Fillable Town of Fort Myers Beach (Town of Fort Myers Beach)

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Town of Fort Myers Beach (Town of Fort Myers Beach)

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Town of Fort Myers Beach
CODEENFORCEMENTLIENREDUCTIONREQUEST
APPLICATION(ord.12‐05)
Revised7/13/2017
TownofFortMyersBeach
Page1of1
2525EsteroBlvd.,FortMyersBeach,Florida33931
Phone:239‐765‐0202Code@FMBGOV.comFax:239‐765‐0909
Acopyoftheorderimposingthelienmustbesubmittedwiththisapplication.Anon‐refundable
$200.00applicationfeewillbedueatthetimetheapplicationissubmitted.
CodeEnforcementCaseNumber:_____________________________ Date:_____________________
RequestorName:____________________________________ Phone:__________________________
PropertyAddress:______________________________ E‐mail:_________________________________
DateSubjectPropertywasbroughtintoCompliancewithTownCode:____________________________
Reasoningforreduction(factual):
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Reasoningcompliancenotaccomplishedbytimelienwasrecorded:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Amountofreductionrequested:__________________________________________________________
OutstandingMortgageInformation.Pleaseincludedate(s)recordedandwhethercurrentlyindefault.
_____________________________________________________________________________________
_____________________________________________________________________________________
Alldocumentsorotherevidencethatsupportsreductionrequestmustbeincludedintheapplication.
ApplicantSignature:______________________________________ Date:_____________________
ApplicantPrintedName:__________________________________
STATEOFFLORIDA)
COUNTYOFLEE)
Subscribedandswornto(oraffirmed)beforemethis_____________dayof_______________,
20___,by__________________________________________________.

NotaryPublicSignature
(SEAL)

NotaryPrintedName
PersonallyKnown orProducedIdentification
TypeofIdentificationProduced: ______________ MyCommissionExpires:_______________
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Town of Fort Myers Beach (Town of Fort Myers Beach)

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Completed 3 August 2020

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