2823 Queen Palm Drive - 06/01/2017 FOR OFFICE USE ONLY
4,1r LIEN RESEARCH AND PAYOFF WORKSHEET
City of Edaewater—Finance Department Payment
P.O.Box 100 104 N.Riverside Drive Updated
EDGEWATER Edgewater,FL 32132-0100
(386)424-2400 ext.1306•Fax(386)424-2409 COMPLETED
A FEE OF$30.00 IS REQUIRED FOR ALL RESEARCH Date:
www.cityofedgewater.org Initials:
ITEMS MARKED WITH AN*MUST BE COMPLETED
PROPERTY INFORMATION
.* PARCEL ID#(short): 02-18-34-01-10-3470 *CLOSING DATE: 6/12/2017
* PROPERTY ADDRESS: 2823 Queen Palm Drive,Edgewater,Florida 32141 *DATE REQUESTED: 6/1/2017
* LEGAL DESCRIPTION: LOTS'3547513344 SI 331 PLA SIRS NO 1234819 PG 213 VER OR 50EP3S 19361439.ER OR s323 P3 E02 PER OR 6619VO 2240 PER OR 4180 .234 PER OR-3348:3226.2927 PER OR 1336802560PER O )}3g PG 3025
FROM:(company) PropLogix (name) Blake Smith *phone# 941-444-7142
*
Select method to receive completed form:
*email address: biake.smllh@propogix.com or *Fax# 941-214-1132
FINES AND LIENS
Does not Include Utilities
PER DAY FINE/citation INTEREST RECORDING FEE TOTAL
9P-UT NR 9Q 9M
CODE ENFORCEMENT:
LOT CLEARING:
ALARM FEE POLICE: _
ALARM FEE FIRE:
UNSAFE BUILDING
FINES AND LIENS TOTALS:
UTILITY SERVICE
ACCOUNT NUMBER: DEPOSIT:
LAST PAYMENT RECEIVED: UTILITIES DUE: (Includes Liens)
SERVICE THRU: INTEREST/RECORDING FEES:
NEXT BILL DATE: UTILITY AND FEE TOTALS:
PAYOFF GOOD THRU: FINES, LIENS AND UTILITY FEES GRAND TOTAL:
PLEASE ALLOW 3-5 BUSINESS DAYS FOR YOUR REQUEST TO BE COMPLETED
PLEASE RETAIN A COPY FOR YOUR RECORDS
PLEASE NOTE ALL PAYMENTS TO SETTLE LIENS MUST BE SENT TO OUR OFFICE.
City of Edgewater,PO Box 100 Edgewater, Fl 32132 overnight:104 N. Riverside Dr.,Edgewater, Fl 32132
ON-LINE/PHONE PAYMENTS CANNOT BE PROCESSED TO SATISFY LIENS
PAYMENT INFORMATION
By signing below,I hereby authorize the City of Edgewater to charge$30.00 for the Lien Research for the property described above:
SIGNATURE: Date: 6/1/2017
Print Name Blake Smith
CHECK#: *Payment must be received prior to research completion.
Ight address: 104 N. Rived Dr.. Edgewati— IL 32132
CARD TYPE : VISALIMASTERCARDCE AMERICAN EXPF C e Enforcement Division
CARD NUMBER: 4715532000762237 SI e and active code enforceme ca
BILLING ADDRESS(required): "cede 5,.101.5.9 , e,
R6.34243
o
Date ` f Code Officer Initials
This doesn't i cl de closed code cases with fines and liens.
A lien search is required from the Finance Department.
Contact City of Edgewater Finance Department for a lien
search (386)424-2400 LienResearch@cityofedgewater.org
�7
t/i
illi ea
SI N ►►
I IFFT11 I.,I
s, s, sa s, s,
41113 0 4 4 4 x 4
O 0 0 .0 0
. . - . . i
4) 43 4 43 !:
r-I H r-I r-I H
d of a0 a1 C O
O al al al U 0 I
x x : x x x
O• Z Z -rl 7 ,
CC a) a) a) a) a) w o
g -rl• -.-i -.-1 -.i -.-1 d
O 0 0o Q> +- H
d- 0 Z X v 0
Ct o 0 0 0 o P. C)
H H H .-iH 0 m
Z 7) x x X 'i x i 1 x u -ri
_uO . C) 0 0 iJ I i)" W X
-LJ I II
o i III li1 11
o �
RI 8
• X z 2 2
O N N N N N •--1 --1
H H .-i -1 H H H
.
8 4j N CO N Ln j O O Lf)
of H N N O N CO •--I
A .- \ .-. ---. '\
0
C CO CO N CO 1.0
O I—L_ L___ --IL—liL
,r
0
in A A ATA A A A
a a a a a a a
CO Ci
— 000000
C00 col I I I I I
.0 A A A A A A A
to w w w w w w w
QO CO� CO co CO 0 CO CO 14 14 14 14
at UJ Cil-
'0 C) C) C) CJ C) 0 0
W N
L Ili I
:C 1J '� y., +--I O +--I ---1 do LO
E
('7 M O ,.0 q+ H
U .� C60ko 'SD u7 II 't'
C • Z I rl I I •-i C-31 I
_a 4-0 Z O O O O O O
u w CUaV O o O O j O O
Ti S
vl QUQ CS N N N N III H H
C 0) CC CIL
CL H H •--1 H .-I
IP c
u co
C
. E
4 o b)
U w
C an al C
a a
N - U c &._
o
p J
U j 6� as co c%
- z. Z el ID SCsit ° a S s
q o Q 0 W ` 05 0