45 DONNER RD OWNERSHIP Prepared by and return to:
Lesley Welch
Ponte Vedra Title,LLC
50 AlA North,Suite 108
Ponte Vedra Beach,FL 32082
File Number: 21-2352
(Space Above This Line For Recording Data)
Warranty Deed
This Warranty Deed made this 22nd day of November, 2021, between John W. Hill, an unmarried man, whose
post office address is , grantor, and Michal Janosek, a married man and
Marek Rerucha,an unmarried man,as tenants in common,each with a 50% interest,whose post office address is 141
Cabrillo Lane,Ponte Vedra Beach,FL 32082,grantee:
(Whenever used herein the terms"grantor"and"grantee"include all the parties to this instrument and the heirs,legal representatives,and
assigns of individuals,and the successors and assigns of corporations,trusts and trustees)
Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other
good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged,
has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land,
situate,lying and being in Duval County,Florida,to-wit:
Part of Government Lot 3,Section 17,Township 2 South of Range 29 East,commencing on the East line
of said Lot 3,a distance of 167.2 feet North of the North line of the Castroy-Ferrer Grant,Section 38,and
running thence West 150 feet to point of beginning, thence from said point of beginning, running South
123.4 feet to the North line of a 30 feet road known as Donner Road; thence West along the North line of
said road 50 feet; thence North parallel to first line and 50 feet distant therefrom, 118.6 feet; thence East
50 feet to the point of beginning; said lot being known as Lot 6, Block 16, (unrecorded) Plat of survey
made by I.R.Wellington,Surveyor,of part of said Government Lot 3, under date of November 18, 1942.
Also known as Lot 6, Block 16, of Donner's Replat as shown in Plat book 19, page 16 of the current
public records of Duval County.
Parcel Identification Number: 172067-0000
Together with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold,the same in fee simple forever.
SUBJECT TO covenants,conditions,restrictions,easements of record and taxes for the current year.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the
grantor has good right and lawful authority to sell and convey said land;that the grantor hereby fully warrants the title to said
land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all
encumbrances,except as specified herein.
r
Warranty Deed Page 1 of 2
A. Settlement Statement U.S.Department of Housing and Urban Development OMB Approval No 2502-0265
B.Type of Loan
1 FHA 2. RHS 3. Cony.Unins. 6.File No. 7.Loan No. 8.Mortgage Insurance Case No.
21-2352
4. VA 5. Cony Ins.
C.Note: This form is furnished to give you a statement of actual settlement costs.Amounts paid to and by the settlement agent are shown.Items marked"(p.o.e.)'were paid outside
the closing;they are shown here for informational purposes and are not included in the totals.
D.Name&Address of Borrower: E.Name&Address of Seller: F.Name&Address of Lender
Michal Janosek and Marek Rerucha John W.Hill
141 Cabrillo Lane
Ponte Vedra Beach,FL 32082
G.Property Location: H.Settlement Agent: I.Settlement Date:
45 Donner Road Ponte Vedra Title,LLC 11/22/2021
Atlantic Beach,FL 32233 Funding Date:
Place of Settlement 11/22/2021
50 A1A North,Suite 108 Ponte Vedra Disbursement Date:
Beach, FL 32082 11/22/2021
J.Summary of Borrower's Transaction K.Summary of Seller's Transaction
100.Gross Amount Due from Borrower 400.Gross Amount Due to Seller
101.Contract sales price $170,000.00 401.Contract sales price $170,000,00
102.Personal property 402.Personal property
103.Settlement charges to borrower(line 1400) $40,018.50 403.
104. 404.Credit from Assignment Fee $3.335.00
105. 405.
Adjustment for items paid by seller in advance Adjustment for items paid by seller in advance
106.City/Town Taxes 406.City/Town Taxes
107.County Taxes 11/22/2021 to 01/01/2022 $11.20 407.County Taxes 11/22/2021 to 01/01/2022 $11.20
108.Assessments 408.Assessments
109. 409.
110. 410.
111. 411.
112. 412.
120.Gross Amount Due from Borrower $210,029.70 420.Gross Amount Due to Seller $173,346.20
200.Amount Paid by or in Behalf of Borrower 500.Reductions in Amount Due to Seller
201.Deposit $5,000.00 501.Excess deposit(see instructions)
202.Principal amount of new loan(s) 502.Settlement charges to seller(line 1400) $3.346.20
203.Existing loan(s)taken subject to 503.Existing loan(s)taken subject to
204. 504.Payoff of First Mortgage
205. 505.Payoff of Second Mortgage
206. 506.
207. 507.
208. 508.
209. 509.
Adjustments for items unpaid by seller Adjustments for items unpaid by seller
210.City/Town Taxes 510.City/Town Taxes
211.County Taxes 511.County Taxes
212.Assessments 512.Assessments
213. 513.
214.CDD Fees 514.CDD Fees
215.Non-Ad Valorem Taxes 515.Non-Ad Valorem Taxes
216. 516.
217. 517.
218. 518.
219. 519.
220.Total Paid by/for Borrower $5,000.00 520.Total Reduction Amount Due Seller $3,346.20
300.Cash at Settlement from/to Borrower 600.Cash at Settlement to/from Seller
301.Gross amount due from borrower(line 120) $210,029.70 601.Gross amount due to seller(line 420) $173,346.20
302.Less amounts paid by/for borrower(line 220) $5,000.00 602.Less reductions in amounts due seller(line 520) $3,346.20
303.Cash X From To Borrower $205,029.70 603.Cash X To From Seller $170.000.00
Section 5 of the Real Estate Settlement Procedures Act(RESPA)requires the following:•HUD must develop a Special Information Booklet to help persons borrowing money to finance the
purchase of residential real estate to better understand the nature and costs of real estate settlement services;•Each lender must provide the booklet to all applicants from whom it receives
or for whom it prepares a written application to borrow money to finance the purchase of residential real estate;•Lenders must prepare and distribute with the Booklet a Good Faith Estimate
of the settlement costs that the borrower is likely to incur in connection with the settlement.These disclosures are mandatory.
Section 4(a)of RESPA mandates that HUD develop and prescribe this standard form to be used at the time of loan settlement to provide full disclosure of all charges imposed upon the
borrower and seller.These are third party disclosures that are designed to provide the borrower with pertinent information during the settlement process in order to be a better shopper.
The Public Reporting Burden for this collection of information is estimated to average one hour per response,including the time for reviewing instructions,searching existing data sources.
gathering and maintaining the data needed,and completing and reviewing the collection of information.