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VAR12-85 POOR QUALITY RECORD PLEASE NOTE: The original paper record has been archived and put on microfilm. The following document is a copy of the microfilm record converted back to digital. If you have questions please contact City of Tigard Records Department. _ ' : '� r vn .. +tn k X Y4.S.....,,.I,.u,d.....,xn.2.. ,... C r 4 EDWARD US BANK V 12-85 EC�TAURI, & .; `°9750 SW McDonald St 2S1 11BA. 500 ;� I • i . . I I • i . • /+1,;;,..;...:-'i )--.:::::;]t: ' • • . • 1`t f ' f t, s � H 'i # r h+ a s s , . "P r ' y ' � k `:?;'.k E04i iii „x 414 •lT y; 4 a y 4�y r" -i ", r-x",k 5 �! i ! Jii i �k v ` 'y Fi'3falur; fr • , 11111110111iNgiaili: --.''''. ' ....‘'.'' ' '''-: . ' '''' ..r .. 2 AF'F 1!)t\V1'1 OF MAILING STATE OF OREGON ) County of Washington ) ss. City of Tigard ) I, faa6;:„„,„. . • ' , being t trst nuly sworn, on oath depose and say : (Please Prtn:) That I am a 4a1 for The City of Tigard, Oregon. That I served notice of Final Decision for Planning Director of which the attached is a wy (Marked Exhibit A) upon each of the following named persons on the day of _ l98 , by mailing to • each of them at the ad ress shown on the attached list (Marked Exhibit B) , said notice as hereto attached, deposited in the Unit pd States Flail on the _ °day of ,198 postage prepaid. I Signature 1 1 " I ��r �� 'rte 1 t-e ...../f k Pe , f rson who d-l i rere•' to POST OFFICE :, d end sworn to before me on the ,/ . Subscr"b day of , l98 E7 . � e y41'4R54sN4 _ ryN°.` a. as acv+�Xb }?,..).` n?..,163'or, If,iii �1oe. .. e 4,,;, ';- ` 4.. Gs' d n' a ) / ,.• ..; y 't $5 _ NOTARY PUBLIC OF OREGON • P . P F Q k w 0 . .tr t Commission Expires . 9 G28�, 1 'if-, (0257P) e1. 1 . t ;',, - • CITY OF TIGARD NOTICE OF DECISION VARIANCE V 12-85 APPLICATION: Request by Edward and Kay Echauri for a Variance to allow the construction of an 864 square foot building with a maximum height of 13 feet where a 500 square foot and 12 foot height are permitted on property zoned R-4,5 (Residential, 4.5 units/acre) and located at 9780 S.W. McDonald St. (Wash. Co. Tax Map 2S1 1113A, Tax Lot 500) . DECISION: Notice is hereby given that the Planning Director for the City of Tigard has APPROVED the above described application subject to certain conditions. The findings and conclusions on which the Director based his decision are as rioted below. • • A. FINDING OF FACT 1, Background No previous land use applications relating to this property have been reviewed by the City, 2. Vicinity Information All of the surrounding properties are zoned R-4.5 (Residential, 4.5 units/acre) . McDonald Acres subdivision lies to the west and larger parcels are to the east. McDonald Street and Elrose Street border the property on the north and south, 3. Site Information and Proposal Description A residence is situated in the northern section of the property with access to McDonald Street, There are two accessory buildings in poor repair in the central portion of the lot. The applicant proposes to construct a 36 by 24 foot building totaling 864 square feet. The height of the building at the roof peak will be 13 feet, The building will have an 8, 30, and 52 foot setback from the east, south, and west property lines respectively. An access drive is proposed to Elrose Street. All tiler accessory buildings on the parcel will be removed. . , 4. Agency and NPO Comments The Engineering Division notes that a street opening permit will be required to obtain access to Elrose Street. The Building Inspection Division has no objection. NOTICE OF DECISION - V 12-85 - PAGE 1 . • , B. ANALYSIS AND CONCLUSION Section 18.134.050 of the Code requires that the following approval criteria for variance