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HOP 7-85 12770 SW KATHERINE NE 1/4 NE 1 /4 SECTION 4 T2 R I W WM ZS I 4AA WASHINGTON COUNTY OREGON ."CALF i = Io SEE MAP 33 34 IS 1 3 3 DD 900 /%%. "%////// '%/,i '%/,r//% /////i, ;%//�%' %lil,.'/ ////:% /,' fF �� f y�, ,Ilfve s ee° 49 4o"F 7200 w 7300 7400 7500 7600N ee 47700 W 7800 7900 8000 0 8100 �� 8200 01 \ ,,P800", 9700 9600 T 9510 9400 m 93000 118 i l 17 u, "' r 1n ", a Ll.l _ �,, ,ti 4 3 171- In lIC) ��� 'ice 115 L6 1 14 Kf (T) U O. O �.) �� U C' r-) �� Q ii °d' fl\ 0 113 c) 112 III 110 109 108 �' 107 _- 106 i05 -- 0 104 rn o - 11 +N APFn �- - = -I z 1`1.71; T/ Q� ? IO �`� 103 CANCELLED TAX LOT` �y74 263 i, 5 G /ryy 157? w rs .t- -65 -���- _ -� 7F �F' - --� --- - 7c' ° 7F'- - t�:, - - I -T -- 25 -} !OI,TRACT'A',100,103, TRA i5 `' 39.L6 8Z 7 f '>u 6178 N 88 48 W G- yn A? E 4000 T� ( y 1, J � 1 sol3 KATHERINE ST. � Q S. W. 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N77o4'4 I I 0 Q ,,, O w 32.29 62.45 186, 11300 N 13500 w O° 0 800 O °0 W IN 100 00 SEE MAP ' �, 'D 60 T _ 67 ° ? 1 QQ N � 4300 11400 oro 154 0l N87°53' 2.5"w ° ` co 23 h 2S l 4AB s 132 110. 11 � �, 7G, O o + I� cr 8377 10.00WALKWAY 9.99 99.89 - W 11500 °� 133 `0F \0 110.00 N ''°47 37 z lore 00 W 10 14.98 \0.7 19 1000 w 1900 W ° 00 134 57.64 "o 3 61 - a 392 6475 P; 13400 � n 59 0 68 ti � 2000 i; 4400 $ E E MAP 11600 15 o w 153 \0.9z �. a °; 6 22 2S I 4AA Av f- 9 N °' 6<_ s co • ° \ 14oA6 a sr, i o SUPPLEMENTAL 135 N \032 N 900 ° ss� 100. 1r 79.09 i8 o � oo °o N 0 . 1 110.45 3.02 �� '�h 4350 13300 � . ! e'�,`� 126001498 .v/ 58 as s N 7��.°0' h 4 500 N 11700 825'x" -- 145 A (� ��' ��° °800 °° �O 7 4()' W \��\ c ° o\ CC) 136 {2500 0 ��, 152\05 h., s� or 0 21 uo ti 144 05� 13200 y 57 700 6.',, 65.00 ° °p 00 o .�, 1 , N 12700 as 0. ,�' 60 0 �/ 10 11800 0 81.54 s ° 151 "� � V S 100 00 N 7 ° 4 cr) °° 12400 14.34 5m° - 5 5 ° 0 0 ' 4'' °"w to w 13 7 L N, T, 146 38 �,� 5 6 z `° O 491.91 II° 143 `°6 13100 r / ati O N 771045 °0 8 0 12800 `� 0 500 40 w �, 20 0 a 11900 j �m 150 LQ° 0 _ 4600 m 147 54 f 1191 138 r v� 0 ,�° ati �°, o '00.00 z � 12300 �, �\� 1 13000 �h 4 400 a°o23�2 z N N �T 740 w C � 129.46 12900 s 4 800 12000 �,,� 142 148 1�1 �► 149��� So �-- 53 19 ° Q � �• `O " 139 93.62 ' i° 300 '6 0 °f ,� 172.61 ¢O %% llp 12200 N870 28'40" W 0 00 s0 Ts v �' N 7 /00..52 12100 'L `� s 5 2 F o2 04 .� p s� � � 0 w \ 0 A 141 00 51 a 140 4 0, m � ai U � Z0'4 � .00 rr//rr�rirrri/rrJl��31 "� v' 9.;ii a 8 x 3 3 83 ° o TRACT 8 �)f�/�13/i%//// 8 1 6 4 y �h 1 8 O ti 1 f � 67°28x40 E N 87046'54"W 1379 S 88002 40 E \60 �° ry �! I TRACT G" 0 P '�cp ,�,p "') 0 4 198x, `SSo3� d/ 2 \I �. ,h 70 51 f'0 00 5 0 «' 5 2 0 0 ' of 5' DD0 17 '~ t W m 15 �; O ° Z " � 16 , O - O 4 w O z O O N � m n 100 00 N88°02'40"W 1 3 7.g� 7O �° TIGARD o- 10.00 307 90 - 100 - S UO S 8404.5'27"[ 20H 7 N880 ()2'40"W 7 00 131 37-- '-) E 77�le' •irrrrr�iiiirirrirrir�rrirri r S E E MAP 2c 1 4 AD --- _ __ _ '� 2S I 4 •`! -,.,'per,., �. ...r. ... ., _.. ...HM. .r.-.-- -..,_ ._..........r: 4 :, .c.,,il�il�11� ��N�#ir �1• �- . ,.....w- u .;�-, ._ •. ,..__. - �.-' ---r _ .;:ats•., .�.wq�.,.w.,, .K..r.a« r...+..,.... !� f '�111II'1 � 111 I � 1 � 1 � 1 I � II1 � � � � illl � Illlr� � IIIIl � 1 111 � 1 � 1 111 ` 111 � I � I � I : � t � lrll � � I � irll � illltl � l � il � � l � � tll � t � ` �� 11 � 11 _ _ :,... ,: . . : 2 3 4 5 6 7 8 9 10 11 12 NOTE : IF THIS MICROFILMED ' 6. ���� iia u •Iwr�•w!!71 1 -r .. . 