UTILIZATION OF SEVERABLE USE RIGHTS BONUS DEVELOPMENT RECEIVER SITE Folio Number: _ _ - _ _ _ _ - _ _ _ - _ _ __ Legal Description: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ __________________________________________ BONUS USE REQUESTED Folio Number: _ _ - _ _ _ _ - _ _ _ - _ _ __ Legal Description: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ __________________________________________ Number of Vested Severable Use Rights in Transferor Parcel: _______________________ Number of Severable Use Rights Transferred via this Instrument: _______________________ The undersigned (developer) warrants to Miami-Dade County, Florida, that he is the legal title holder to the above stated Severable Use Rights, that the same are free and clear unencumbered except as specifically noted, and if encumbered, the necessary joinders or releases are hereby being furnished; that he desires to use them in the aforementioned manner and agrees to their extinguishment from the transferor parcel; that he acquired them by deed which is recorded in the public records in ORB_____PGE______. The undersigned realizes and understands that the bonus being granted is predicated on the warranties made in their affidavit and if the same prove false or inaccurate that permits issued may be canceled and voided and construction may be halted until the inadequacy is corrected. American LegalNet, Inc. www.FormsWorkflow.com CERTIFICATE OF USAGE AND EXTINGUISHMENT I do hereby certify that the aforementioned Serverable Use Rights have been used and credited to the applicant in the issuance of: Building Permit_____________ for the construction of _________________. Tentative Plat______________ for the construction of _________________. Waiver of Plat _____________ for the construction of _________________. Density Increase ____________for the construction of __________________. Lot Coverage Increase________for the construction of__________________. The Clerk of the Circuit Court is hereby instructed to public records and to note the Extinguishment of the the Transferor Parcel. note the Severable same upon the Use Rights on WITNESSES: _______________________________ Sign _____________________________ Department of Planning and Zoning _______________________________ Print _____________________________ Print _______________________________ Sign ______________________________ Print Sworn to and Subscribed before me on this _______day of ________________, 20___ ____________________________ Notary Public SEAL: Commission Expires:___________ American LegalNet, Inc. www.FormsWorkflow.com SEVERABLE USE RIGHTS OPINION OF TITLE TO: MIAMI-DADE COUNTY With the understanding that this Opinion Title is furnished to Miami-Dade County, Florida, as inducement for acceptance of a Severable Use Right in the real property hereinafter described, it is hereby certified that I have examined a complete Abstract of Title covering the period from the beginning to the ____ day of ___________, 20__ at the hour of _______, inclusive, of the following real property. Basing my opinion on said Abstract, I am of the opinion that on the last mentioned date the Severable Use Right(s) in the above described real property was (were) vested in: The fee simple title to the above described real property was vested in: Subject to the following encumbrances, liens and other exceptions: GENERAL EXCEPTIONS SPECIAL EXCEPTIONS Therefore, it is my opinion the Transfer of the Severable Use Rights to be valid and binding requires the following joinders: American LegalNet, Inc. www.FormsWorkflow.com NAME INTEREST SPECIAL EXCEPTED NUMBER I, the undersigned, further certify that I am an Attorney-at-Law, duly admitted to practice in the State of Florida, and a member of good standing of the Florida Bar. Respectfully submitted this ____ day of ____________________, 20__. Name: __________________________________ Address: _______________________________ Florida Bar No. ____________________________ SWORN TO AND SUBSCRIBED TO before me this ____ day of ______________, 20__. _______________________________ Notary Public SEAL: My Commission Expires:_____________ American LegalNet, Inc. www.FormsWorkflow.com WARRANTY DEED FOR CONVEYANCE OF SEVERABLE USE RIGHTS This indenture made this ____day of __________, 20__ between _____________________of the County of ___________in the State of________________, the Grantor and _____________ of the County of____________ in the State of______________, the Grantee, WITNESSETH: The Grantor, for and in consideration of the sum of _____________________________ Dollars ($ ), in hand paid by Grantee, the receipt of which is hereby acknowledged , has granted, bargained and sold to the Grantee, all heirs and assigns forever, the Severable Use Rights allocated under the Miami-Dade County Code, in the following described land to wit. and the Grantor does hereby fully warrant the title the same have not been previously used, demised same against the lawful claims of all persons. The use of the above described property uses permitted under the Code of Miami-Dade County. IN WITNESS WHEREOF, date first above written. Grantor Signed, executed, witnessed in the presence of: has is hereunto to or said rights, and avers sold, and will defend hereby signed restricted and to non-residential executed on Grantor: ____________________________ _______________________________ Sign ___________________________ Sign _______________________________ Print ___________________________ Sign ____________________________ Print Print STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing instrument was acknowledged before me this ____ day of ______________, 20__ by ____________________, who is personally known to me or produced ___________________ as identification. __________________________________ Notary Public SEAL: that the My Commission Expires:_______________ American