61641D - Vaughan

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / -7'
H . 1,Lo ( J
Rules attached.
nt Name G r1j✓ S41 Lm j i VA u(,*A*) Project Location: County N.'s" j (—.k—
s lam'- Street Address/ State Road/ Lot #(s)
❑ Stater,3C.-ZIP M(;a L4-�)Z V\1. \/ iV 4A-t 012 .
# (A:J 7-7 - ( ' j S, Fax # ( ) Subdivision
ized Agent A'' l'1V r -A- t,J�, City t. t 11 6LA-No ZIP %n4{a
d CW O EW i�PTA ❑ ES PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
yes / no PNA yes / -(off Crit.Hab. yes / no
Phone # (
River Basin � Urn
Adj. Wtr. Body A t w dN 59
Closest Maj. Wtr. Body In W IN
A Project/ Activity
� (Scaler
ock) length
length
umber
ad/ Riprap length
vg distance offshore
iax distance offshore
:hannel
ubic yards
imp
Bulldozing
ne Length 4f'
not sure yes
gs: not sure yes �q
mum: n/a yes cv� jt I I
yes
Attached: s� no
ling permit may be required by:
❑ See note on back regarding River Basin

Applicant: k. 1 �ff�ja Y
Permit
Date: �0 �;� '�" r✓ 1�'
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
Found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
iabitat Name DISTURB TYPE Disturbance total
disturbance.
Disturbance
disturbance.
Choose One includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/oi
restoration or
and/or temp
I
restoration or
temp impact
fs3mn impacts)
impact amount)
temp impacts)
amount)
1f V Dredge ❑ Fill ❑ Both ❑ Other ]a` 1 Q
l.tr,a
• .+v�yc U
rw l_.I Quill Lj
vUIe1-Lkj
Dredge ❑
Fill ❑ Both ❑
Other J'`"
((.`
60
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge 0
Fill ❑
Both ❑
Other ❑

SHERI E VAUGHAN
5300 WOODRIDGE DR
MONROE, NC 28110-8542
Pay to the
Order of
/,-Vp r ,1 2/ , ate
$gym
Non Fargo Bank NA
North Carolina6%%
wellsfargacom �� /- ly
NP
For__
or �..•4//%� 1;pleZyL ---
oa0530002 19j: LO 10 12 24SOSaSI®0 205 b

1 1308:30a VAUGHANStORPORATED 4-681-6340 P.1
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date ALuo*"IA- /3
Name of Property Owner Applying for Permit:
aelve a, -Id 5AC i c:
Mailing Address:
kk-d-r, /to e Al. 0. Z s,/i o
I certify that I have authorized (agent) to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property Iocated at)
y7L' zffv6 g--
This ce a ' n invalid thru (date)
Property Owner
Date

16 i3 10:22a VAUGHANS "'CORPORATED
")4-681-6340 p.3
ADJACENT RIP RtAN PROPERTY OWNER STATEMENT
I hereby certtfy that I own property adjacent to eAi 4 hGL 's
'Doi (Name of Prope Owner)
o?
property located at W. L/L1L'i(, Dry, �$ LAX Y) fir. S-
f (Address, Lot, Block, Road, etc.)
on ►V, inK Xs��t . N.C.
(Waterbody) (CityRown nd/or County)
The applicant by described to me, as shown below. the development proposed at the above
to tion.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANDJOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development, m
�us
t fill in description befow or attach a site drawing)
AuA vzr l cJ/�-� Ta -se-jL .2 cei- q 1;10' ;4 51
X I x lock 8x I eo :�-lo �o� k� nor 4M
P f, a x 1 a rLA -ID' ,J?. r>C1e�ACl�nt�
vey �tap�t-e� 7as tler� �Na� a.d LAW. 21vd k
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
w woe the setback, you must initial the appropriate blank below.)
•� I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Po�;2nformation)
ignature Sr
Prinl cr Type Name
[,c)n-
,ldaifing Addmu
Cify/slale2i
(A¢' ent Pr OOwn@r Ipformation)
SiVre
!r5-lPficl r..
Prini or T e Name
0240 14).
M817ing Address
TCit tatEpop
ra.. 19- 3 ,j,7

bAj, v
LINE BEARING CE
VICINITY MAP L1 I
S 80'3510 E 47.15 PIE
NOT M SCALE L2 25 N 58'48 E 23.02 LIFT
SITE \ RAC
1 WATERWAY
GRAPHIC SCALE
wm YACHT DRIVE 30 Q 5 30 60 I IoZ A
W 1 INCH - 60 FEET u "t
N N n I I 141 I
Z I IER
OAK CP
L1
ISLAND cP �.�'
O rppEssl� �ti'+� ZONING cP
ZtQQ �< y / 20' MBL
_ OK-R-6A SEAL 30' °A
SETBACKS / EC 9UFF MEAN HIGH
-Z Q• O� ro N WATER LINE
AA ,.„ �Oft FRONT- 25' n
�yy hs()••. SIDES- B' C-10'
�"4, 0 V�Cj REAR- 20'
hhN1MSM, / 75 AEC UN
/ IRF
LEGEND (IF USED) r r
IRF-IRON ROD OR REBAR FOUND ,Q I I / IRS
PF-PIPE FOUND
MBL-MINIMUM BUILDING LINE I (�
IRS -IRON REBAR SET r I \ _j
CMF-CONCRETE MONUMENT FOUND ^'� s.z. Q I„[
CP-CALCULATED POINT (Y Q COI— l
PDE-PUBLIC DRAINAGE EASEMENT
FFE-FINISHED FLOOR ELEVATION / v C. �. O
BFE-BASE FLOOD ELEVATION % ti
CAMA-COASTAL AREA MANAGEMENT AGENCY / a T STORY cV
/ I
PP -POWER POLE I
OHU-OVERHEAD UTILITIES O � I
F.E.M.A-FEDERAL EMERGENCY MANAGEMENT I i• '- HO C.)c Y/
AGENCY 0 �e
F.I.R.M.- FEDERAL INSURANCE RATE MAP �I 0 P/UNG$ V
--

