Rucci, Thomas & Hope - 2355 Evergreen Drive - 07/20/2017 FOR OFFICE USE ONLY
LIEN RESEARCH AND PAYOFF WORKSHEET /
City of Edgewater—Finance Department Payment t/
P.O.Box 100•104 N.Riverside Drive Updated
EDGEW,ATE14 Edgewater,FL 32132-0100
(386)424-2400 ext.1305•Fax(386)424-2409 COMPLEIFD
A FEE OF$30.00 IS REQUIRED FOR ALL RESEARCH Date: 1/ E'7
www.cifyofedgewater.org Initials: p2✓_
ITEMS MARKED WITH AN*MUST BE COMPLETED
PROPERTY INFORMATION
* PARCEL ID#(short): Rt./03-- L i . C)(o - a q 0 *CLOSING DATE: '7( 31 I i
* PROPERTY ADDRESS: .3c:r. ae rq iv pAt„ kiv .. *DATE REQUESTED: I/I O/ I 1
OWNERS NAME: ,� GQ /� 11f
(1.U1�itR fS �D e_ f1.-t.�G l..! C,� �i�YLL.Gt.�S�c f d0 C4/,z�d)
- FROM: (company) (1 f(Old/� 'L_ (name)filPjOrt(,P_, 'phone# I.57, - woo
Select method to receive completed form: ( •
'email address: 1p1t,641— 4-II,p�PJ/
ct� SC ad-or *Fax# 7 L't- it 0 e
FINES AND LIENS
Does not Include Utilities
PER DAY FINE/citation INTEREST RECORDING FEE TOTAL
9P-UT CF 9Q 9U
CODE ENFORCEMENT:
LOT CLEARING: /d _------------
NUISANCE ABATEMENT: l
ALARM LIEN: -
INTEREST GOOD THRU: FINES AND LIENS TOTALS: -7(-j(---
UTILITY SERVICE
ACCOUNT NUMBER: 2110 S-IJ (I
'
DEPOSIT: / J� �
LAST
PAYMENT RECEIVED: 6. 3 r. ./ -) UTILITIES DUE: (Includes Liens)
SERVICE THRU:
42 - fs -1 ) INTEREST: 9Q ---(����9----�^^^^'
NEXT BILL DATE: -] - Zg - /) RECORDING FEES: 9M
UTILITY AND FEE TOTALS:
INTEREST GOOD THRU: - (---)---
Code Enforcement Division
PLEASE ALL( en no active code enforce call
Date ' ode Officer Initials //�J
PL This doesn't i clud closed code cases with nes a d liens.
PLEASE NOTE ALL PI A lien search is required from the Finance Department. _
City of Edgewater, PO Box 100 I Contact City of Edgewater Finance Department for a lien =•
ON-LINE/PHONE I search (386)424-2400 LienResearch@cityofedgewater.org er,Fl 32132
PAYMENT INFORMATION
By signing below,I her t y u r' the City of Edgewater to charge$30.00 for the Lien Resear h for e property described above:
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SIGNATURE: �� Date: (O t '7