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. I, 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:
(Pro y O e , omey, or Power of Attorney)
Printed Name: JOP-OAP L6GAtJ
County of A tAl LTO Before me the undersigned, a Notary Public
(County in which notarization takes place)
for iW-ml-A County, State of Indiana, personally appeared
(Notary Public's county of residence)
)I0RPAtJ L06AP-1 and acknowledge the execution of the foregoing instrument
(Property Owner, Attorney, or Power of Attorney)
this 9T" day of May , 20 ZLI
DILLON EAMN
Notary Public - Seal
Marion County - State of Indiana
Commission Number NP0741504
My Commission Expires May 30. 2030
Notary Public --Signature
i Itt 14 Ct i.1
Notary Public —Printed Name
My commission expires: r'IAqY 'So I 2030
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