er
cav 16 13 10:22a
VAU0HAN: "`ORPORAT =_D
_n4-681-6340 p.2
A J g; 12IPARIgN PRGp E y OYNE JTAT 7
I hereby comity that 1 otivn property adjacent to r
Aroporfylncated at �b�,' Pe Ownw
cn"tLA (Addres�c, L ,Block, Rand, etc) e
(Waterbody) - 'n — �'5 !fir .0 .C,
The OAP'Cant has d
esra)b�d to me, as charm Wow, th9 development prcipnsed at the above iota crk
F h3`10 r:o obiwinn to this propoBal.
,�. I h ovo object)pnS to this propcsal.
pEBCRIPT ION AND�OR DRAWING OF PROpC)3 (In DEVELOpME•NT
dfvfdual p,roAo„/m1 elopmor71 must fill In dOacri'Pf1*n belay orattach a -site drawing)
/ A x r .a Tx 4,
cad �d ' `v_ cc Gam►. Jt, !
� ���• �?1tQc%x�- °�-C.. � ���-°'� [a.R-d. �n`�ra-e.fvr
I underutand teat a c� r , WAIVER S_ Ecno
p'_lock rnoa^ing p+lings, breakvratsr, t}gatt pose, lfR, or grain must be Set back a
minirredist3neo of 415' /ram my area cf riparian scars �r,lsss w.al1�ed b r
the Sr' y_,u rnu„ irti,�a, �h= a ro r:�ce : y m; (I you Wsti to
F P p rank be,cw.) vr�lu4
IIf r r :ln Wi2h to wave the 16, setbac'c requirerrent.
--- -- I da not: wish to waiva the 15' setback requtrornenf.
�a
erinturmsUan)
r rgncnrve
. J r O" Firl11nA
Meil,'gg Acifdress
cr�fsreh�,'Z'
7'olaptrtN,v Num�r
(Adjacont Property
/4 ,1117. 1 /.F __
or
Per Information)
• uI • �05�
Terephnne Nu r j

�r
VICINCfY MleL
'�HE
nr w arf K
1�4G
GRAPHIC SCALE
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AN
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fr
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s wa ' ESLAND �.�``�
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� f r
, ZONING J
S SF11L
"yy r L;35fifS 2c SEFMCKS l
4i �� 7Zaf' from- s� C-1a' !
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LEGEND(i ism
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2402 4'v'r ST Y>aC�4T DRIVE
OD- pUI)t2.,- RIGtIY —dE—WAY
r
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s `oam""cmr".u. Arran rEux ,rra_ ruw wv� AWI PHYSICAL SURVEY

II OFFER TO PURCHASE AND CONTRACT'
[Consult "GtddPlines" (Standard Form 2G) for RWdanco in completing
For valuable co talderatian, the receipt and * m1icimoy of which aro hereby aeknnwledged, Bi
acceptance agrees to sell and "vey the Prtrperty on the terms and coudi6ons of this Odor To Pm
or mdificag= taado in acoordmFo with ita't cr= (togctl= the "Consut")•
L TERMS AND nF.l?I MONS: The rras listed below shall have the r wpectivo meaning fa
tctm.
(a) °Seller":
(c) °Property": The Property shall i
unprDmaenta lneatedthereoit sad tho
include a mmmftcured (mpke.) bona
the Additional PmvWoaa Ad&a um {
Suut Addrem
County: $iu
N01IZ: Gover n=ml autho�`y over t
Lrgal Description: (Complata ALL up
Plat Itcforonco: Lotlunit ! 1
A aF rlrurw or other 1
other dtxr* tion: L-1
Sams or aIi of the Prop
d) "PareAsse Price"
$ J
IoIz112S
lade all that real estate described below together with alhla
and persouel yrup-ty llstzd in Paragraphs 2 and �I¢
), Buyer Wad Seller 1hould'consider including pie M Im
Ward Fort 2A117) with this offer. I I
!W1 W Yacht Dr I
g4k Island
Liti ck , Nocih Carolina .I
car zmting, school districts, utilities and mail delivery f
Block/Sccdon 269 , SttbdivisiontCoad :l
as shqrwn on Pint Bo&Slide 1 1
)or of the Property is. 340BO12 I
PP PLAT 11/98 i
bed - -- Book �.�
Paid it U.S. Dollars apon the following terms_
B Y DUE DILIGENCE FPZ; tnade payable to Seller t
BY INITIAL EARNEST MONEY DEp08IT utst
in Paragraph 40 ❑ with this o&r OR ® dclivi
W00tivo Data of thia C =mqt by [Zj casts ❑ pm
p cairn transfer,
BY (ADDITIONAL) EARNEST MONEY DEPO:
named to Paragraph 1(t) by cash or 1wu:e0.iruety a
check or wire traasfgr to be delivered to
re8ard to
BY,eMMOnON of the unpaid principal balance jA
.mdsting loans) occured by deed. oftrmt on the�
_ A- ILQaa A.ssumptiooAddendum (Standard Form 2A6.I
Is SELLER FLNANCWC3 in accordance with the a IT
1
(Standard Form 2AS-T).
$ n a BY BUnDING DEPOSIT in stmordance with the atta t>r t
' S 6madard Porur 2A9-7)
101 $ BALANCE of the Ptrrcha t Price in cast, at Settlem
ent
` t 3 with the proceeds of a new loan) l
Should UUYW dtllivtar t:i Dhc Diligence Fte t r any Initial 1?aszrcat Momy A� j
ahectc or other IUad! paid by Q dlihonored., for any reason, by the institution upon t t
have one (1) banking day after written anqquae to deliver cash or iauncdiately avat7abul fiords in ]
slot timely deliver each or immediately alienable funds. Seller IWI have the right to terminate
Pam•
n'7 This Corm Jetntiv anuroved bv: / Page 1 of t 1
purchase and Sellm• upon
atract and uW Weadum
set forth aQ =nt to each
tbereto including the
r If tbo Property will
Arouse provision in
sddreao ahown.
m Data,
i Becsow Agent named
five (5) days of the
official bank check
gable to Fsrrow Agent
s such as ot'ficiel bank
4cut no later than
r TSB, °!„SSBNC.B with
;atiom of Seller on the
dance with the attached
r Financing Addendtub
:oustruction Addendum
I of which may bo paid
it~ dates, or should any
t is drawn, Buyer shall
i tho event Buyer does
apes i�en W 00 tC

