HomeMy WebLinkAbout5095 14 Arrowhead Dr Affidavit 03.10.24TOWN OF YARMOUTH
FAMILY RELATED APARTMENT
AFFIDAVIT
AFFIDAVIT OF: M di a5 a Fe r r2.r~ r6�-
(Name of Petitioner)
We hereby certify that Uwe are the owners in principal residence, and will occupy
the FAMILY RELATED ACCESSORY APARTMENT of the residence, at
14 llrrowhead Dr 0-rW6L4f (t
(Address)
I/WE further certify that the main portion at said address will be occupied by
1
(Name) '
as his/her principal residence who is my/our t 1 nd ei
(Relationship to petitioners)
Signed under the pains and penalties of perjury, this_j() _day of Y 20 zi_
M issd &are- m
Owner/Owners of property
COMMONWEALTH OF MASSACHUSETTS
Barnstable, ss.
On this the day of N`�r �k , before me, t V1C i ��
Month Year Name of Notary Public
The undersigned Notary Public, personally appeared M C 1 S of ��r r� d r r yrti-0
Name of Signer(s)
Proved to me through satisfact ry evidence of identity, which was/were I" (AL �s a � C' 41 b �
G 2_ Q�>5 p r N- Cs e"S(o U 4.1 �{ � 1 11 r2 ) ?i a _ __ , to be the person(s) whose name(s) f
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 and belief
Signature of Notary Public
�'�hclK �eeis
Printed Name of Notary
Place Notary Seal and/or Stamp Above My Commission Expires S
r,INELL
wry public
IAasytcnus&M
i�l ,r µy Commission Expires
��VVJ/ Mar 23, 2029 i