proposals be met: 1. The proposed variance will not be materially detrimental to the purposes of this Code, be in conflict with the policies of thc. Comprehensive Plan, to any other applicable policies and standards; and to other properties in the same zoning district or vicinity; 2, There are special circumstances ee,t exist which are peculiar to the lot size or shape, topography or other circumstances over which the applicant has no control, and which are not applicable to other properties in the same zoning district; T-- 3, The use proposed will be the same as permitted under this Code and City standards will be maintained to the greatest extent that is reasonably possible, while permitting some economic use of the land; 4. Existing physical and natural systems, such as, but not limited to traffic, drainage, dramatic land forms or parks will not be adversely affected any more than would occur if the development were located as specified in the Code; and 5, The hardship is not self—imposed and the variance requested is the minimum variance which would alleviate the :wardship. The primary purpose of the size (500 square feet) and height (12 feet) limitations for detached accessory structures is to maintain the rosidential character of neighborhoods by not allowing buildings of a size that are commercial or industrial in appearance. The size and height limits only apply to detached accessory buildinqs. Attached garages are subject only to the height and setback requirements for a residence. Also, the Code has no limit on the number of accessory buildings and the applicant could have two 500 square foot buildings and meet the applicable requirements. The residence is situated in such a manner that only a detached accessory building is possible. The applicant presently does not have a garage and the proposed building will serve as a garage and small shop building. No commercial activity is proposed nor would one be permitted. The building will exceed the maximum height allowance of 12 feet. However, the applicant will, provide considerably more than the required building setback of 5 feet. This added setback will compensate the 13 foot height by not locating an oversized building in a way that would adversely affect an adjoining property. Except for the height and size variance, the proposed structure is consistent with all other aspects of the City Code. NOTICE or DECISION -• V 12-85 — PAGE 2 , ,„ C. DECISION The Planning Director approves V 12-85 subject to the following conditions: 1. Building permits shall be obtained prior to construction. 2. A street opening permit shall be obtained from the Engineering Division (contact John Hagman or Randy Clarno) for access to Elrose Street. 3. The building shall not exceed 13 feet in height or 864 square feet in floor area, The building shall be located as shown on the plan submitted with a minimum setback of 8 feet to the east and west and 20 feet to the south. 4 No commercial/industrial activity shall be permitted. 5. 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 & owners Owners of record within the required distance _ _ The affected Neighborhood Planning Organization ___juL__ Affected governmental agencies 2. Final Decision: THE DECISION SHALL BE FINAL ON June 21 1985 UNLESS AN APPEAL IS FILED. 3. 0.22.911: Any party to the decision may appeal this decision in accordance with Section 18.32.290(A) and Section 18.32,370 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 3:00 P.M. ...lune.“21,19.3.5_. 4. ayestions: 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. "011r Wil lam A. Monahan, Director of Community Development DATE. APPROVED ; (KSL:pm/1480P) NOTICE OF DECISION — V 12-85 — PAGE 3 • t_ ;...:..,........r:._......i.,, ... ..'