Loading...
HomeMy WebLinkAboutWinget, William and Janet - 16-10-29-01-03-021.000Office of the Clerk - Treasurer City of Carmel September 12, 2011 Hamilton County Recorder 33 N 9th St Suite 309 Noblesville IN 46060 CITY OF CARMEL BARRETT LAW DIVISION LIEN RELEASE 2011052893 RELEASE $12.00 10/20/2011 01:57:10P 1 PGS Mary L. Clark HAMILTON County Recorder IN Recorded as Presented IVIIIIIIIIIIIIIIVIIIIIIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIIIIIIIII The following lien for Barrett Law assessment recorded in 2002 for the Cool Creek North Subdivision, Instrument # 200200085679, against the property listed herein opposite their name, of the City of Carmel, having been paid and discharged, such lien is hereby declared fully paid, satisfied and released this date. Name: William & Janet Winget Address: 350 4th Court W Carmel IN 46033 Parcel # 16- 10- 29- 01 -03- 021.000 This instrument prepared by Jean A. Belcher, Deputy Clerk Treasurer "I affirm, under the penalties for perjury, that I have taken reasonable care to redact each Social Security number in this document, unless required by law." Jean A. Belcher Diana L Cordray, Clerk Treasurer City of Carmel ONE CIVIC SQUARE CARMEL, INDIANA 46032 317/571 -2414 Office of the Clerk - Treasurer City of Carmel September 12, 2011 Hamilton County Recorder 33 N 9th St Suite 309 Noblesville IN 46060 CITY OF CARMEL BARRETT LAW DIVISION LIEN RELEASE 2011052893 RELEASE 11.0G5 10/20/2011 01 Mary L. Clark Recorder IN HAMILTON County Recorded as Presented IIIIIIIIIIIIIIIIN The following lien for Barrett Law assessment recorded in 2002 for the Cool Creek North Subdivision, Instrument # 200200085679, against the property listed herein opposite their name, of the City of Carmel, having been paid and discharged, such lien is hereby declared fully paid, satisfied and released this date. Name: William & Janet Winget Address: 350 4th Court W Carmel IN 46033 Parcel # 16- 10- 29- 01 -03- 021.000 This instrument prepared by Jean A. Belcher, Deputy Clerk Treasurer bat(- JuX Diana L Cord ray, Clerk Treasurer City of Carmel "I affirm, under the penalties for perjury, that I have taken reasonable care to redact each Social Security number in this document, unless required by law." Jean A. Belcher ONE CIVIC SQUARE CARMEL, INDIANA 46032 317/571.2414 Office of the Clerk - Treasurer City of Carmel CITY OF CARMEL BARRETT LAW DIVISION August 17, 2011 William & Janet Winget 350 4th Court W Carmel IN 46033 Parcel #16- 10- 29- 01 -03- 021.000 An internal audit of your records for the Barrett Law project in your neighborhood revealed that the final tenth payment was never received. The final payment was due November 10, 2010.Please make your check payable to the City of Carmel Barrett Fund and send to One Civic Square, Carmel, Indiana 46032 in the amount of $81.33. If you believe we have made an error and you have a cancelled check that shows you paid the final payment, please send us a copy for your file. We apologize for any inconvenience regarding this oversight. Sincerely, 7 Jean A. Belcher ONE CIVIC SQUARE CARMEL, INDIANA 46032 317/571 -2414 4. CARMEL, I 46033 • .1, ' Pay tc; the Order (4" Dollars • •- Femur..., et L... en RECEIPT City of Carmel OFFICE OF CLERK-TREASURER Fund: 221 Barrett Law Fund Received from: winget/mail /jean For the Sum Of: Eighty One Dollars And Thirty Three Cents On Account of: barrett law /mail /jean 34375 Receipt Date: 08/29/2011 $81.33 Payment Detail: Check $81.33 Check #: ; Remitter Signature: Authorized Signature: ✓h c -ai FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR THE CITY OF CARMEL - 2009 12-l0-0 J 3o qi ,F1.3 2 I)1202 3 ss Of ,32 1r - ar-- -D 3 3yb25 3Y( it -a--0y 37/y A38 /iJI/_o 3q76 81.38 iv A3_0c, 7 103 II- yazy 8K 3Y I1 -q_o3 loos 21.33 II -3v _-p9 qs it cg1. 