Blank Homeowners Association, Inc.

C/O Florida Property Management Solutions, Inc.

12964 SW 133rd Court - Miami, Florida 33186

Phone: (786) 718-1622 – Fax: (786) 718-1623

Email:

CONSENT TO CONVEYANCE OF PARCEL

KNOW ALL MEN BY THESE PRESENT THAT: Blank Homeowners Association, Inc., a Florida not-for-profit corporation (hereinafter referred to as the “Association”), does hereby confirm to the transfer and conveyance of the following described parcel by:

John Q. Sample and Jane Q. Sample

unto

John Q. Smith and Jane Q. Smith

Dwelling Address: 1234 Main Street, Anywhere, Florida 33333

pursuant to the provisions of that certain Declaration of Restrictions for Blank Homeowners, as recorded in Official Records Book ______, Page ______, of the Public Records of ______County. The Association does hereby confirm its approval of the said grantee(s).

In consideration of the foregoing the said grantee(s), does hereby assume, and agree to be bound by and to perform the term and conditions of the above described Declaration of Restrictions and the By-Laws and Regulations of the Association.

IN WITNESS THEREOF the parties hereto have set their respective hands and seals this _____ day of ______, 201_____

BLANK HOMEOWNERS ASSOCIATION, INC., a not-for-profit Florida Corporation

By:______

John Q. Sample, President

CERTIFICATE

The undersigned hereby certifies that he/she is the Secretary of Blank Homeowners Association, Inc., a corporation organized and existing under the laws of the State of Florida; that the foregoing is true and correct copy of a resolution adopted at a meeting of the Board of Directors of said corporation held on this _____ day of ______, 201_____, at which meeting a quorum was at all times present and acting; that the passage of said resolution was in all respects legal; and that said resolution is in full force and effect.

BLANKHOMEOWNERS ASSOCIATION, INC., a not-for-profit Florida Corporation

By:______

John Q. Sample, Secretary

(CORPORATE SEAL)

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