.........,.„w„....... ",._ .... I f...... .....;....-...-x... ... ._ ....... r,........ ,_..............,..__,..,......., ,.. .-.._.. .,.. .. .......4...., ..... -..- ........L..,..r.-..t..d.....n............ .«...,.....n........a w n...,..t.-.,.-,.......r.n.... .... ,- ( kl 1>t ➢fix _ . REQUESTS FOR COMMENTS , / / TO: ', _!/--- t .,' . P • : DATE: 9 '' . FROM: Tigard Planning Department RE: VARIANCE V 12-85 Edward and Kay Echauri :realleg_t_a_It.Lianc to allow the the construction of an 864 s1. ft. building with 12 foot height e permitted - on property zoned R-4.5 (Residential 4.5 units/acre) and located at 9780 SW 4, McDonald St. (WCTM 2S1 1 IBA lot 500). + ` : Attached is the Site Plan and applicant's statement for your review. From information supplied by various departments and agencies and from other information available to our statt, a report and recommendation will be prepared and a decision will be rendered on the proposal in the near future. If you wish to comment on this application, we need your comments by June 3 rd , 19 85 . You may use the space provided below or attach a separate letter to return your comments. If you are unable t-,a_respond by the above date, please phone the staff contact noted below with your comments and ,. confirm your comments in writing as soon as possible. If you have any questions regarding this matter, contact the Tigard Planning Department, P.O. Box 23397, Burnham and Ash Ave. , Tigard, OR 97223. Phone: 639-4171. • STAFF CONTACT: Keith Liden PLEASE CHECK THE FOLLOWING ITEMS THAT APPLY: We have reviewed the proposal and have no objections to it. Please contact of our office. Please refer to the enclosed letter. { Written comments: i- - ....... ...,JI...c..•••......w . h D i. Name of Person Commenting: : Phone No. (KSL:pm/0356P) `. 1i t• ii• �; - NOTIFICATION LIST FOR ALL APPLICATIONS teert 1. t _. NPO No CPO No 2. CITY DEPARTMENTS "< . Building Inspector Engineering-Randy `>''. Engineering-Frank/John Parks and Recreation 3. SPECIAL DISTRICTS Tualatin R.F.P.D. _ Metzger W.D. � . Washington Co. F.D. No. 1 School Dist. No. 48 (Beaverton) Tigard W.D. School Dist. No. 23J (Tigard) 4. AFFECTED JURISDICTIONS :.. City Council Wash.Co. Land Use & Trans.Dept. Planning Commission Boundary Commission Planning Department METRO S. STATE AGENCIES Aeronautics Div. (ODOT) DOGAMI Engineer _ Division of State Lands Board of Health Commerce Dept. - M.H. Park Highway Div. - Terry Flank Fish & Wildlife Parks & Recrea. Div. (ODOT) LCDC Subdivision Supervisor _ PUC °. Dept. of Energy Fire Marshall f' Dept. of Environ. Quality Other 1` 6. FEDERAL AGENCIES f' Corps of Engineers Other Post Office • 7. SPECIAL AGENCIES General Telephone Portland General Electric Pacific Northwest Bell Other Northwest Natural Gas 8. REQUESTS FOR COMMENT SENT (KSL:pm/035610 ` ^ _ tiI .' -+�+.h+ +�+..�rww.�•+.+v+�,.--�' .. ...4F • • • w I t ' --1. 64-$.54-4. le-puteco , REQUESTS FOR COMMENTS TO: ' DATE: Z. .. 5 - :.. FROM Tiger► Manning Department RE: VARIANCE V 12-85 Edward and Ka Echauri ^ ;re•uest a Variance to allow the the construction of an 864 s. . ft. buildin: with 12 foot hei_ht are •ermitted { on proarty zoned R-4.5 (Residential, 5 4. units%acre) and located at 9780 SW a - ti.. McDonald St. (WCTM 2S1 11EA lot 500). Attached is the Site Plan and applicant's statement for your review. From information supplied by various departments and agencies and from other information available to our staff, ,a report and recommendation will be prepared and a decision will be rendered on the proposal in the near future. If you wish to comment on this application, we need your comments by June 3 rd 19 85 You may use the space provided below or attach a separate