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<br />If any contingency clause or contract terms involve additional panies, list all individuals or officers, if a corporation, <br />partnership or trust. <br /> <br />For any changes of ownership or changes in contracts for purchase subsequent to the date of the application, but <br />prior to the date of final public hearing, a supplemental disclosure of interest shall be filed. <br /> <br />The above is a full disclosure of all panies of interest in the application to the best of my knowledge and belief. <br /> <br />Signature: <br /> <br />(Applicant): <br /> <br />Sworn to and subscribed before me, <br /> <br />This <br /> <br />day of <br /> <br />,200_ <br /> <br />(Seal) <br /> <br />Notary Public, State of Florida at Large <br /> <br />My Commission Expires: <br /> <br /><Disclosure shall not be required of any entity; the equity interest is which are regularly traded on an established <br />securities market in the United States or other country; or any entity, the ownership interest of which are held in a <br />limited partnership consisting of more than 5,000 separate interest and where no one person or entity holds more <br />than a total of 5% of the ownership interest in the limited partnership. <br /> <br />8 <br /> <br />FTLJOI675.1 <br />