�
(o) "Eumeest Money Depo�V; The% idsl Eamest Money deposit, the Additional Baih at `1'
t
I
I
ep�air and any 914 cmnest
monies paid in connection vunth this transaction, hereinafter collectively rdurad to as "Earner '
Gpoaic", shall be dcpo,9ittd
and hold in escrow by Escrow Agent +nhl Closing, at wtticb time it will be credsW to Du y p
t.
�fhis Ctmtract is odlerwlsc
terminated. In tba evoat (1)Idlb offer is not accepted; or (2) a condition of any, resulting con
°
�;satisited, then the Ear=t
Money Deposit shall be mftmded to Br, In the event of breach.of this Contract by Seller:
nest Money Deposit Shall be
re&adsd to Buyer upon Duyer'a r quest, but eu& rcturu sloth no( afftot any other rcrtedieei a)rC
Payer for sigh breacb. In
the event ofb; each of thin Contract by uyer, the Earnest Macey Deposit shall be paid to 8e11�{
ma
damages and as Seller's solo" exclusive remedy for atrch brt:ach, but without limiting SeIIq s�
er'a request as liquidated
Paragraphs 4(d) and
4(c) for damage w dw property or Sellf 'a rigt to retain the Due Diligence h ea It is admowl d
i pardos dw payment of
the Pimest Money Deposit �o Seller � ti;e event of it breach of this Contract by Boyar is e^
tf,;Sy and rtbt punitive, such
amount beans a re"OAAble esttniatioa of the !LCUW loos that Seller would 'pteur as a result e#
eh, Tha payment of.the
Facaest.lvwney Depoatf to SdUar shall apt constilate a pwAlty or Rwfeituro.bat a4uw coatpensaJjtcz)
?a anticipated los3, both
patties ackmwledgmg the difficulty detonniGimg Sends acbtal damages for such btuclL If lcgrl
a are brought by Buyer
or Seller agalnat the other tolrecovrr the Bamest Mcncy Deposit the prevailing Dares in the
+' 11 be —fl Mod to rxcovcr
from the DOA -prevailing party reasotutble attorney fees and court costs incurred in connectioawi
I
(t) "Faeroe. A,geat" (insert): IMax-tha Lee Raal
eposit held in escrow, a
NOTE: TA the event of a dispute bo mca Seller and Buyer owe r the disposition of the I
licensed zeal -estair hrojmr CiBrow) 4 required by state ,law (and Escrow Agent, if not d
by agrees) to rqr the
Earnest Mow Deposit in the Esctvw AEtnt's tnrat or exec ow account natal Escrow Afimt has •,Q
. .
' mitts incase fool ox
..vely,
parpe�s.consea to its disposraon or disbtttsemeni is oidered by a court of competent-
To, Broke or
an attorney licensed to practice law in rth Carolina ("Attorney') is holding this Earnest Mosby
the Broker or Attorney
MAY deposit the disputed moms with th nppropriatc c1�ic of cowl iu nu wdance with the ptovisTq
fCi,, . f.93A-12.
i'
l
TFM PARTIES ACM TJJA.T A XE4L ESTATE BROKERAGE FIRM ACTING AS ESC�O
! ' MAY PLACE 71M
FARNUST MONEY DIZVO • IN Ali n4TEREST BEAMNO TRV$l- AC:MLRgT AND I
RUERPST EARNI3A
THEREON SHAH, BE DISBURSED I 0 TBE ESCROW AGENT MONTHLY XN CC11NS
OT? THE SXPI Noes
DN
INCURRED BY MATA nI Na SUCH ACCOUNT' AND RECORDS ASSOC IATM
I�
i
(9) "EBectlwe Date": The date that (i) the last one of Buyer and Seller has signed or iai
f J the final couuteroffer, if
My, and (2) sgch signing or initialing is corn trnicated to the pnrtymaking the offeror coon
(b) "Due Diligence": Buyers oppo I 'ty during the Due Diligence Period 3nvme
nu{ybe.
t
to glte:1,
conmmplated by this C=i77ac ' including but not necessarily limited to the mat described in P
o ry and the transaction
below, to decider
Buyer, in liu s sole di3cre will yar' t�Qn, pcgceed with or kturinaatc the ttarrsactiou,
II i
v.hmther
"'Due Diligence Fee": A tinted (�) g amount, if any, raid by Boyar to Ballet thin Coatr�t
�
u�r'a
. � with
Diligence &ning the Doc D400ce Porit�d. It shall be the property of Seller upon the'Efreotrve
ri� to coadtwc Dan,
be i credit to Buyer at
Closing. The Diu Diligence Fee shall be iron-refimdable except in the event of a tnaww breach
ContznGt is terminated Paragraph �
by Seller, or if this
Under 80) nr Paragraph 1.2, or U otb*xwioa provided in ony
each wVre&Y w&m any ri& that ICY may have- to deny the right to conduct Due Dili
�nrcto. Buyat and Sellt:r
It My defcure as to the
enforceability of this Contract based on, the absence or alleged innfficiency of any Due Dltig
,.. being the intent of the
parCCS to create a legally binding eoatrxo for the purchase and sale of the Prbpaaty without erg
Due Diligent e Pea,
etenoe or amount. of guy
6) "nue L1111gence Parlod"t The period boginnin on Elm BfCactEve Date and III I t I
fs i1 ough 5:00 p.m. on
T OF 2W BSSENCfi'
-AE with regard to and da
(hc) "Set lemnntproperl ecuhnn and delivery to the: closing attorney of all documents n m �ompfete tho transaction
contemplated by a Couttact,Iincluding the deed, settlement 3tntoment deed of trust and otber 11 o veyanoe dnonmenty, and
the cloatUg attutuey'Urtxcipt 0t,&U thuds rrece stsaryto cnrrrplete such transaction 1 o f 3 1
:I
1 ,L