letter to return your comments. If you a abl o respond• by the above date please phone the staff contact noted below with your comments and , , confirm your comments in writing as soon as possible. If you have, any questions regarding this matter, contact the Tigard Planning Department, P.O. - Box 23397, Burnham and Ash Ave. , Tigard, OR 97223. Phone: 639-4171. _'.I, STAFF CONTACT: Keith Liden PLEASE CHECK THE FOLLOWING ITEMS THAT APPLY We have reviewed the proposal and have no objections to it. Please contact of our office. ` Please refer to the enclosed letter. . t.► Written comments: c :as e.,. ttr . ..c4, iA",,,, Z.\\ros.e.,..'=1-, . . .4,,.k. k\AA-e_AA.i. k.-0' kA. 1..,,,3) • es‘v,...,0tAl e,.._ czy,A, e.i. t&S* "1.. . , LAX...L. 'iz.,.. .,- , ,L..444, c ________4A4-*4'.\-r . . Name of Person Commenting: .-a Phone No. (KSL:pm/03560 • REQUESTS" FOR COMMENTS e / 1 TO DATE: FROM: Tigard Planni4_ Department RE: 21RIANCE V 12-$S Edward and Kay Fchauri ire oast a %riance to allow the the construction of an 864 sq. ft. building 12 foot height are t2ermitted on property zoned -4.5 (Residential, 4.5 units/acre)_ and located at 9780 SW McDonald St. (WCTM 2S1 ' IBA lot 500). Attached is the Site Plan and applicant's statement for your review. From information supplied by various departments and agencies and from other }: information available to our staff, a report an:l recommendation will be prepared and a decision will be rendered on the proposal in the near future. If you wish to comment on this application, we need, your comments by June 3 rd 19 85 . You may use the space provided below or attach a separate letter to return your comments. Tf tau are unable ond�by the above date, please phone the staff contact noted below with your comments and confirm your comments in writing as soon as possible. If you have any questions regarding this matter, contact the Tigard Planning Department, P.O. Box 23397, Burnham and Ash Ave., Tigard, OR 97223. Phone: 639-4171. STAFF CONTACT: Keith Liden PLEASE. CHECK THE FOLLOWING ITEMS THAT APPLY: .. We have reviewed the proposal and have no objections to it. ' Please contact of our office. ,'. Please refer to the enclosed letter. 3. ritten comments: ' .�.,i/_...�`.>JI.✓ -..:4..JLt/ ..!: ..+"�'.. � .. nil: .. , .�..•.,.'.�.•s... tl ! .. - ... .. .. •TA�wI,Jn: Y7", Name of Person Comma Phone No. 400 44( (KSL:pad/0356P) TI - .IZ ";^•?+...4J±r+.y«...:*.*v.rr,..Yn+.•aw.us..a..rr-+...+,�.,.:= -`' .. !art-ttii ,,�. ' rte, ^ ' :ii"i f'. ' arY0 . WARD . , 'WASHBNG1ON COUNTY,OREGON ADMINISTRATIVE VARIANCE APPLICATION CITY OF TIGARD, 12755 SW Ash, PO Box 23397 Tigard, Oregon 97223 - (503) 639-4171 FOR STAFF USE ONLY CASE NO._____V___/0.- -6,5-- RECEIPT NO. f APPLICATION A •CEPTED BY: C ` DATE: 5 :4 4- 1. GENERAL INFORMATION Application elements submitted: PROPERTY ADDRESS/LOCATION ,51' `sci'c i- Pf 1/(A) Application form (1) ' 4q Og_121-1,3 v/(B) Owner's signature/written. TAX MAP AND TAX LOT NO S 9I r A authorization yo"(C) Title transfer instrument (1) SITE SIZE ( 4 .T. ,0t g 3 `J (D)' Assessor's map (1) R PROPERTY OWNER/DEED HOLDER* - . '4) Plot plan (5 copies) '�' PHONE ' � ".- ;� ' (I°') Applicant's statement ADDRESS .� r ,.?G(J ,, CITY Li' l ZIP ' 7,;_I_2__2-___- (5 copies) APPLICANT* °(,„,'r,' . , . -W).... V(G) List of property owner's �` l /i PHONE 6 59--1/265:- 9-! within 100. feet (1) ADDRESS �' � �..���� �� ��aQ -r- CITY f' //),4( 6)K ZIP 9-4:2)3 fi 17(ii) Filing fee ($200) *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) mustsign 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 for a Variance to the N.P.O. Number:, � request permission fo following provision(s) of the Community Development Code. Approval Date: Final Approval of Conditions: 44V.. /' , I r or ig ' Planning .