HomeMy WebLinkAbout5058 1 Mayflower Ln AffidavitTOWN OF YARMOUTH
FAMILY RELATED APARTMENT
AFFIDAVIT
AFFIDAVIT OF: A (yrL cl s ., Y w
(Name of Petitioner)
I/We hereby certify that Uwe are the owners in principal residence, and will occupy the main portion of
the residence, at
Vr-
(Address)
L rJ . S - ,�-i r*tc 0 TA
I/WE further certify that the FAMILY RELATED ACCESSORY APARTMENT at said address will be
occupied by
(Name)
B/A- 1
as his/her principal residence who is my/our 6 16 Ti,
(Relationship to petitioners)
Signed under the pains and penalties of perjury, thisR :2 _day of f>e Tee+ 3 u^ 20 Z 5
Owner wners of property
COMMONWEALTH OF MASSACHUSETTS
Barnstable, ss.
On this the �% day of , 014211 before me, ! may, ,� 1&0�
Month Year Name of Notary Public
The undersigned Notary Public, personally appeared zyae' yi :c yK'r"WV%
Name of Signer(s)
Proved to me through satisfactory evidence of identity, which was/were v
, to be the person(s) whose name(s)
was/were signed on the preceding or attached document in my presence, and who swore or affirmed to me that the
contents of this document is truthful and accurate to the best of his/her/their knowledge an lief.
AU7UMI' L BANKS
q' Notary Public Signature of Notary ublic
A Massachusetts
My Commission Expires
Aug 23, 202 Z/fir C 7 c c wwc.� Z- B 64-<J-
Printed Name of Notary
Place Notary Seat and/or Stamp Above My Commission Expires '�- -a.3- 12(J�'�
H:1MyFileslDocuments\Application\AffidavitFamilyRelated.doc(1 /2015)
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