10/03/2013 03: 17 704HF —00 POSTNET
PAGE 02/
(m) "Closing"; The compledon of the legal process which results in the transfer of title to tho Property from Seller to Buyer, whir
includes the following steps: (1) the Settlement (deftncd above); (2) the completion of a satisfactory title update to the Proper
following the Settlement; (3) the closing attorney's receipt of authorization to disburse all necessary funds; and (4) recordation in tl
appropriate county registry of the deeds) and deed(s) of trust, if any, which shall take place as soon as reasonably possible for d
closing attorney after Settlement. Upon Closing, the proceeds of sale shall be disbursed by the closing attorney in accordance wil
the settlement statement and the provisions of Chapter 45A of the North Carolina General Statutes. If the title update should reve
unexpected liens, encumbrances or other title defects, or if the closing attorney is not authorized to disburse all necessary funds, the
the- Closing shall be suspended and the Settlement deemed delayed under Paragraph 13 (Delay in Settictnent/Closing),
WARNTNG: The North Carolina State Bar has determi.ncd that the performance of most acts and services required for a closin
constitutes the practice of law and must be pedformed only by an attoiney licensed to practice law in North Carolina. State lir
prohibits unlicensed individuals or firms from rendering legal services or advice. Ald=gb non -attorney settlement agents ma
perfo.rim limited services in connection with a closing, they may not perform *FLU the acts and services rrgWred to complete a closing
A closing involves siguiPicant legal issues that should be handled by an attorney. Accordingly it is the position of the North Carotid
Bar Association and the North Carolina Association of REALTORS® that all buyers should hire an attorney licensed in Non
Carolina to perform a closing.
(n) "Special Assessments"; A chargo against the Property by a governmental authority in addition to ad valornm taxes an
recurring governmental service fees levied with such taxes, or by ao owners' association in addition to any regular assessment (dues;
either of which may be a lien against the Property. A Special Assessment may be either proposed or confirmed.
"Proposed Special Assessment": A Special Assessment that is under formal consideration but'wtiich has not been approved p6c
to Settlement,
"Confirmed Special A>'sesament": A Special Assessment that has been approved prior to Settlement whether or not it Lq full:
payable at time of Settlement.
2. )~ IXTUM: The following items, if any, are deemed fixtures and are included in the Purchase Price free of lions
range/stove/oven, any built-in appliances, light fixtures, coiling fans, attached )floor coverings, blinds, shades, drapery rods and curtaii
rods, brackets and all related hardware, window and door screens, storm windows, combination doors, awnings, antennas, satellite disho,
and receivers, burglar/futlsmolce/carbon monoxidelalarms, pool and spa equipment, solar energy systems, attached fireplace, screens, ga
logs, fireplace inserts, electric garage door openers with controls, outdoor plants and trees (other than in movable containers), basketbal
goals, storage sheds, mailboxes, attached wall and/or door mirrors, fuel tank(s) whether attached or buried and including contents, if any
as of Sotdoment, Iandscape and/or foundation lighting, invisible fencing including all related equipment, lawn irrigation systems and al
related equipment, water softener/conditioner and filter equipment and any other items attached or affixed to the Propery, FXCEPT the
following items w!ncb are leased or not owned by Scller er µiiich Scllcr does not intend to convey: none
Seller shaIl repair any damage caused by removal of any items excepted above.
(NOTE: Seller and Buyer should confirm whether fuel tanks, antennas, satellite dishes and rectivma, alarm systems, and other items
listed above are leased or not owned by Seller and sbould be entered in the blank above, FUEL TANKS AND ANY FUEL IN THEM
WHICH ARE NOT TO CONVEY SfIOULD 13F-NOTED IN THE BLANK ABOVE.)
3. PERSONAL PROPERTY: The following personal property shall be transferred to Buyer at no value at Closing: None
(NOTE: Buyer is advised to consult with Buyor's lender to assure that the Personal Property items listed above can be included in this
Contract)
4. BUYER'S DUE DILIGENCE PROCESS:
(a) Loan: During the Due Diligence Period, Buyer, at Buyer's expense, shall be entitled to pursue qualification for and approval
of the Loan if any.