� Engineering ._____. 0 • 4. List any, conditional use, site development review, or other land use actions to be considered as part of this application: 5. Applicants: To have a complete application you will need to submit attachments described in the attached information sheet at the time you submit this application. 6. THE APPLICANT(S) SHALL CERTIFY THAT A. The above not violate any deed restrictions that may be attached to oriEposed 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 application, incllding , the policies and criteria, and understands the requirements for apgeoving or denying the application. DATED this / / day of I 19 g* ) SIGNATURES of each owner (eg. husband and wife) of the subject property. 4r...4.4114 • (KSL:pm/0521P) • 4 I. ` •.r ,. THIS MAP IS FURNISHED AS A CONVENIENCE I4'� LOCATIk G PROPERTY MAD THE COMPANY ASSUMES NO LIABILITY FOR MKY VARIATIONS AS MAY BE DISCLOSED BY ACTUAL SURVEY .. , ne44..ai i r L w ,. 'q .. First t American Title Insurance Company of Oregon • • t: E AnoI1UM#O UCknatt n:man!TIT tiSUW�dCE C1pA€ANY OF OREGON 1 . 310 S.W. FOURTH AVENUE, PORTLAND, OR 97204 (503) 222.3651 • IC 'a)O ALD ACRE PIA? 2S . , . . ORDER*. .. #4./4,7`0 .9' SEE a • s4 t'.,u$t ' rc2/ 2S I 2 C 0 �u GErk s,cnkAwt,�er►ar ,�•*' ,k ;, f 1d d <e ! a l# 4 ',4 .10,t �`, - y SON 0:L C Na- le .•, �, ., .... ................0...., 3 CG.Rd.Not 434 f -9‘;--- C 0 L 4 wA' � , 1 J 6 ' r (.:. 0 ;• 19 ;:.' r t® kk 1 h* . to. 't.. k' _. .. d. ti'.' UUh7,L `3, •• �' 70 I 17coi 602 9'y •- 450 • • II .3*.d. 4/,. . :. ,..1t /cc, ,'/„./c - 15#44: '', D -m o eke uk tG . ✓°" 4300 30Q 5 0 / 80c k tO '•' 2600 I 8 >i I tt,p ►n T.6 '9 t• I Q t x;4....7,0 6' kk .� tM� 4 `ca 2800 ��• , ; �; ,k' ,, 556.9,. h ,� i 7 pr \ �._f//l��)., _ ,: , 39 ////;b g M C j's..D Ci)iN 1.1—\ L 1.7) "g. .c.,42. tv . _. , , , 36 . .-, 11, ,, ., ' 40' X" rte,4 ,5.(A.,,,6 }2^t'µ-nT.�.t:..t - 7C �� u c'' ;� 16 •,f‘' ) rpr 4• '• l�.q- •�' - .�J tk„` 6TH. (l'S 'Su1 B'�e - •_. 1 '. 3000 T-a S.W. f�- f;, L. OSE- $COO 27 ,�,�1,° 310 0 q ,. s." �R _otw STREET - ` tai` 3200 ��� ��6� 6 ,4000 5 N 19's Ste40'E r+ 0 t 4- , - KT C a' f—", ...; r:', 15, 4 — ., x ° . if -.-4 '.605 3.` .. _.1— _ • .s '' 9(tI • 3300 N " e3900 • +, •• ' e w 8 'LV eb.n Y a j yo ,0444.. e d !' ti 601 Oa' �.,V0 4 3800 z �1 a�e / . • m 'a 0 ' ; 3 • �,,.. , V 1 i I P-i - ,.. .. • :..„ i F i EL, 1 k.zi J--1 - 4 . , -_.3�1 O0 k I I w, ; . . : i., IQ I 1 0, INITIAL ',WAIT I :/ 141 .t r ( Qa Yfi S&d'b1' ... ! :4i. .,., •e. 4 'ti'0'45? rt ................... ...} . .., c m 36' --- I '"`r - i 4 } 4 a Ridge L ne f sy — 24 3' x 6'8" Steel e i Entry Door 1 2 F Sliding Door 4v-`° pke .% / , 1 _ J '7M a ,:rm"'SnT--_,, r Y, Galvanized Steel Roof System k , 12 Deluxe Trim Package . a•:�.- -ra,,,•--�•.� " ,,, . , 111.1111---:"'' ..,,. .�.C �g DAD o - , . 3 x 6 Steed -:., Sideway Panels Enter Doc, :. _ ,...., .„. ...._ . . . , . .., •.. , C ' - ., * „ V. . . , EICHAURI f 9780 SW McDonald , Tigard, Oregon 97223 . ;4':,`,. t1.v,,/ - , o q, f . 4-4'' .!, p, THOMPSON McMillian 10200 Fern 14046 SW 98th Stanton, CA 90680 Tigard, OR 97223 ' DEEMIE ,., t-Q.,:5•)-„,, 4. COLE .- 9740 Sw McDonald 14060 SW 98th .. Tigardx OR 97224 Tigard, OR 97224 tr,1;) 1'1 • .p. ..:1 , . . , ,.. LAMB ' BRACK 9735 SW McDonald 14100 SW 98th Ct. Tigard, OR 97223 Tigard, OR 97223 - . . •' WELSON BURNAM 9340 SW O'Mara 4235 SW 97th Tigard, OR 97223 Tigard, DR. 97223 P"1 (1- , JOHNSON FRAZER ' 1 t;',/,;*1 4 9800 SW O'Mara 4764 Rambell Tigard, OR 97223 St. Paul, OR 97137 1 1 t , . . , P ) 1 - •. ' . Janzen , Phil Pasteris trli ., 9980 SW Walnut 8935 SW Pinebrook Chalet Village # 14 Tigard, OR 97223 : Tigard, OR 97223 - '%,..5 C-r) '•'' 16'7^ , ' f . , . . , . . . ' .. , . ; . 