LegalNet, Inc. www.FormsWorkflow.com the ACKNOWLEDGEMENT CORPORATION Signed, witnessed, executed and acknowledged on this _______ day of ____________________, ________. IN WITNESS WHEREOF, ____________________________________________ (Corporate name) has caused these presents to be signed in its name by its proper officials. Witnesses: _________________________________ ___________________________________ ___ Signature _________________________________ Print Name Name of Corporation Address: ___________________________________ ___ _________________________________ Signature ___________________________________ ___ _________________________________ Print Name __________________________________ By (President, Vice-President or CEO*) Print Name: ___________________________ [*Note: All others require attachment of original corporate resolution of authorization] STATE OF _______________________ COUNTY OF ___________________ The foregoing instrument was acknowledged before me by ___________________________(Name) the ________________________________ of ________________________________ corporation, on (Title) (Corporation Name) behalf of the corporation. He/She is personally known to me or has produced ________________________, as identification. Witness my signature and official seal this ________ day of ______________________, __________, in the County and State aforesaid. ___________________________________ Signature ___________________________________ Print Name Notary Public-State of ____________________ My Commission Expires: ____________________ American LegalNet, Inc. www.FormsWorkflow.com GENERAL PARTNERSHIP WITH CORPORATE GENERAL PARTNER Signed, witnessed, executed and acknowledged on this ________ day of___________, __________. WITNESSES: __________________________________ Signature Partnership __________________________________ Print Name General Partner __________________________________ Signature __________________________________ Print Name or CEO*) ___________________________________ Name of General by ________________________________ Name of Corporation as by ________________________________ (President, Vice-President Print Name: _________________________ Address: ___________________________________ ___________________________________ *[Note: All others require attachment of original corporate resolution of authorization] STATE OF ____________________ COUNTY OF __________________ The foregoing instrument was acknowledged before me by _______________________ (Name) the _______________________________ of ____________________________ corporation, (Title) (Name) on behalf of the corporation which is the General Partner of the _________________________. (Name of General Partnership) He/She is personally known to me or has produced ___________________, as identification. Witness my signature and official seal this ________ day of ___________________________, _______, in the County and State aforesaid. _____________________________________ Notary Public, State of __________________ ____________________________________ Print Name My Commission Expires: American LegalNet, Inc. www.FormsWorkflow.com HUSBAND AND WIFE Signed, witnessed, executed and acknowledged on this _______ day of ________________, __________. Witnesses as to Husband: _________________________________ Signature _________________________________ Print Name _________________________________ Signature ________________________________ Signature (Husband) ________________________________ Print Name Address: ________________________________ _________________________________ ________________________________ Print Name ________________________________ Witnesses as to Wife: _________________________________ Signature _________________________________ Print Name _________________________________ Signature ________________________________ Signature (Wife) ________________________________ Print Name Address: _________________________________ _________________________________ Print Name _________________________________ _________________________________ American LegalNet, Inc. www.FormsWorkflow.com NOTARY AS TO HUSBAND: STATE OF ________________ COUNTY OF ______________ The foregoing instrument was acknowledged before me by ___________________________, who is personally known to me or has produced ___________________________, as identification. Witness my signature and official seal this _____ day of _____________________, _______, in the County and State aforesaid. _________________________________ Notary Public-State of _________________ My Commission Expires: _________________________________ Print Name NOTARY AS TO WIFE: STATE OF ________________ COUNTY OF ______________ The foregoing instrument was acknowledged before me by _____________________, who is personally known to me or has produced ___________________________, as identification. Witness my signature and official seal this _______ day of ______________________, ________, in the County and State aforesaid. ___________________________________ Notary Public-State of ________________ ___________________________________ Print Name My Commission Expires: American LegalNet, Inc. www.FormsWorkflow.com INDIVIDUAL Signed, witnessed, executed and acknowledged on this _____ day of __________________, _________. WITNESSES: ___________________________________ ___________________________________ Signature Individual Signature ___________________________________ Print Name ___________________________________ Signature ___________________________________ Print Name Address: ___________________________________ ___________________________________ ___________________________________ Print Name ___________________________________ STATE OF __________________________ COUNTY OF ________________________ The foregoing instrument was acknowledged before me by ______________________________________________________, who