10/03/2013 03:17 70489E '- POSThIET
PAGE 03
(b) Property Investigation: During the Due Diligence Period, Buyer or Buyes's agents or representatives, at Buyer's exper
shall be entitled to conduct all desired teats, stirveys, appraisals, investigations, examinations and inspections of the Property
Buyer deems appropriate, including but NOT limited to the following:
(i) Inspections; Inspections to determine the condition of any improvements on the Property, the presence of torus
drainage conditions or evidence of excessive moisture adversely affecting any improvements on the Property, the presence
asbestos or existing environmental contamination, cvidenee of wood -destroying insects or damage tberefrom, and the presci
and level of radon gas on the Property.
(ii) Review of Documents: Review of the Declaration of Itcstrictive Covenants, Bylaws, Articles of Incorporation, Rules r
Regulations, and other governing documents of any applicable owners' association and/or subdivision. If the Property is subj
to regulation by an owners' association, it is recommended that Buyer review the completed Residential Property and Owen
Association Disclosure statement provided by Seller prior to signing this offer.
(ui) Insurance: Investigation, of the availability and cost of insurance for the Property.
(iv) Appralsals: An appraisal of the Property.
(v) Survey: A survey to detcnnine whether the properly is suitable for Buyet's intEndcd usc' and the location of easemer
setbaoks, property boundaries and other issues which may or may not constitute title defects.
(vi) Zoning nod Governmental Regulation: Investigation of current or proposed zoning or other governmental regulati
that may affect Buyor's intended use of the Property, adjacent land uses, planned or proposed road construction, and sch,
attendance zones.
(vii) Flood Hazards Investigation of potential flood hazards on the Property, and/or any requircmcrt to purchase ile
insurance In order to obtain the Loan.
(viii) Utilities and Access: Availability, quality, and obligations for maintenance of roads and utilities inchtding wat
sewer, electric, gas, comsmrnication services, stormwater management; and means of access to tine Property and amenities.
(ix) Fuel Tank; Inspections to determine the existence, type and ownership of any fuel tank located or tlx Property.
(NOTE: Buyer is advised to consult with the owner of any leased fuel tank regarding the terms under wliich Buyer may leaf
the tank and obtain f ml.)
(c) Repair/Improvement Negotiations/Agreement: Buyer acknowledges and understands that unless the parties agn
otherwise, THE PROPERTY IS BEING SOLD IN ITS CURRENT CONDITION. Buyer and Seller aclmowledge and underatan
that they may, but are not required to, engage in negotiations for repairs/improvetumts to the Property. Buyer is advised to mak
any repair/improvrment requests in aufficient time to allow repair/improvement negotiations to be concluded prior to the expiratie
of the Due Diligence Period. Any agreement that the parties may reach with respect to repairs/improvements shall be considered e
obligation of the parties and is an addition to this Contract and as such, must be in writing and signed by the parties in accordant
with Paragraph 20.
(NOTE: See Paragraph 8(b) Access to Property/Walk-Through lospeccion and Paragraph 8(k) Negotiated Rcaairs/Improverrtcats.)
(d) Buyer's Obligation to Repair Damage: Buyer shall, at BuyA_r's expense, promptly repair any damage to the Property resultin
from any activities of Buyer and Buyer's agents and contractors, but Buyer shall not be responsible for any damage caused b
accepted practices either approved by the N.G. Home Inspector Licensure Board or applicable to any other N.C. license
professianal performing reasonable appraisals, tests, surveys, examinations and inspections of the Property. This repair oblagatio
shall survive any termination of this Contract
(e) Lademnity: Buyer will indemnify and hold Seller harmless from all loss, damage, claims, snits or costs, which shall arise out c
any contract, agreement, or injury to any person or property as a result of any activities of Buyer and Buyer's agents and contractor
rel&ting to the Property except for any loss, damage, claim, suit or cost arising out of pre-existing conditions of the Property and/e
out of Seller's negligence or willful acts or omissions. This indemnity shall survive this Contract and any temination hereof
(0 Buyer's Right to Terminate: Buyer sbalt have the right to tetznffimc this Contract for Any reason or no reason, by delivering t,
Stiller written notice of termination (the "Termination Notice") during the Due Diligence Period (or any agreed -upon writta
extension of the Due Diligence Period), TIME AH17VG OF THE ESSENCE . If Buyer timely delivers the Termination Notice, thi
Contract shall be tatminated and the Earnest Money Deposit shall be refunded to Buyer.
WARMING: If Buver is not satisfied with the results or nroaratc of Ruver's Me.- i)ilivence Ruvrr ahnuld terminate rhit r"nntrxrt