33 Office of the Clerk- Treasurer October 2, 2009 City of Carmel William & Janet Winget 350 Fourth Ct West Carmel IN 46033 16-10-29-01-03-021.000 Dear Sir or Madam: CITY OF CARMEL BARRETT LAW DIVISION INVOICE NB DEC - 2 A 8: 214 Cool Creek North Annual Installment $81.38 The City's records show that you have agreed to make 10 annual installments for the Barrett Law project in your neighborhood. The next annual payment is due by 11/10/2009. Please make the check payable to the City of Carmel Barrett Law Division and send to One Civic Square, Carmel, Indiana 46032. Please send the enclosed REMITTANCE COPY with your check. To avoid a penalty, you must send your payment no later than 11/10/2009. You may at any time pay the entire balance. REMITTANCE COPY ONE CIVIC SQUARE CARMEL, INDIANA 46032 317/571 -2414 Office of the Clerk - Treasurer October 2, 2009 City of C.r William & Janet Winget 350 Fourth Ct West Carmel IN 46033 16-10-29-01-03-021.000 Dear Sir or Madam: CITY OF CARMEL BARRETT LAW DIVISION INVOICE 1 11 Cool Creek North Annual Installment .$81.38 The City's records show that you have agreed to make 10 annual installments for the Barrett Law project in your neighborhood. The next annual payment is due by 11/10/2009. Please make the check payable to the City of Carmel Barrett Law Division and send to One Civic Square, Carmel, Indiana 46032. Please send the enclosed REMITTANCE COPY with your check. To avoid a penalty, you must send your payment no later than 11/10/2009. You may at any time pay the entire balance. Sincerely, Jean A. Belcher ONE CIVIC SQUARE CARMEL, INDIANA 46032 317/571 -2414 Office of the Clerk - Treasurer October 2, 2009 Ci William & Janet Winget 350 Fourth Ct West Carmel IN 46033 16- 10- 29- 01 -03- 021.000 Dear Sir or Madam: of C (It CITY OF CARMEL BARRETT LAW DIVISION INVOICE I l e NB DEC - 2 A 8: 214 Cool Creek North Annual Installment $81.38 The City's records show that you have agreed to make 10 annual installments for the Barrett Law project in your neighborhood. The next annual payment is due by 11/10/2009. Please make the check payable to the City of Carmel Barrett Law Division and send to One Civic Square, Carmel, Indiana 46032. Please send the enclosed REMITTANCE COPY with your check. To avoid a penalty, you must send your payment no later than 11/10/2009. You may at any time pay the entire balance. P WILLIAM.D: WINGET JANET-L. WINGET PH.317- 705 -0373 . wtr 350 4TH COURT W. CARMEL, IN 46033 off, PAY.TOTH E ORDER OF g�. eV FOR Fa 6665 -% 8,.3:8' '. Ho ns Credit -Union 21" Street - Indiampolis IN 46219 (317)352 -0423' 4511 20- 7432/2740 //-1? .61 DATE $ ? gig °.^ DOLLARS . t �:i," • °^ ° 1:274074325I: 03 L00583ii® 1151 L RECEIPT City of Carmel OFFICE OF CLERK - TREASURER Fund: 220 Received from: winget/mail For the Sum Of: Eighty One Dollars And Thirty Eight Cents On Account of: barrett law /cool creek n Payment Detail: Check $81.38 Check #: ; Remitter Signature: Authorized Signature: FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR THE CITY OF CARMEL - 2009 3239 Receipt Date: 12/02/2009 $81.38 ae,,J CITY OF CARMEL BARRETT LAW DIVISION 10/08/2008 William & Janet Winget 350 Fourth Court West Cannel, IN 46033 ID: 119 Parcel #: 16- 10- 29- 01 -03- 021.000 Dear: William & Janet Winget INVOICE Cool Creek North Annual Installment $81.38 The City's records show that you have agreed to make 10 annual installments for the Barrett Law project in your neighborhood.The next annual payment is due by 11/10/2008. Please make the check payble to the City of Carmel Barrett Law Division and send to Once Civic Square, Cannel, Indiana 46032. Please send the enclosed REMITTANCE COPY with your check. To avoid a penalty, you must send your payment no later than 11/10/2008. You may at any time pay the entire