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:
(4ertyr, Attolrney, or Power of Attorney)
Printed Name: 5-C'fo 4 y 1-t t. S 0"1
STATE OF INDIANA
SS:
County of �b�M t l� Before me the undersigned, a Notary Public
(County in which notarization takes place)
for 1AD County, State of Indiana, personally appeared
(Notary Public's county of residence)
)jep ,ep i _ iL5 or, and acknowledge the execution of the foregoing instrument
(Property O ner, Attorney, or Power of Attorney)
this l day of ,�� 20_,�24
(SEAL)
LINDSEY YOUNG
Notary Public - Seal
Howard County - State of Indiana
Commission Number NP0752630
My Commission Expires Nov 5, 2031
/ "J�Q
Notary u lic--Sig ure
Notary Publ PhQ Name
My commission expires: l 1' ,r),` � 1 I
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