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Fort Walton Beach Ordinance — 2070--116 Hollywood - Disposition of Property — reading text
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and belief, it is a true and accurate statement of all receipts and
disbursements made on my account or by me in this transaction. 1 further certify that I have received a copy of HUD -1 Settlement Statement.
L Iloldin nc. s
borrower.
Ch F. Shac Ifo nt
Scl1cr:
lCity, alton Beach, Flor'
1 have reviewed the Closing Disclosure, the settlement statement, the lender's closing instructions and any and all other Viiis relolre to the escrow funds, including
any disclosure of the Florida title insurance premiums being paid, and 1 agree to disburse the escrow funds in accordance withAdie terms of this transaction and Florida
law.
Date: June 29, 2021
Settlement Agcnt:
Deanna Turpen
WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar form. Penalties upon conviction can include a fine and
imprisonment. For details see Title 18 U.S. Code Section 1001 and Section 1010.
HUD -1 May 2007
June 29, 20217:29 AM
6/ 30/ 2021 FedEx Ship Manager - Print Your Label(s)
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