balance. REMITTANCE COPY ONE CIVIC SQUARE CARMEL, INDIANA 46032 Karen Huffman (317) 571 -2427 Ica a CITY OF CARMEL BARRETT LAW DIVISION 10/08/2008 William & Janet Winget 350 Fourth Court West Carmel, IN 46033 ID: 119 Parcel #: 16- 10- 29- 01 -03- 021.000 Dear: William & Janet Winget INVOICE Cool Creek North Annual Installment $81.38 The City's records show that you have agreed to make 10 annual installments for the Barrett Law project in your neighborhood.The next annual payment is due by 11/10/2008. Please make the check payble to the City of Carmel Barrett Law Division and send to Once Civic Square, Carmel, Indiana 46032. Please send the enclosed REMITTANCE COPY with your check. To avoid a penalty, you must send your payment no later than 11/10/2008. You may at any time pay the entire b WILLIAM -D WINGET JANET LEE WINGET 350 W 4TH CT CARMEL, IN 46033 Pay to the Order of 10-08 1005 71 -1/863 For 1:0863000b21: bb 58 6 7 2 500 0 bOO5 427 RECEIPT 25458 Fundi 220 Barrett Law Fund CITY OF CARMEL 11/13/2008 OFFICE OF CLERK - TREASURER Total: $81.38 For the Sum Of: Eighty One Dollars And Thirty Eight Cents Received from: winget/mail On Account of: barrett law /cool creek Payment Type: Check Remitter Signature Authorized Signature FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR THE CITY OF CARMEL - 1989 CITY OF CARMEL BARRETT LAW DIVISION 10/17/2007 William & Janet Winget 350 Fourth Court West Carmel, IN 46033 ID: 119 Parcel #: 16- 10- 29- 01 -03- 021.000 Dear: William & Janet Winget INVOICE Cool Creek North Annual Installment $81.38 The City's records show that you have agreed to make 10 annual installments for the Barrett Law project in your neighborhood.The next annual payment is clue by 11/10/2007. Please make the check payble to the City of Carmel Barrett Law Division and send to Once Civic Square, Carmel, Indiana 46032. Please send the enclosed REMITTANCE COPY with your check. any time pay the (317) 571 -2427 RECEIPT CITY OF CARMEL Fund: — 220 Barrett Law Fund OFFICE OF CLERK - TREASURER 11/08/2007 Total: $81.38 For the Sum Of: Eighty One Dollars And Thirty Eight Cents Received from: winget/mail On Account of: barrett law /cool creek norht Payment Type: Check Remitter Signature Authorized Signature FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR THE CITY OF CARMEL - 1989 24134 CITY OF CARMEL BARRETT LAW DIVISION 10/17/2007 William & Janet Winget 350 Fourth Court West Carmel, IN 46033 ID: 119 Parcel #: 16- 10- 29- 01 -03- 021.000 Dear: William & Janet Winget INVOICE Cool Creek North Annual Installment $81.38 The City's records show that you have agreed to make 10 annual installments for the Barrett Law project in your neighborhood.The next annual payment is due by 11/10/2007. Please make the check payble to the City of Carmel Barrett Law Division and send to Once Civic Square, Carmel, Indiana 46032. Please send the enclosed REMITTANCE COPY with your check. To avoid a penalty, you must send your payment no later than 11/10/2007. You may at any time pay the entire balance. ONE CIVIC SQUARE CARMEL, INDIANA 46032 Karen Huffman (317) 571 -2427 CITY OF CARMEL BARRETT LAW DIVISION 10/18/2006 William & Janet Winger 350 Fourth Court West Carmel, IN 46033 ID: 119 Parcel #: 16- 10- 29- 01 -03- 021.000 Dear: William & Janef Winger INVOICE ENTERED Cool Creek North Annual Installment $81.38 The City's records show that you have agreed to make 10 annual installments for the Barrett Law project in your neighborhood. The next annual payment is due by 11/10/2006. Please make the check payble to the City of Carmel Barrett Law Division and send to Once Civic Square, Carmel, Indiana 46032. Please send the enclosed REMITTANCE COPY with your check. To avoid a penalty, you must send your payment no later than 11/10/2006. You may at any time pay the entire balance. REMITTANCE COPY ONE CIVIC SQUARE CARMEL, INDIANA 46032 Karen Huffman (317) 571 -2427 "7,117,:".