11•�r lriii11 " � DRAWING IS LESS CLEAR THAN THIS NOTICE IT IS DUE TO _THF QUALITY OF THE ORIGINAL DRAW I OE 6Z BZ LZ 97 SZ bZ EZ ZZ 12 OZ 61 81 LI 91 S I b I E I 01 11 01 6 9 9 S b E Z a�!11U1111111111I11111111III 111111111111111l1111111111111111111111111�ist1t�III it1111111111111l1i1111i11�111l�tHllllll+ll�111111111111111111111111111111111111111!1111fill 11111111�tIu�111�.ItI11I1tt1111II�Iil11l��II1 U11�I111i1111111111111111111�twihllllul�I�ulittlll!!!�111I111It1111t�1w�11t1 JANITARV 91 - I - Q- Q- 9- r ��. _+.MOW4Mv,YMNYw'x+YY1MI.YAvIUM111W�Ty++MliMwwwYwrvr..�w,,...r+.nw:�..:,w Paul & Niels Rasmussen HOP 12770 SW Katherine 7-85 "" House of Woods, Inc. S^� T C17YOF E 117ARD HOME OCCUPATION RENEWAL CERTIFICATE OREGON The City of Tigard hereby certifies that Paul & Niels Rasmussen have received approval for a Home Occupation Renewal to operate House of Woods, Inc. at 12770 SW Katherine Street from September 1 1989 to December 31.,_1990- This 1, 1990.This Home Occupation Renewal has been granted in accordance with Section 16.142 of the Tigard Community Development Code and any special conditions listed below. In addition, the grantee holds a current Tigard Business Tax Certificate which expires on December 31, 1989. SPECIAL CONDITIONS: Home Occupation Renewal Permit HOP 85-07 is approved subject to the following conditions: 1. This Home Occupation Renewal Permit shall be renewed annually. 2.. A Business Tax sha'.' be paid annually for the business. 3. There shall be no noise emitted from the home connected with the business which is audible to abutting residences. 4. There shall be no other paid employees on the premises other than those who are permanent residents of the dwelling. 5. There shall be no signs or advertisi..g visible from the exterior of the premises. 6. There shall be NO customers or clients coming to the residence in conjunction with the business. 7. There shall be no outside storage of materials, vehicles or products on the premises. Indoor storage of material or products shall not exceed the limitations imposed by the provisions of the Building, Fire, Health, and Housing Codes. 8. The use and storage of materials and products shall not occupy more than 25 percent of the combined gross floor area of the residence. 9. There shall be no more than three deliveries per week to the residence by suppliers. 10. The use shall not require any additional parking other than that which is required for the residence. /V APPROVED BY: DATE: Keith S. Laden, Senior Planner 13125 SW[4011 Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 ------.---- - ------ CITY OF TIGARD, OREGON HOME OCCUPATION APPLICATION CITY OF TIGARD, 13125 SW Hall, PO Box 23397 Tigard, Oregon 97223 - (503) 639-4171 FOR STAFF USE ONLY CASE NO. OTHER CASE NO'S: /V RECEIPT NO. /OS/ry'6p APPLICATION ACCEPTED BY: DATE: 1. GENERAL INFORMATION Application elements submitted: PROPERTY ADDRESS/LOCATION / ?Q SUS ,COkyhw (A) Application form (1) 11 A C11 r �7 �.� �j _ (B) Owner's aignat re/written TAX MAP AND TAX LOT NO. authorizati (C) Title tra fer instrument (1) SITE SIZE (D) Assesso s map (1) PROPERTY OWNER/DEED HOLDER* rtey� +� _(E) Plot an (1 copy) ADDRESS Mme a5 crb°`'E PHONE (F) App cant's statement CITY ZIP ( copy) * (G) ist of abutting owners and APPLICANT / I � 5' IAC. �✓l')us'�cvt their addresses ADDRESS 5�,,1� _ PHONE CITY ZIP ( ) Filing fee 380) -- -� - _ - TUSINESS NAMF. �7'o U sc � uJo _ *When the owner and the applicant are dilferent people, the applicant must be the purchaser of record or a leasee in possession with written authorization DATE DETERMINED TO BE COMPLETE: from the owner or an agent of the owner with written authorization. The owner(s) must sign this application in the space provided on page two or FINAL DECISION DEADLINE:_ submit a written authorization with this application. COMP. PLAN/ZONE