Sample Leasehold Conversion
SANTA ROSA ISLAND AUTHORITY LEASEHOLD CONVERSION
APPLICATION FOR QUIT CLAIM DEED
The undersigned applicant(s) do hereby apply to the Board of County Commissioners of Okaloosa County, Florida, for a quit claim deed as to the County’s reversionary interest in the following-described Okaloosa Island or Holiday Isle Leasehold Parcel(s) to which applicant represents that the applicant owns the entire (100%) interest.
1. Please provide the names, addresses, telephone numbers and email addresses of all persons who currently own an interest in the Leasehold Parcel which is the subject of this Application.
Name:
Mailing Address:
Telephone Number:
Email:
Name:
Mailing Address:
Telephone Number:
Email:
Name:
Mailing Address:
Telephone Number:
Email:
2. Please provide the mailing address of the Leasehold Parcel that is the subject of this Application:
Mailing Address:
3. Please provide the Property Tax Parcel I.D. Number for the Leasehold Parcel that is the subject
of this Application.
Property Tax ID Number: ________________________________
4. Please provide the following materials in support of this Application (all documents must be submitted along with the Application):
A. A copy of the current lease assignment for the Leasehold Parcel that is the subject of this Application.
B. Documentation from Tax Collector of Escambia County demonstrating that all taxes and assessments on the Leasehold Parcel have been paid for the past five (5) years through the date of this Application.
C. An Owners and Encumbrance Report or a Property Information Report as contemplated by Chapter 197, Florida Statutes from a Title Company authorized to do business in the State of Florida demonstrating that the Applicant(s) hold one hundred percent (100%) interest in the Leasehold Parcel that is the subject of this Application.
D. A non-refundable application fee of $500.00 payable to Escambia County. Such fee shall be for the costs of preparing and processing of the various documentation, administrative costs related to the submittal and consideration by staff and the Board of County Commissioners, preparation and publication of the required legal notices, preparation of the resolution approving the transfer and the quit claim deed and the recording of the quit claim deed.
5. Special Limitations:
A. A separate Application is required for each Leasehold Parcel that a quit claim deed, as to the County’s reversionary interest, is sought.
B. No Application for a quit claim deed as to the County’s reversionary interest will be accepted from Leaseholders whose original lease from the Santa Rosa Island Authority or Escambia County does not contain an option for further renewals.
C. No Application will be submitted to the Board of County Commissioners if the Title Company does not certify that the Applicant owns the entire (100%) Leasehold Interest in the Leasehold Parcel which is the subject of the Application.
D. All Leaseholders named in the current lease assignment of record must sign the Application.
THE NON-REFUNDABLE APPLICATION FEE DOES NOT COVER THE COST OF ANY TITLE SEARCH AND EXAMINATION, THE PREPARATION OF THE OWNERS AND ENCUMBRANCE REPORT OR PROERTY INFORMATION REPORT, AND THE CERTIFICATION FROM THE TAX COLLECTOR OF OKALOOSA COUNTY. SUCH EXPENSES ARE THE SOLE RESPONSIBILITY OF THE APPLICANT[S].
APPLICANT UNDERSTANDS THAT THE COUNTY, IN ISSUING ANY QUIT CLAIM DEED TO THE APPLICANT, MAKES NO WARRANTY OF TITLE WHATSOEVER REGARDING THE PROPERTY, EITHER EXPRESS OR IMPLIED, AND MAKES NO REPRESENTATION OF FACTS CONCERNING THE CONDITION OF TITLE.
FURTHER, THIS CONVEYANCE SHALL NOT INCLUDE ANY RIGHTS, POWERS OR AUTHORITY HELD BY THE COUNTY AS TO THE BEACH AREA FROM THE MEAN HIGH WATER LINE TO THE LANDWARD TOE OF ANY DUNE LINE (OR IF ESTABLISHED AN EROSION CONTROL LINE), EITHER FOR ITSELF OR FOR THE PUBLIC GENERALLY AS TO THE ACCESS, USE AND REGULATION OF THIS AREA.
Return the completed application to Escambia County Public Works, 3363 W Park Pl., Pensacola, Florida, 32505. For any questions call Xxxxx Yyyyyyy at 850-XXX-XXXX or email at xyyyyyy@myescambia.com or Zzzz Aaaaaaa at 850-XXX-YYYY or email at zaaaaaaa@myescambia.com.
APPLICATION DATE: _______________________________
INDIVIDUAL: INDIVIDUAL LEASEHOLDER
____________________________
PRINT NAME
INDIVIDUAL LEASEHOLDER
_____________________________
PRINT NAME
CORPORATE NAME: ________________________________
By: ________________________________
_____________________________
PRINT NAME
TITLE: ____________________________________
FEDERAL TAX ID#: ____________________________________
PARTNESHIP NAME: ______________________________
GENERAL PARTNER
_________________________
PRINT NAME
FEDERAL TAX ID#: __________________________