• 20,7432/2740 • R4/1 sCiticti_ittUliiii '6665'Ecisti3M.Strliet.- InchanapelicIts1,46219 03 1'005E1 4 1, 10/18/2006 BARRETT LAW DIVISION William & Janet Winger 350 Fourth Court West Carmel, IN 46033 ID: 119 Parcel #: 16-10-29-01-03-021.000 Dear: William & Janet Winger INVOICE Cool Creek North Annual Installment $81.38 The City's records show that you have agreed to make 10 annual installments for the Barrett Law project in your neighborhood. The next annual payment is due by 11/10/2006. Please make the check payble to the City of Carmel Barrett Law Division and send to Once Civic Square, Carmel, Indiana 46032. Please send the enclosed REMITTANCE COPY with your check. To avoid a penalty, you must send your payment no later than 11/10/2006. You may at any time pay the entire balance. RECEIPT CITY OF CARMEL Fund] 220 Barrett Law Fund OFFICE OF CLERK - TREASURER 10/26/2006 Total: $81.38 For the Sum Of: Eighty One Dollars And Thirty Eight Cents Received from: winget/mail On Account of: barrett law /cool creek n Payment Type: Check Remitter Signature Authorized Signature FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR THE CITY OF CARMEL - 1989 22730 CITY OF CARMEL BARRETT LAW DIVISIO N 10/0412005 William & Janet Winger 350 Fourth Court West Carmel, IN 46033 ID: 119 Parcel #: 16- 10- 2-01-03- 021.000 Dear: William & Janet winger INVOICE Cool Creek Annual Installment... • • ' ' • • annual installments for the Barrett Law project Please make the check payble you have agreed to make 10 ii /9�p1�0i15. Indiana 46032. e records show .that y ent is due by Square, Carmel, The City's The n neighborhood. nd send to Once Civic Sq in your neig ' of , � � ,�„f, "�.a � m',�}ba��.E `� the City .I"' .a '�1 � �.s� r�s ,��"s. ��:•, .tc+ to �s.cs<s�+- r� k,`'w'�- ` e - �`� send th WILLIAM D� WINGE7� °' < Please - � 4 L 1NET �� PTo avoid a ey� x #+ '�� ° . 20 entire balances. ; N a ^ 3 , Date � -€� ( x r , J �� n u f Q; llC) s ,z #;�.1i.di,' a$S iii BB�/ �` ��Lej. tea. '+'` Fund: Total: ; " For the Sum Of: Received from: On Account of: 220 Barrett Law Fund $81.38 Eighty One Dollars And Thirty Eight Cents winget/mail barrett law /cool creek RECEIPT CITY OF CARMEL OFFICE OF CLERK - TREASURER Payment Type: Check Remitter Signature Authorized Signature 21482 11/08/2005 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR THE CITY OF CARMEL - 1989 CITY OF CARMEL BARRETT LAW DIVISION 10/04/2005 William & Janet Winger 350 Fourth Court West Carmel, IN 46033 ID: 119 Parcel #: 16- 10- 29- 01 -03- 021.000 0 Dear: William & Janet Winger INVOICE Cool Creek North Annual Installment $81.38 The City's records show that you have agreed to make 10 annual installments for the Barrett Law project in your neighborhood. The next annual payment is due by 11/10/2005. Please make the check payble to the City of Carmel Barrett Law Division and send to Once Civic Square, Carmel, Indiana 46032. Please send the enclosed REMITTANCE COPY with your check. To avoid a penalty, you must send your payment no later than 11/10/2005. You may at any time pay the entire balance. ONE CIVIC SQUARE CARMEL, INDIANA 46032 Karen Huffman (317) 571 -2427 CITY OF CARMEL BARRETT LAW DIVISION 10/04/2005 William & Janet Winger 350 Fourth Court West Carmel, IN 46033 ID: 119 Parcel #: 16- 10- 29- 01 -03- 021.000 Dear: William & Janet Winger INVOICE Cool Creek North Annual Installment $81.38 The City's records show that you have agreed to make 10 annual installments for the Barrett Law project in your neighborhood. The next annual payment is due by 11/10/2005. Please make the check payble to the City of Carmel Barrett Law Division and send to Once Civic Square, Carmel, Indiana 