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HomeMy WebLinkAboutFamily Related Apartment AffidavitTOWN OF YARMOUTH
FAMILY RELATED APARTMENT
AFFIDAVIT
AFFIDAVIT OF:_
(Name of Petitioner)
LO
I/We hereby certify that I/we are the owners in principal residence, and will occupy the FAMILY
RELATED ACCESSORY APARTMENT of the residence, at
�V
(Address)
I/ E further certify that the main portion at said address will be
occupied by
(Name)
as his/her principal residence who is OMYour .5 b o
(Relationship to petitioners)
Signed under the pains and penalties of perjury, this day of 20
caner/Owners of property
COMMONWEALTH OF MASSACHUSETTS
Barnstable, ss.
On this the 1� . day of L�iC� , before me, '�j
Month Year �� &l r �- Name
�offNootryy taPuub icc
The undersigned Notary Public, personally appeared C 16-4! r� a. ,
Name
of Signer(s) 1 ,
Proved to me through satisfactory evidence of identity, which was/were /I/Il-1 �` L f &ZJ7
, to be the person(s) whose name(s)
was/were signed on the preceding or attached document in my presence, and ho swore or affi ed to that the
contents of this document is truthful and accurate to the best of his/her/their o ledge and el'
DAWN L. RODENBUSH Signature of NotaryPublic
NOTARY PUBLIC
Commonwealth of Massachusetts
My Commission Expires vvLl.1
May 9, 2025 Printed Name of Notary
Place Notary Sea] and/or Stamp Above My Commission Expires O U,
H:1MyFiles\Documents\Application\AffidavitFatnilyRelated. doc(1 /2015)