I i
tl* Due Diligence, period, $uyer's fnilurt bo delivtu a Ternrinatiofl Native,. to Seller prier ko 1
,on of the Due Diligence
Period sb U consriate a waiver by Boyer of any right to terminate this Coatraet based oiiI
relating to Buyers Dtrc
Diligenc(- Provided howevtr, following the Due Diligence Period, Buyer may ¢rill e.:cmoise V:ri
'y
f o t4rminnto if Sollor fails to
materially comply with anyof SelWs'obligations under Paragraph S of this Cgntrdet or far
son permitted under the
terms of this Contract or Nord Carolina law,
(9) CLOSING U'X`E G SRALL CONSTITACCEPTANCE OF THE PROPERTY IN ITS
Jr fAVG CONDMON
UNISSS PRO'VMION rS t7I ] )INVi.SE MOE IN WRMING.
5. UUY1LRREPRESF,NTATIONS; I
I.I
(a) Loan: Buyer 11 does Q does riot havo to obtain a now loan. in order to purchase the Prtp
loan, Buyer inb tb obtain a Ioan as follows: t] FHA ❑' VA (Attach FHAIVA F'
I>:�uyer is ob a new
, ) Cnovculiunnl
[� Other; : loan at a ❑ Fixcd Rate Ad'ustabIc Rate is the,
bf —
5 plus financed VA Funding Pee nr- T" MIP fora year(s),
interest rate not to exceed
'.I
3 S% P aanum (the "Ian" X i to
� i �
a'
�
D 3 XM: Buyer's obligations under this Contract are t conditioned upon obtaining or clog
Bayer havo
I If Buyer mprosaats that
tioca not to obtain a new loaf in order to purebwe the Property, Seller is advLW4
t sang this Oar, to obtain
documentst= from Buyer wblob demonstrates that Buyer wr71 be able to close on the Propertyiwi
'I necessity bf obtainitg a
new lqun.
(b) OtherT'ropat ty: Dryer Q duce, �;] does not bave to se11 or lease othar real property in Q,
coopletepurchase,
I qi ivaltfy for a new loan or to
:1
(NOTE, This Contract is not eondi.tioned tha oalo of B
� '�°II uY'a'a Pmp�Y �� a ce¢tdnge,+tt
Forth 2A2-T is trade a part of ties Cnt>h�ct.) I
I
I
1 um arch as Sttmkd
I
(c) Performance, of guycrlq FWAlieinl Obligations; To the, best of Buyers Imowtedge, t
conditions eslt3tirdg as oPthe data of this gfier that Buyer from
� I � other circumstances or
would prohibit performing Buyer'
ligations in accordance,
with this Contrary, exr ept.as u ay be spedficaI1y sot forth hereh
t
(d) Property I)Wlosure (ahea only onlrJ
i� Buyer bas received a signed copy of tht N.C. Residential Propeaty and Owners' Associatiol
Statement prior to the
signing of this nffhr.
'
Cj Buyer has NOT received p signed t I y of the N.C. Residential Property attd Owners' Assoc,ati
'' ' osure Statement prior to
the signius of this offer and shall have the right to terminate or withdraw this Contract witiiiot{
, rY (iacluding a refund of
gay Due DLi gene Foe) prior to I IICI1DVM OF TkM FOLLOWING EVI'N'15 UC:CU>�S
(1) the end 4f the third
WeAdar day following r*ipt of that Disolosnre Statement; (2) the end of the third calendar yia
vrlpg the date the Contract
Wag made; or (3) SettleL`iC' , or o,--uptancy by Buyer In tba ease of a sale or esobaage.
Q Erupt fzpm AI C. FmidoRtlal I'ropeity an,t O wurra' Asaociaaon Disclosure S mtetnent beta I '
tt�e (
I
9
Cr�ID13i�s):
I1
6. BUYER OBLIGATIONS:
(a) Owners' AssodAUDq lftdcharges: Buyer shall pay any fees required for confirmingIse
owners association dtrts or assessments for paytnsnt or proration and any charge rnada by the'o
1
t ;° �yment information on
Sociltion in
with the dispogitinn of t6 Property to Bu�or, inoludia& nay tranafcr. a=vvr document fee twpose, k
aball not be respot;st'ble for tees inetur by Seller in
eocaecdon
o - e.rS' association. Buyer
wmpleting the Residential Property a
Statement.
'Association Disclostue
(b) Responsibility for Proposed Speclzl Assessments: Buyer mall tsko title subject to all PropoB:d
'' 1 I e�srotnts.
(c) AevponoibWty foi Certain Costs: Puyer shrill be responsible for all cosh with respect,f
_1
1?..a obtaiacd by lluy,u4
appraWL title search, title insurance, rrc drag the deed and for preparation and recording of all '
r required to secure the
balance of die Purchaso Price uirpuid at & emTnt j;

7. SELLER REPRESENTATIONS:
(a) Ownership; Seller represents that Scllcr: j
® bits owned the Property far at least arse year.
a has owned the Property for less than one year.
(� dcxz not yet own me Properly.
I
(b) Primary Residence, Seller represents that the Property © is or is not Seller's prim
(c) Lead -Batted paint (check, fapplicaNe)
® The Property is residential and was built prior to 1978 (Attach Lead -Based Paint or U
Addendum f Statudard Form 2A9-T}).
(d) Assessments: To the best of S'ellet's knowledge there are no Proposed Special Ass==n(s e
Ihr identtflcation of such assessments, if any): none known if any to be paid by S2.1
Seller warrants that there are no Confirmed Special Assessments except as follows (Insert "Npnl
assesatncnss,irany): none known, if any to be paid by Seller before cloein<
r
(a) Owners' Associations) and Pues: Seller authorizes and directs any owners' association,
owners' assocladon, any insurance company apnd any attorney who has previously represented the Fe
agents, representative, or lender trurl and acetate copies of the following items affecting the Propel,
• mmsbcr ineuiaiu:o pulicy n1mwing tlae coverage provided and the deductible amount
• Dcrlaration and Restrictive; Covenants
• Rults and Regulations ,
• Articles of Lncorporatioa
• Bylaws of the owners' association
• currmt finaneW statement and budget of the owners' association
• parldng restrictions and information
• architectural guidelines
The name, address and telephone number of tEL6 president of the owners' association or the assoc
Owneis' association website addim, !if any,
The ax-at, address and telephone nu_-aber of
1
presides: of the owners' association or the aswciatic{n
i
Owners' association wcbsito address, if any: I
(f) OIL AND GA51iTG$TS 17TSCLOSURE:
Oil and gas rights can be severed from 1[he title to real property by conveyance (deed) of
owner or by reservation of the oil and !gas rights by the owner. If nil and gas rights a
property, the owner of thosei rights may have the perpetual right to drill, mine, exl
subsurface oil or gas resources on or fro' the property either directly froru the surface of
location. th regard to the. Reyerance o� oil ind gas rights, Seller makes thu fullowing disc
1J Yes No
L'.V 1. Off and gas rights were severed from the property ❑
Buyer s by a previous owner.
Yea No
•/2, Seller has severed the oil and gas rights from the
uyer 1<n1 ' s property.
Yes No
.1.1
6�d Paint Hazards Disetcaw
I,
llows (Insert "None" or
)afore closing
h� Mentlfrcati6n of such
Jtment company of the
'71eaae to 13uycr, Buyer's
*g any amendments:
is: none
1 is: none
gas rights from the
re stvcred from the
remove any of the
ty or from a nearby