DESIGNATION: 2. PROPOSAL SUMMARY The owners of record of the subject property request approval of a home occupation to N.P.O. Number: allow (be specific) -+ � i y_ cr'seil r_,, Planning Dirortor Approval Date: Final Approval. Date: Specify whether you are using a detached Planningidi b1illrlin on your p_ roperty and ciime sions; Engineering 07.18P/23P CX_fa VJ. �o hOL)5;(? Business Tax: Rov'ri: �/HA y. 3. List any variance or other land 3e actions to be considered as part of this application: - 4, Applicants: To have a complete application you will need to submit attachments described below: A. One application form with signature or written authorization t (eg• B. One copy of the title transfer instrumen C, One assessor's map of the propertyplan D. One copy each of the �eTBe question uesthin 250 feettofnthelproperty E. One list of property F. Filing fee of t80 5, THE APPLICANTS) SHALL CERTIFY THAT: be A. The above re uest does not he violate ectanro ertd , restrictions that ma attached to or imposed upon_______ exercise the rights lication is granted, the applicant will B. If the app. ranted in accordance with the terms and sribject to all the conditions and g limitations of the appreal. the lot plan, statements C. All of the above statements e are true; and the attachments, and exhibits transmitted herewith, in based on this v, permit issued, applicants so .ben revoked if wledge sit is found that any such statements are ..plication, may false. including applicant has read the entire contents of the application, D. The and understands the requirements for approving poo the policies and criteria, or denying the application. DATED this r-K day o f ---- STGNATURES of each owner (eg• husband and wife) of the subject property. .y7 Revise 3/15/88 (KSL:pm/0738P) TO APPLY FOR A HOME OCCUPATION PERMIT, PLEASE ANSWER THE FOLLOWING QUESTIONS AND SUBMIT TWO COPIES: 1. Will you have any paid employees who don't reside at the home? 2. Will you have customers/clients coming to your residence? If so how many per day? 3. Will you have deliveries or pickups made of products or supplies to your residence? If so, how many and what type? 1/0 4. What will. your hours and days of operation be? Y �n L 0�-► c 5. Will the business generate any noise which can be heard outside of the structure? 6— 1 y 6. How many square feet is your residence and how many square feet will be ( ^Adevoted to the operation of your business, including storage areas? 4n Y- L.L"0r 7. What vehicles will be associated with the business that are garaged at the residence? 8. Do you intend to store any materials, vehicles or products outdoors at the premises in conjunction with the husiness? /VC1) 9. Will you have any signs or adver.tistng visible from the exterior of the premises? /Lv 10. Please show the floor layout of your house and the area to be used for your home occupation on the attached graph paper. Please designate those areas which shall be utilized 1) entirely for the home occupation and 2) partially for the home occupation. Please designate the approximate dimensions of the room(s) to be used for the home occupation. (dmf/07.38P) ■ NONE INMEN RoomNo 0 NoSOMME CON M 0 @min NoNo ME I MIN0 m! No MENEM 0 won INN I 0 No off 00 O'N MENI i CITY t?F` 7I( ARD REVCEIPT OP PAYMENT REC IV(*): OolO°,196 G'HEC;F;: AMOUNT a -38. .3 FVACIE: PAUL r'A;�MI,ISSE:tJ I ADDRESS 12770 :77] SW �q,ATHER I NE_ CASH AMOUNT .00 T ;AFG, CFPAYMENTDATE 09 -01—» BLOCK NO/ADDR: 1 i F'(JP.PCJSE OF: PAYNE-JIT AMOUNT PA 1 U PtJR OSF_' OF PAYMENT AMOUN'r PA I D 0. y` LAND 'USE�AF'F`t_.CCF'i'TiQNS,....._......