published at 77 Fed. Reg. 37252, Page 37258 (June 20, 2012.)
Signed, sealed and Secretary of Housing and Urban Development
Delivered in the present of:
By:_____________________________
________________________ ________________________________________
for the United States Department of Housing
and Urban Development, an agency of the United
________________________ States of America.
“EXEMPT” under provisions of Paragraph (b),
Section 4, Real Estate Transfer Tax Act.
________________________________________________
Date Buyer, Seller or Representative
STATE OF )
) SS.
COUNTY OF ______________ )
Before me, the undersigned, a Notary Public in and for the State and County aforesaid, personally
appeared _________________________, who is personally well known to me and known to be the
person who executed the foregoing instrument bearing the date_________________, 2013, by virtue of
the above cited authority and acknowledged the foregoing instrument to be his/her free act and deed on
behalf of _________________________, HUD’s delegated Management and Marketing Contractors
under the Redelegation of Authority published at 77 Fed. Reg. 37252, Page 37258 (June 20, 2012.) for
the Secretary of Housing and Urban Development, of Washington, D.C., also known as the United States
Department of Housing and Urban Development, an agency of the United States of America.
Witness my hand and official seal this _______ day of __________________, 2013.
_______________________________
Notary Public
My commission expires:________________________
PREPARED BY AND MAIL TO: SEND SUBSEQUENT TAX BILLS:
CA
CA Address
CA Address
CA Address, zip
Resume Templates 1210 Document(s)
