Loading...
HomeMy WebLinkAboutOwners AffidavitAFFIDAVITI hereby swear that I am the owner/con tract purchaser of property involved in this application and that the foregoingsignatures, statements, and answers herein contained and the information herewith submitted are in all respects true andcorrect to the best of my knowledge and belief, 1, the undersigned, authorize tjip ^^lic^rt to act c/\ rp^yehalfwith regardto this application and subsequent hearings and testimony.Signed Name:^(Property Owner^ttorney, orFower of Attorney)Printed Name: <^. hw.r ^£ <l0 ' CY3.1c/ ^ / y\STATE OF INDIANAss:County of(County in which notarization takes place)Before me the undersigned, a Notary Publicfor F 10 f ^-'\0^ _County, State of Indiana, personally appeared(Notary fyblic's county of residence)s» Ta3. P')6l[C^tA-)1^1 and acknowledge the execution of the foregoing instrument(Property Owner, Attorney, or Power of Attorney)this \[^ day of G^/r^r _, 20,^KRISTAJ DAVENPORT?E?ALP^blic'se??Margar^ Bounty'- State of IndianaCommission Number NP0717885My Commission Expires Jan 15, 2027;/^A<Notary Pu^c-^ignaturen.^'^ir,46nSkA :s-'^)<x^wrNotary Public—Printed Nan1eMy commission expires: V^JLIJ/' i *^J/'-Page 12 of 12