HomeMy WebLinkAboutOwners AffidavitAFFIDAVIT
(I/We), being duly sworn, depose and say that (I/We) (am/are) the (owner(s)) of Fifty Perocnt (500A) or more of the
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 or our) knowledge and
belief.
6�2:1 �..., - Nathan D. Harris, on behalf of Buckingham Fountains LLC
Signature (typed or printed)
941 N. Meridian Street
Address
Indianapolis, Indiana, 46204
City, State, ZIP
The applicant, correspondent, or agent (if different from owner or owners)
Name
Telephone/Email
Date
STATE OF INDIANA
SS:
Name
Telephone/Email
Date
The undersigned, having been duly sworn upon oath says that the above infwmatil+I1 is r 5; a and correct and he is
informed and believes.
f �I� isignature of Petitioner) -
County of. 1 r L �l ate' Before me the undersigned, a NotaryPublic
(County in which notarization takes place)
for ` t*ck�- County, State of Indiana, personally appeared
(Notary Public's county of residence)
Nathan D. Harris
(Property Owner, Attorney, or Power of Attorney)
and acknowledge the execution of the foregoing instrument
this 1 st day of August . 20 24
(day) (month) (Year)
LA4�:e�
�I otery Public--Signature
*� MEREt?ITH A UE1lLlN Notary Public -Please Print
NOTARY PUBLIC
s - MANOOCK COUNTIf KATE OF INQIANA My commission expires:
COMMISSION EXP MAY S', 2026 - 7
040
� COMMISSION NM 713257 — -
(datei
Revised: 1r312024 Filename: Rezone or PUD Application 2024 Page 2 of 7