1 ..t ' . . . . 4 .. . .. . . , . 6, 0 is s. , . . , : : Forth Approved , • 3�aY; �"" DMfl No,2502�02A9 iEx0.•S•30.851. !• ...; ' U.S.DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT • OFFICE OF FINANCE AND ACCOUNTING MORTGAGE INSURANCE ACCOUNTING CERTIFICATION PAGES FOR SETTLEMENT STATEMENT • INSTRUCTIONS: This Certification Page for Settlement Statement shall be completed at settlement and submitted with Form l-410.1, Settlement 3ratement, to the Director.,,Mortgage Insurance Accounting, Office of.Finance and Accounting,Department of Housing . .and Urban development,Washington,D.C.20410, Attention: Acquired Home Property Branch. _ eRCHASER OLO PHA CASE NUMBER Edward S. Echauri and f<ay Ann Echauri f;.'-.-L_': 'CATION OF PROPERTY ..-�. -- �� µ� --_ Nit FHA GASE NUrr18EFi ti • 9780 SW McDonald, Tigard, OR ; AILING ADDFiESS(lf not the same as property loran-0n) DATE OF FIRST PAYMENT , ARNEST MONEY OEPOSIT(4oiuunt shut+rn on Loin all,ll(,1)I).,. HL• --SCUULL NUMBER OO AFL nout,t $ 500.00 __ _ 1267699 ,_,__ ,8/27/84 .1:: ASH'DUE HUD FROM SETTLEMENT(Amount shown nh LOU'603, SCHEDULE NUMBER DATE mount s 34,960.20 it!10.1) . TAX DATA .._ IMPUTED ON y 365 Day 12 MONTH BASIS HUb SHARE OF TAXES (Prom Beginning of 7'rx Year to Ciostng Dale) ---....._._.... ...._ M n nn°--TAX YEAR w I ._...-_..,......- ..,..n._... ...., PENALTY AMOUNT NO OF .YPE OF TAX HOW PAID ANNUAL FROM TO DAYS AMOUNT • FROM TO DAP- TAX MONTHS .AL PR CE). ^7/1/84 7/1/85 In cl sing $ 783.00Y 7/1/84 10/25/84 117 $ 251.55 • r'.. TOTAL I TOTAL 11111111111 .* IF 1-U0 HAS PAID MORE THAN ITS SHARE OF TAXES 2 iF HUD HAS PAID LESS THAN ITS SHARE OF TAXES •'.. Taxes Prepaid by HUb $ Htlb Share of Taxes $ , 0 Less"HUD Share of Taxes $ Less Taxes Prepaid by HUD $ Due HUD for Prepaid Taxes $ Due Purchaser for Taxes $ I ` __ __._,.....__� -_ �.....__� �__v„... INITIAL TAX ESCROW REQUIREMENT __ __ •• ESTIMATED TAX REQUIREMENT MONTHLY INSTALLMENTS TO ESTABLISH YPS,OF TAX _ ___ ..,_.,», (Prot!! Thrr,ugtt()�tte Shown is Col.,(3),2)1 ESCROW FUND AMOUNT TO BE COLLECT!D'BY NUMBER ���- ((4)x-(t)I (2 Mini's 6) II)._.._—, (2) _._ ._.y_,.... 13)».. . .,._. �_.. .(4) _.. t5).»..._ .»(BI _.,...w (7I --s- $ X = $ x = . x - . TOTAL $ PRIVACY ACT OF 1974(P.L.93-579.)STATEMENT f he information requested on this form is required under Section 204 of the National Housing Act, (P.L.73-479)and regulations pro- `- (/':. iTulgated thereunder as Title 24,Code of Federal Regulation, The information requested on this form is to be used by the Department.. l' trl the i,tosing of a sale of a Secretary-held property and for accounting purposes related to the sale, The information may be transferred r'. ' to the closing agent,third party mortgagees,bulk sale purchasers,and apprgrpriate Federal,State and Local Agencies when relevant to civil, criminal or regulatory investigations or prosecutions, Failure to provide the information requested on this form could void the 1..: Property sale, DISCLOSURE OF THIS INFORMATION iS VOLUNTARY CERTIFICATIONS _ 1 have read and reviewed the Settlement Statement,Form HUb-i and this Certification Page and approve the same. • i �r .er ' ( / # c / r`(Uare� (Srxna►urr of Pt re set) (►a, } I hereby certify that the amounts shown on the Settlement Statement and th sCertification Page ore accurate and i will assume �° • responsibility for all required payments. , .. • f, . t •_ �,' (Slgnutore of Closing Aseirr) (t ale) r' I hereby certify that all amounts on the Settlement Statement and this Certification Page chargeable to the purchaser and to HUD are authorized charges and that the amounts are accurate to the best of my knowledge and belief. 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