HomeMy WebLinkAboutOwners AffidavitAFFIDAVIT
I hereby swear that I am the owner/contract purchaser of property involved in this application and that the foregoing
signatures, statements, and answers herein contained and the information herewith submitted are in all respects true and
correct to the best of my knowledge and belief. 1, the undersigned, authorize the applicant to act on my behalf with regard
to this application and subsequent hearings and testimony.
STATE OF INDIANA
SS:
Signed Name:
(Property Owner, Attorney, or Power of Attorney)
Printed Name: Hongmei Na
County of [ate 6LV Before me the undersigned, a Notary Public
(County in which notarization takes place)
for __�Jifin County, State of Indiana, personally appeared
(Notary Public's county of residence)
4411!jxeir, IvArAl
(Property`Owner, Attorney, or Power of Attorney)
this �/' J(�— day of Al"01
(SEAL)
Enrique Soneta
Notary PubliC Seal State Of Indiana
Hamilton County
Commission a NP0730358
My Commission Expires 12/06/2028
Page 12of12
and acknowledge the execution of the foregoing instrument
20 ';::-3
Notary Public --Signature
XVY/9 Xe /3 �
NotaryPublic—Printed Name
My commission expires: Z�OU Z IF
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