HomeMy WebLinkAboutHomeowners 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. I, the undersigned, authorize applicant to act on my behalf with regard
to this application and subsequent hearings and testimony.
Signed
Printed Name:
STATE OF INDIANA
SS:
County of I�A an.'.'c _
(County in which notarization takes place)
for "0�_10(n
(Notary Public's county of residence)
(Property Owner, Attorney, or Power of Attorney)
this. V day of _ 0`cLCh
,o�:�pTEryAt
,
Stephanie L Brook
otary Public. State of Indiana
Marion County
Commission # NP07166348
Ste`'
My Commission Expires
October 31, 2026
Page 10 of 12
rt'y/Own/err,, orney, or Power of Attorney)
Before me the undersigned, a Notary Public
County, State of Indiana, personally appeared
and acknowledge the execution of the foregoing instrument
20 _ 1;�,4
Notary Public --Signature
`Notary Public —Printed Name
My commission expires: __D`�2SZ 1 i apo