_ 20.00 HOF' OR 5-_a RENEWAL I 1 THAP-11 'YOU I( i TOTAL, AMOUNT PAW i AFFIDAVIT OF MAILING -STATE OF OREGON ) County of Washington ) ss. City of Tigard ) I, (�10 ire,eAl 1-t j being first du.y sworn, on oath depose and say : (Please Print ) That I am a 6 r,2 for The City of Tigard, Oregon. That I served notice of Final Decision for Planning Director of which the attached is a copy (Marked Exhibit A) upon each of the following named persons on the �_ day of 198 by mailing to each of them at the address shown on the attached list (Marked Exhibit B) , said notice as hereto attached, deposited in the United States Mail on the day of ,ll�,�l/ 198 _, postage prepaid. Signature Person who delivered to POST OFFICE Subscribed and sworn to before me on the t,f day of , 198 �1itNk•H�Rh r, 0 L1 NOTARY PUBLIC OF OREGON My Commission Expires: 2,2L-Y7 (0257P) PAUL RASMUSSEN FOWLER 12.770 SW Katherine 12725 SW Katherine St. Tigard, Oregon 97223 Tigard, Oregon 97223 Richard Boberg BRAYSON 10660 SW North Dakota 11059 SE Division Tigard, Oregon 97223 Portland, Oregon 97266 WHEELER GRAY 12755 SW Willis Pldce 12170 SW 128th St. TIGARh, OR 97223 Tigard, ORegon 97223 1 BUSH/STEDMAN 12735 SW Willis Place Tigard, Oregon 97223 FINCH 12725 SW Willis Place Tigard, Oregon 97223 SCHNIDER 12730 SW Katherine St. TIGARD, OREGON 97223 NICOLAS 12750 SW Katherine St. Tigard, Oregon 97223 CANGLEEL 12790 SW Katherine St. Tigard, Oregon 97223 FACHLER 12785 SW Katherine Tigard, Oregon 97223 NICHALAS 12765 SW Katherine St. Tigard, Oregon 97223 SEIFERT 12745 SW Katherine St . Tigard, Oregon 97223 CITY OF TIGARD NOTICE OF DECISION HOME OCCUPATION HOP 7-85 APPLICATION: A request by Paul 6 Niels Rasmussen for a Home Occupation Permit for operation of a small furniture manufacturer in the home on property zoned R-4.5 located at: 12770 SW Katherine (Wash. Co. Tax Map 2S1 4AA, lot 7000). DECISION: Notice is hereby given that the Planning Director for the City of Tigard has APPROVED the above application subject to certain conditions. The findings and conclusions on which the Director based his decision are as noted below. A. FINDING OF FACT 1. Background No previous applications have been reviewed by the Planning Department on this property. 2. Vicinity Information The surrounding property is all zoned R 4.5 (Single Family Residential). 3. Site Information and Proposal Description There is a 1,500 square foot home on the property. The applicant le proposing to use 400 square feet for the business. The applicant and his family will occupy the remainjer of the home. The business use as proposed by the applicant will occupy more than 25% of the home. 4. Agency and NPO Comments None. B. ANALYSIS AND CONCLUSION The proposal , with conditions can meet the provisions set forth in Chapter 18.142 of the Tigard Municipal C:,jp. C. DECISION Home Occupation Permit HOP 7-85 is approved subject to the following conditions: 1 . There shalt be no people working in the home in conjunction with the busincss who are not residents Of the home. NOTICE OF DECISION - HOP 7-85 - PAGE 7 i 2. The business shall not occupy more than 25% of the square footage of the home or 375 sq. ft. 3. There shall be no signs or advertising visible from the exterior of the premises. 4. There shall be no customers or clients coming to the residence in conjunction with the business. 5. The Home Occupancy Permit shall be renewed annually. 6. A Business Tax shall b� paid annually for the business. 