This disclosure does not modify or limit thQ obligations of Seller under Paragraph 8(0 of this
c� sand shall not constitute the
asatmption or approval by Buyer of any severanoc of oil and gets rights, except as may bo asstuna <LIc
tally approrod by nuycr in
writing•
(NOTE.: The pa.-titm are advised to consult tivith a NC attorney prior to signing this Contract
4
-c of oil and gas rights has
occurred or is intended-)
l
a. SVIAa lz ODUGATIONS.
(a) Evidence of Title: Seller agrees to t w best efforts to deliver to Buyer as soon us Masotrpb
I
s le after the Effective Date,
copies of all title information in possession of or available to Seller, including but not limite
a rsurance policies, attorneys
upinions on dde, surveys, covenants, deeds, notes and deeds of trust, leases, and easer
1 jag to the Property. Seller
We
authorizes: (1) any attorney presently or previously representing Seller to release and disel a
attorneys file to Buyer and -both Buyer's �t:d Seller's agents and attorneys; and (2) the PrrT.-i l
insurance policy in such
or its agent to rolaws
and disclose all materials in thl Property's title insurer's (or title insurers agent's) file to Bu
A Buyer's and Seller's agents
and attorneys.
(b) Access to Prop erty/Waik-Through Inspection: Seller &ball provide reasonable acccs
{pperty (inchtding wor)dog,
existing utilities) through the earlier of Closing or possession by Buyer, including, but not
a, Owing Buyer an opportunity
to conduct n final wallc-through jnspectsoa'of tho Property.
F
(c) Removal of Seller's Property; Seller shall remove, by the date possession is made ave a
yer, all personal property
which is not a part of the purchasa and all garbago and debris from tho 1 roperty.
1 I;
(d) Af dsvit and lndemniflcatlon Agre�emeat: Seller shall furnish at Settlement an affxdavr�(s�t
iftitle
it emnification agreement(s)
in form milsfactnty to Royer apd Suinsurer, if any, executed by Scalar and any s
sty who bets peribrmed or
furnished labor, servicta, materials or rental equipment to the Property within 120 days prior
be entitled to claim a lien against the Property described in N.C.G.S. '44A-8 ' aI�
4f Settlement and who may
has been
as ve
rod § rlfying tbaiIel
person or entity
paid in full and agmiog tv irulcuudIy buyer, Buyer's lender(A) and Buyer's title insurer aga
from any cause or claim
arising therefrom.
1t
(e) Designation of Lien Agetit, Payment and Satisfaction of Liens: If required by N.�,'Cir ' A-11,1, Seller shall have
designated a Lien Agent, and Seller shall �eliver to Buyer as soon as reasonably possible a coy e rippoin, t of lien Agent
All deeds of trust, deferred ad valorem taxes, liens and other charges against the Property, not d: �y Buyer, must be paid and
satk&d by Seller prior to or at Sealemenp such that cancellation may be promptly obtained f 11 losing. Seller shall remain
obligated to obtain any such cancellations fpllowing Closing. �� i
I � Ali
(t� Good Title, Legal Access: Seller shall execute and deliver a GENERAL. WARRAMN ] ]B 9 'c ,the Property in recordable
form no later titan Sctdcment, whshal icb l convey fee simple marketable and insurable title, wi cc lion for mechanics' liens,
aurl fete of any other liens, encumbrances l`or detects, including those which would be ruvtalec �b t and accurato survey of
the Property, except: ad valorem Itaxcs for the current year (prorated through the date of Scttlemrrnt� emments and unviolated
covenants, conditions or restrictions that do not materially affect the value of the Property; an�c3 other bone, enoumbranoca or
defects as may be assumed or speeilicallylapproved by Buyer in writing. The property must v 'Pccess to a public right of
way.
(NOTE: Buyer's failure to terminate this Cpntract prior to the expiration of the Due Diligcace p' 1 iI It of any mewnbrance
or defect that is or would havo brtarr revealed by a title examination of the Property or a current � �' tessurvey shall not relieve
Seller of any obligation under thin subparagraph.)
I
(NOTE: If any sale of the Property may a "short sale," consideration should be given t �' a+ , a Short Sale Addendum
(Standard Form 2A14-1) as = addendum to this Contract.)
r.
(g) Deed, Rxelse Truces: Seller shall pay for preparation of a deed and all other doMqcA� c:4sary to perform Seller's
obligations under this C'-onbmct, and for state and county exoina toxcs required by law. The deed ' iio ') ,Pryam� to: oer
- ..._----- --- — - - - I I LO T