46032. Please send the enclosed REMITTANCE COPY with your check. To avoid a penalty, you must send your payment no later than 11/10/2005. You may at any time pay the entire balance. REMITTANCE COPY ONE CIVIC SQUARE CARMEL, INDIANA 46032 Karen Huffman (317) 571 -2427 - _ A CITY OF CARMEL BARRETT LAW DIVISION 10/05/2004 William & Janet Winger 350 Fourth Court West Carmel, IN 46033 ID: 119 Parcel #: 16- 10- 29- 01 -03- 021.000 Dear: William & Janet Winger INVOICE Cool Creek North Annual Installment $81.38 The City's records show that you have agreed to make 10 annual installments for the Barrett Law project in your neighborhood. The next annual payment is due by 11/10/2004. Please make the check payble to the City of Carmel Barrett Law Division and send to Once Civic Square, Carmel, Indiana 46032. Please send the enclosed REMITTANCE COPY with your check. To avoid a penalty, you must send your payment no later than 11/10/2004. You may at any time pay the entire balance. ONE CIVIC SQUARE CARMEL, INDIANA 46032 Karen Huffman (317) 571 -2427 CITY OF CARMEL BARRETT LAW DIVISION 10/05/2004 William & Janet Winger 350 Fourth Court West Carmel, IN 46033 ID: 119 Parcel #: 16- 10- 29- 01 -03- 021.000 Dear: William & Janet Winger INVOICE Cool Creek North Annual Installment $81.38 The City's rec in your neigh to the City of (# Please send th To avoid a per entire balance ONE CIVIC SQUARE CARMEL, INDIANA 46032 Karen Huffman (317) 571 -2427 Fund: Total: I For thb Sum Of: Received from: On Account of: RECEIPT 220 Barrett Law Fund CITY OF CARMEL OFFICE OF CLERK - TREASURER $597.40 Five Hundred Ninety Seven Dollars And Forty Cents Wetzel /mail barrett law /cool creek Payment Type: Check Remitter Signature Authorized Signature ,SL„.„ 020240 11/18/2004 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR THE CITY OF CARMEL - 1989 T g 1,177157 • 11/17/2003 William & Janet Winger 350 Fourth Court West Carmel, IN 46033 • CITY OF CARMEL BARRETT LAW DIVISION Parcel #: 16- 10- 29- 01 -03- 021.000 Dear: William & Janet Winger INVOICE JO ENTERED Installment Payment for Cool Creek North S84.02 Please be advised that our records show that you have defaulted on your annual assessment payment for the Barrett Law Project in Cool Creek North. Your assessment in the amount of $81.38 was due by 11/10/2003. Indiana State Law requires that when a default occurs, the amount of the default plus six months interest is due by 5/10/2004. That amount would be $81.38 plus $2.64 interest (6.5% for six months) which is $84.02. If payment is not received by 5/10/2004, however, the TOTAL ASSESSMENT is in default and the property is subject to sale. It is important that this assessment be paid promptly. If you have any additional questions, please feel free to contact me. Sincerly, Karen Huffman ONE CIVIC SQUARE CARMEL, INDIANA 46032 Karen Huffman (317) 571 -2427 CITY OF CARMEL BARRETT LAW DIVISION 11/17/2003 William & Janet Winger 350 Fourth Court West Carmel, IN 46033 Parcel #: 16- 10- 29- 01 -03- 021.000 Dear: William & Janet Winger INVOICE Installment Payment for Cool Creek North $84.02 Please be advised that our records show that you have defaulted on your annual assessment payment for the Barrett Law Project in Cool Creek North. Your assessment in the amount of $81.38 was due by 11/10/2003. Indiana State Law requires that when a default occurs, the amount of the default plus six months interest is due by 5/10/2004. That amount would be $81.38 plus $2.64 interest (6.5% for six months) which is $84.02. If payment is notMrPwe,� k� 5 n1 ! t A 1 r �,� rnT T �cr> :r F� '',- ss�.°-..,�tY-�. �" "' �a�'��.,.i::z�`.��; the property is subject to It is important that this as to contact me. Sincerly, WILLIAM 0. WINGET JANET < <'- PH.31 7,705;0373 350` 4TH COURTW:i GARMEL''; IN ^,46033 r3 Karen Huffman raer off.. Fan oriz `• C irrt Union Y . 