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<br />AFFIDAVIT OF INTEREST IN REAL PROPERTY - F.S. 286.23 <br /> <br />THIS AFFIDA VIT OF INTEREST IN REAL PROPERTY is made and entered into this <br />day of ,2005, for the sole purpose of compliance with Section 286.23 of the Florida <br />Statutes. <br /> <br />The undersigned hereby swears and affirms that the following is true: <br /> <br />1. The undersigned is the legal title holder of the real property described as follows: <br /> <br />Lot 5, Block H, Fern Park Estates, according to the plat thereof as <br />recorded in Plat Book 5, Pages 10 through 13, Public Records of <br />Seminole County, Florida. <br /> <br />2. The name(s) and addressees) of every person having a beneficial interest in the real <br />property described above however small or minimal is/are: <br /> <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br /> <br />Additional Names and Addresses attached as Exhibit "B" (if any). <br /> <br />FURTHER AFFIANT SA YETH NAUGHT. <br /> <br />Signed, sealed and delivered <br />in our presence: <br /> <br />By: <br />Ralph P. Monger, Trustee <br /> <br />Print name <br /> <br />Print name <br /> <br />STATE OF FLORIDA <br />COUNTY OF SEMINOLE <br /> <br />SWORN TO and subscribed before me this day of , 2005, by <br />RALPH P. MONGER, Trustee, (check one) 0 who is personally known to me or 0 who provided <br />as identification. <br /> <br />Print Name: <br />Notary Public - State of Florida <br /> <br />1:\NAH\FtLES\CDR\Casselberry\RE1\Monger\affidavit 286.23. wpd <br />