is personally known to me or has produced ___________________________, as identification. Witness my signature and official seal this _____ day of _____________________, ________, in the County and State aforesaid. ___________________________________ Notary Public-State of _________________ ___________________________________ Print Name My Commission Expires:_____________________ American LegalNet, Inc. www.FormsWorkflow.com LIMITED LIABILITY COMPANY Signed, witnessed, executed and acknowledged on this ____ day of _________, ______. IN WITNESS WHEREOF, ________________________________________ (Corporate name) has caused these presents to be signed in its name by its proper officials. Witnesses: _________________________________ Signature _________________________________ Print Name __________________________________ Name of LLC Address: __________________________________ _________________________________ __________________________________ Signature _________________________________ Print Name __________________________________ By _______________________________ (Managing Member) Print Name: ________________________ [*Note: All others require attachment of original corporate resolution of authorization] STATE OF ________________________ COUNTY OF ________________________ The foregoing instrument was acknowledged before me by ________________ (Name) the __________________of ____________________________ LLC, on behalf of the LLC. (Title) (Name) He/She is personally known to me or has produced __________________________________, as identification. Witness my signature and official seal this _______ day of ______________________________, _________, in the County and State aforesaid. ___________________________________ Signature Notary Public-State of _________________ ___________________________________ Print Name My Commission Expires: American LegalNet, Inc. www.FormsWorkflow.com LIMITED PARTNERSHIP Signed, witnessed, executed and acknowledged on this __________ day of __________________________, ___________. WITNESSES: _________________________________ Signature _________________________________ Print Name _________________________________ Signature _________________________________ Print Name ___________________________________ Name of Limited Partnership By: ________________________________ General Partner Print Name: _________________________ Address: ___________________________________ ___________________________________ ___________________________________ STATE OF ________________________ COUNTY OF ________________________ The foregoing instrument was acknowledged before me by ______________________ ________________________, as General Partner on behalf of _________________________ __________________________________________, a limited partnership. He/She is personally known to me or has produced ____________________________, as identification. Witness my signature and official seal this ________________ day of ____________________________, ____________, in the County and State aforesaid. ___________________________________ Signature Notary Public-State of _________________ ___________________________________ Print Name My Commission Expires: _______________________ American LegalNet, Inc. www.FormsWorkflow.com PARTNERSHIP Signed, witnessed, executed and acknowledged on this ___________ day of __________________________________, _________________. WITNESSES: __________________________________ Signature __________________________________ Print Name __________________________________ Signature ___________________________________ Name of Partnership ___________________________________ Address ___________________________________ __________________________________ Print Name ___________________________________ By ________________________________ Partner ___________________________________ Print Name STATE OF _______________________ COUNTY OF ________________________ The foregoing instrument was acknowledged before me by ______________________ _______________________________, a Partner, on behalf of _________________________ ___________________________________________, partnership. He/she is personally known to me or has produced _____________________________, as identification. Witness my signature and official seal this ________ day of ______________________, _____________, in the County and State aforesaid. ___________________________________ Signature Notary Public-State of _________________ ___________________________________ Print Name My Commission Expires: American LegalNet, Inc. www.FormsWorkflow.com TRUSTEE Signed, witnessed, executed and acknowledged on this ___________ day of ________________________, ____________. WITNESSES: __________________________________ Signature __________________________________ Print Name __________________________________ Signature __________________________________ Trustee Signature __________________________________ Print Name Address: __________________________________ __________________________________ Print Name __________________________________ __________________________________ STATE OF _________________________ COUNTY OF _______________________ The foregoing instrument was acknowledged before me by ______________________________, Trustee, to me personally known or produced ______________________________, as identification and who acknowledged the foregoing instrument for the purposes therein contained, and acknowledged that he was authorized under the trust to execute said instrument on behalf of the beneficiaries of the trust. Witness my signature and official seal this ________ day of ____________________, ____________ in the County and State aforesaid. ___________________________________ Signature Notary Public-State of ________________ My Commission Expires: ___________________________________ Print Name American LegalNet, Inc. www.FormsWorkflow.com