6665 East 21'' Street - Indianapolis, IN 46219f. ,+(317) 352 =0423 - 7432%27 ONE CIVIC SQUARE Dollars o 3 oasfi r3 -li; CITY OF CARMEL BARRETT LAW DIVISION 09/25/2003 William & Janet Winger 350 Fourth Court West Carmel, IN 46033 ID: 119 Parcel #: 16- 10- 29- 01 -03- 021.000 ;4 Dear: William & Janet Winger INVOICE Cool Creek North Annual Installment $81.38 The City's records show that you have agreed to make 10 annual installments for the Barrett Law project in your neighborhood. The next annual payment is due by 11/10/2003. Please make the check payble to the City of Carmel Barrett Law Division and send to One Civic Square, Carmel, Indiana 46032. Please send the enclosed REMITTANCE COPY with your check. To avoid a penalty, you must send your payment no later than 11/10/2003. You may at any time pay the entire balance. ONE CIVIC SQUARE CARMEL, INDIANA 46032 Karen Huffman (317) 571 -2427 VILLIAM D. WINGET ANET E WINGET, _ H"3fill'�0373 'aa" 0;4TH COURTtiW ARMEL0411 33 October 7, 2002 William & Janet Winger 350 Fourth Court West Carmel, Indiana 46033 Re: 16- 10- 29- 01 -03- 021.000 Dear William & Janet Winger, �• �"\ p L/ 17r t I I I•I I N V O I C E Cool Creek North Light Project 2nd Payment ................................. ... $81.38 On 12/12/01 you paid the amount of $81.38 and agreed to thel 0 year payment option Law Assessment in Cool Creek North. The 2nd annual payment is due by November 10, 2002. Please make the check payable to The Ciiy of Carmel P- y y ption for the One Civic Square, Carmel, Indiana 46032: Please send the enclosed Caw ellow r Division t and send to your check. yellow emttiance copy with REMITTANCE COPY ONE CIVIC SQUARE CARMEL, INDIANA 46032 317 - 571 -2427 CITY OF CARMEL BARRETT LAW DIVISON October 7, 2002 William & Janet Winger 350 Fourth Court West Carmel, Indiana 46033 Re: 16- 10- 29- 01 -03- 021.000 Dear William & Janet Winger, I N V O I C E Cool Creek North Light Project 2nd Payment $81.38 On 12/12/01 you paid the amount of $81.38 and agreed to the10 year payment option for the Barrett Law Assessment in Cool Creek North. The 2nd annual payment is due by November 10, 2002. Please make the check payable to The City of Carmel Barrett Law Division and send to One Civic Square, Carmel, Indiana 46032. Please send the enclosed yellow remittance copy with your check. REMITTANCE COPY ONE CIVIC SQUARE CARMEL, INDIANA 46032 317 - 571 -2427 Barrett Number: CCN -001 Resolution Number: BPW 06- 06 -01 -01 Property ID: 16- 10- 29- 01 -03- 021.000 Barrett Law Installment Schedule Year Principal Interest Total Payment Due Date 1 43.36 38.03 81.38 11/10/2001 2 46.17 35.21 81.38 11/10/2002 3 49.17 32.21 81.38 11/10/2003 4 52.37 29.01 81.38 11/10/2004 5 55.77 25.61 81.38 11/10/2005 6 59.40 21.98 81.38 11/10/2006 7 63.26 18.12 81.38 11/10/2007 8 67.37 14.01 81.38 11/10/2008 9 71.75 9.63 81.36 11/10/2009 10 76.37 4.96 81.33 11/10/2010 Make checks payable to: City of Carmel Barrett Fund. WAIVER OF PROPERTY OWNER If you wish to make 10 annual installment payments, one -tenth of the assessment plus interest to the annual due date will be charged (see chart above). If this is your choice, please sign the "waiver" , notarize signatures, and return in the enclosed self addressed envelope with the first payment. Signature: Signature: Installme es to be mailed to: 3 £ ' Carve( • zJ y.gau Subscribed and sworn before me this day of / /c2& 266''20�. Michelle. L. /wore 77heki,Zi Z /LoA PRINTED NAME OF NOTARY NOTARY'S SIGNATURE /� Fed_ My Commission Expires Jr). f() .)�� COUNTY OF RESIDENCE ;77 • , "' WING ET: A-NEVEZNvENdErf.rA,',1i;4 PH:r-317-7050371,,,,,!-""-! 350 4TH COURT W CARMELI\IN$:146033-'-' 4`A 4 111011111- orizo Credit, Union 6E65 East 21" Stieet IN 46219 For . - • '71