7. This approval is valid if exercised within one year of the final decision date noted below. D. PROCEDURE 1. Notice: Notice was published in the newspaper, posted at City Hall and mailed to: XX The applicant 6 owners XX Owners of record within the required distance XX The affected Neighborhood Planning Organization �XX _ Affected governmental agencies 2. Final Decision: THE DECISION SHALL BE FINAL ON April 15, 1185 UNLESS AN APPEAL IS FILED. 3. Appeal : Any party to the decision may appeal thie incision in accordance with Section 18.32.290(A) and Section 18.3.2.3;0 of the Community Development Code which provides that a written appeal must be filed with the CITY RECORDER within 10 days after notice is given and sent. The deadline for filing of an appeal is 5:00 P.M. April 15, 1985 . 4. Questions: If you have any questions, please call the City of Tigard Planning Department, Tigard City Hall, 12755 SW Ash, PO Box 23397., Tigard, Oregon 97223, 639-4171. 011ia'S A. Monahan, Director of Planning 6 Development DATE APPROVED (EAN:pm/1152P) I !1 )4 O �j • NOTICE OF DECISION - HOP 7-85 - PAGE 8 1 F,-r-1 • 1r' �J � � � • HOME OCCUPATION APPLICATION CITY OF TIGARD, 12755 SW Ash, PO Box 23397 Tigard, Oregon 97223 - (503) 639-4171 FOR STAFF USE ONLY/ CASE NO. 110P 7 RECEIPT tiu- �' APPLICATION ACCEPTED BY: 1 DATE: I. GENERAL INFORMATION Application elements submitted: PROPERTY ADDRESS/LOCATION ! ') �� _� i.(/� 1\[►� C'ftY,< ' (A) Application form (1) (B) Owner's signature/written TAX MAP AND TAX LOT NO. authorization i '_. .,C (C) Title transfer instrument (1) SITE SIZE (D) Assessor's map (1) PROPERTY OWNER/DEED HOLDER* N, cJ-� (E) Plot plan (2 copies) ADDRESS /g� j�a �:_[�'/�Ca1-J1• PHONE ;� ` - r .�l (F) Applicant's statement CITY _,,, , t ZIP (2 copies) � 1 APPLICANT* k TI) ii r y (G) List of property owner's ADDRESS I !, rt6c PHONE _ _ within 100 feet (1) CITY IZIP (H) Filing fee ($75) *When the owner and the applicant are different people, the applicant must be the purchaser of record or a leasee in possession with written authorization DATE DETERMINED TO BE COMPLETE: from the owner or an agent of the owner with written authorization. The owner(s) must sign this application in the space provided on page two or FINAL DECISION DEADLINE: submit a written authorization with this application. COMP. PLAN/'LONE DESIGNATION: 2. PROPOSAL SUMMARY _ The owners of record of the subject property request approval of a home occupation to N.P.O. Ntimber: allow (be specific) i Planning Director Approval Date: Final Approval Date: i Planning Engineering Business Tax: Tax: _ (KSL:pm/0738P) 3. List any variance or other land use actions to be considered as part of this application: k. Applicants: To have a complete application you will need to submit attachmentE described below: A, One application form with signature or written authorization B. One copy of the title transfer instrument (eg. deed) C. One assessor's map of the property D. Two copies of the attached question sheet and floor plan E. One list of property owners within 200 feet of the property F. Filing fee of $75 5. THE APPLICANT(S) SHALL CERTIFY THAT: A. The above request does not violate any deed restrictions that may be attached to or imposed upon the subject property. B. If the application is granted, the applicant will exercise the rights granted in accordance with the terms and subject to all the conditions and limitations of the approval. C. All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted herewith, are true; and the applicants so acknowledge that any permit issued, based on this application, may be revoked if it is found that any such statements are false. D. The applicant has read the entire contents of the :.pplication, including the policies and criteria, and understands the requirements for approving or denying the applicatton. DATED