. No other persons or entities have an ownership interest in the above described property.
Seller understands the Buyer of the described property intends to rely on the foregoing representations in connection
with the United States Foreign Investment in Real Property Tax Act. (FIRPTA). Seller understands this certification
may be disclosed to the Internal Revenue Service by the Buyer and that any false statements contained in this
certification may be punished by fine, imprisonment or both. Seller has the authority to sign this affidavit as either
individual Seller or on behalf of an entity Seller. Under penalties of perjury, Seller states that this declaration was
carefully read and is true and correct.
I
14. This affidavit is given for the purpose of clearing any possible question or objection to the title to the above referenced
property and, for the purpose of inducing Oropeza Stones Cardenas, PLLC and Old Republic National Title
Insurance Company to issue title insurance on the subject property, with the knowledge that said title companies are
relying upon the statements set forth herein. Seller hereby holds Oropeza Stones Cardenas, PLLC and Old Republic
National Title Insurance Company harmless and fully indemnifies same (including but not limited to attorneys' fees,
whether suit be brought or not, and at trial and all appellate levels, and court costs and other litigation expenses) with
respect to the matters set forth herein. "Affiant", "Seller" and "Buyer" include singular or plural as context so requires
or admits. Seller further states that he/she is familiar with the nature of an oath and with the penalties as provided by
the laws of the United States and the State of Florida for falsely swearing to statements made in an instrument of this
nature. Seller further certifies that he/she has read, or heard read, the full facts of this Affidavit and understands its
context.
Closing Affidavit(Seller)-Page 2
File Number:22-384 DoubleTime°
15. Under penalties of perjury, I declare that I have read the foregoing Affidavit and that the fac�tsstyatedd itare true.
AificlVael I Bloch Nancy Chicca-BlIh
State of Florida
County of Monroe
The foregoing instrument was sworn to and subscribed before me by means of [X] physical presence or [J online
notarization, this 29th day of April, 2022 by Michael I Bloch and Nancy Chicca-Bloch, who [J are personally known or
[X] have produced a driver's license as identification. 2
RAEA.BURNS
COMMISSION
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EXPIRES:October 18,
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My Commission Expires:
Closing Affidavit(Seller)-Page 3
File Number:22-384 DoubleTimeO