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.
Signed Name:
Property Owner, Attorney, or Power of Attorney)
Printed Name: 2�z ,jy
STATE OF INDIANA
SS:
County of W U F-\, Before me the undersigned, a Notary Public
(County in which notarization takes place)
for H"&L County, State of Indiana, personally appeared
(Notary Public's county of residence)
� 1 i and acknowledge the execution of the foregoing instrument
(property Owner, Attor e , or Pow r of Attorney)
this day of 202A
(SEAL)
ASHLEYFLETCHER
Notary Public - Seal
Hendricks County- State of Indiana
Commission Number 702833
My Commission Expires Jul 17, 2025
of y PL 4-Signature
Notary ublic—P inted Name
My commission expires: � AL4 I r,
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