this day of 19 ,3; - SIGNATURES of each owner (eg. husband and wife) of the subject property. (KSL:pm/0738P) TO APPLY FOR A HOME OCCUPATION PERMIT, PLEASE ANSWER THE FOLLOWING QUESTIONS AND SUBMIT TWO COPIES: 1. Will. you have any employees who don't reside at the home? 2. Will you have customers/clients coming to your residence? If so how many per day? NC, 3. Will you have deliveries or pickups made of Products or supplies to your residence? If so, how many and what type? 4. What will your hours and days of operation be? Al , o a P. -' . S. Will the business generate any noise which can be heard outside of the structure? 6. How many square feet is your residence and how many square feet will be devoted to the operation of your business, Including storage areas? 0Cj sq, I . yoc) 7. What vehicles will be associated with the business that are garaged at the residence? I' 8. Do you intend to store any materials, vehicles or products outdoors at the premises in conjunction with the business? 9. Will you have any signs or advertising visiblc from the exterior of the premises? 10. Please show the floor layout of your house end the area to be used for your home occupation on the attached graph payer. Please designate those areas which shall be utilized 1) entirely for the home occupation and 2) partially for the home occupation. Please designate the approximate dimensions of the room(s) to be used for tie home occupation. (dmj/0738P) 17 AIX wr IA770 r 4, !a", Azy.. �/c-� lit U w7je . - �'.Z (ol o o -,ea-"-&l'-'" , 7 s ,83 ;z oc� , .�, v � ( � z 7 s X3410 ra-1. ��, , t'. ( i� 17 fi S o ve o J40tprt J/ ta- Q 7 Rales t ,'� -�'i l /A .fit ILI IYA40 z Nerd Cook/Inc. LOAN PAYOFF STATEMENT �Mr. Niels Rasmussen `� -' _. Date 3/19/85 12770 SW Katherine Loan ao. 88 4976 Tigard, Oregon 97223 Borrower 11ASNUSSEN, NIELS Property Address ' _ 12770 SW 'Katherine Attn: Tigard, Oregon 97223 Escrow No. Phone No. 620 8220 Principal Balance as of 3/19/85 -----------------------------$ 28,292.16 Prepayment Penalty- ------------------------- ------------------$ Interest from 3/1/85 to 4/1/85 @ paid FHA Deferred Premium: Mor.th(s) @ ----------------$ Accumulated Late Charges if applicable -----------------------$ Life Ins. Premium if applicable: Months @ ---------$ Disability Ins. Premium if applicable: Months @ -----$ Reconveyance and Recording fee -------------------------------$ 30.00 Attorney fee and Foreclosure costs -------------------------$ Reserve Shortage if applicable ---------------.--------------$ Total Due ------------$ 28,322.16 ;.ESS RESERVES if applicable ---------------------------------$ 976.48 TOTAL PAYOFF due if paid on/before 4' 1 H- -------- ---$ 27,345.68 if paid after 4/1/85 ADD: FHA Deferred Premium ----------------------------$ Life Insurance Premium --------------------------$ Disability Insurance Premium ------------ •---•---- Interest from 4, 1 ;x , to -------------I see' per diem below Late Charges if paid after --------------$ If payment is received any day other than add $ per day for interest. Interest is payable to date payment is received by us. A NEW STATEMENT MUSI BE ORDERED AS=TER 4/15/85 F11A Insurance Premium paid monthly in the amount of $ Taxes have been paid for 84/85 in the amount of $ 1255.98 MOTE: The above figures are subject to transactions occurring subsequent to the date of this statement and are also subject to confirmation by thi! company holding the mortgage r t)AN 1,Ayol y t•lLi5T I3I: IN 1118 FORM OF GUANW111 TV I•'UNDS. payor f n ind, ni uyt be In our of f i ccs by 3:00 p.m. r I rrpt►'r�1 Icy: IAI,� I'ltriir 1'1ur �, ,1 hu'l�Jgl ,li��ttl>;��il