i0/03/2013 03:17 704895`0? POSTMET PAGE 04
(h) Agreement to Pay Bayer Expenses: Seller shall pay at Settlement $ — 0 — toward any ofBuyer's exper
associated with the purchase of the Property, including any FHANA lender and inspection costs that Buyor is not permitted to 1
less anyportion disapproved by Buyer's lender.
NOTE: )examples of Buyer's expenses w1ociatcd with the purchase of the Property include, but are not limited to, discount poi
loan origination fees, appraisal fees, attomey's fees, inspection fees, and "pre-paids" (taxes, insurmcc, mvnera' association d.
etc,).
(i) Payment of Confirmed Special Assessments: Seller shall pay all Confirmed Special Assessments, if any, provided that
amount thereof can be reasonably dctcrmined or estimated.
(j) Late Llstirig Penalties: All property tax late listing penalties, if any, shall be paid by Seller.
(k) Negotiated Rep airsAmprovrments: Negotiated rcpaue/improvements shall be made in. a good and workmanlike manner
Buyer shall have the right to vo* same prior to Settlement.
(I) Seller's Fallure to Comply or Breach: If Seller fails to materially comply with any of Seller's obligations under this Paragr
8 or Seller materially breaches this Contract, and Buyer elects to terminate this Contract as a result of such failure or breach, then
Earnest Money Deposit and the Due .Diligence Fee shall be refunded to Buyer and Seller shall reimburse to Buyer the reasons
costs actually incurred by Buyer in connection with Buyer's Due Diligence without affecting any other remedies. If le
proceedings are brought by Buyer against Seller to recover the FArnest Money Deposit, the Due Diligence Fee and/or the reasons
costs actually incurred by Buyer in connection with Buyer's Due Diligence, the prevailing party in the proceeding shall be entitled
recover from the non -prevailing party reasonable attorney fees and court costs incurred in connection with the proceeding.
9. PRORATIONS AND ADJUSTMENTS: Unless otherwise providcdi, the following items shall be prorated through the Hate
Settlement and either adjusted between the parties or paid at Settlement:
(a) Taxes on Real Property: Ad valorem taxes and recurring governmental service fees levied with such taxes on real props
shall be prorated on a calendar year basis;
(b) Taxes on Personal Property. Ad valorem taxes on personal property for the entire year shall be paid by Seller unless
personal property is ccmveycd to Buyer, in which case, the personal property taxe.9 shall be prorated on a calendar year basis;
(c) tents: Rents, if any, fox the Property;
(d) Dues, Owners' association regular assessments (dues) and other like charges.
10. HOME W.AYJL4NTY: Select one of the following:
[] No home warranty is to be provided by Seller.
® Buyer may obtain a one-year home warranty at a cost not to "raced $ 11111ft and Seller agrees to pny for ii
Settlement,
(:j Seller has obtained and will provide a one-year home warranty from
at a cost of $ and will pay for it at Settlernent.
(NOT1E: Home warranties typically have limitations on and conditions to coverage. Refer specific questions to the horse warrar
company.)
11. CONDrIJON OF PROPERTY AT CLOSING: Buyer's obligation to complete the transaction contemplated by this Contr
sball be contingent upon the Property being in substantially the same or better condition at Closing w on the date of this offir, reasonal
wear and tear exceptcd.
12. RISK OF LOSS: The risk of loss or damage by fire or other casualty prior to Closing sball be upon Seller. If the improvements
the property are destroyed or materially damaged prior to Closing, Buyer may terminate this Contract by written notice delivered
Sailer or Seller's agent and the Earnest Money Deposit and any Duo Diligence Fee shall be refunded to Buyer. In the event Buyer do
NOT elect to temainate this Contract, Buyer ahall be entitled to receive, in addition to the Property, any of Seller's insurance procec
payable on account of the damage or destruction applicable to the Property being purchased, Seller is advised not to cancel existi
insurance on the Property until after confirming recordation of the deed.
11 DELAY LN SETTLEW.NT/CLOSING: Absent agreement to the contrary in this Contract or any subsequent modifcati
thereto, if a party is unable to complete Settlement by the Settlement Date but intends to complete the transaction and is acting in go

10/03/2013 03:17 70489F_,'0' POSTNET PAGE 05/
complete Settlement on tlu Settlement Date ('lion -Delaying Part/') then the Delaying Party shall give as much notice as possible to tht
Non -Delaying Party and closing attorney and shall be entitled to a delay in Settlement. If the parties fail to complete Settlement and
Closing within fourteen (14) days of the Settl=mt Date (including any amended Sottleramt Date agreed to in writing by the parties) of
to otherwise extend the Settlement Date by written agreement, then the Delaying Party shall be in breach and the Non -Delaying Part)
may terminate this Contract and shall be entitled to enforce any remedies available to such party under this Contract for the breach.
14. POSSESSION: Possession, including all means of acce93 to the Property (keys, codes, garage door openers, etc.), shall be
delivered upon Closing as defined in Paragraph I (m) unless otherwise provided below:
❑ A Buyer Possession Before Closing Agreement is attached (Standard Form 2A7-T)
❑ A Seller Possession Ai}er Closing Agreement is attached (Standard Form 2AS-1)
❑ Possession is subject to rights of tenant(s) (NOTE: Consider attaching Additional Provisions Addendum (Form 2A-11-7) or
Vacation Rental Addendum (Form 2A13-T))
15. OTHER PROVISIONS AND CONDITIONS: CHECK ALL STANDARD ADDtMA THAT MAY BE A PART OF THIS
CONTRACT, IF ANY, AND ATTACH HERETO. M MIZB ALL OTHER ADDENDA TO THIS CONTRACT, IF ANY, AND
ATTACH FMRETO. NOTE: UNDER NORTH CAROIINA LAW, REAL ESTATE BROKERS ARE NOT PERMITTED TO DRAFT
CONDMONS OR CONTINGENCIES TO T14IS CONTRACT.
❑ Additional Provisions Addendum (Form 2A11-1)
❑ Back -Up Contract Addendum (Form 2Al-T)
❑ Contingent Sale Addendum (Form 2A2-T)
❑ FHA/VA Financing Addendum (Form 2A4-T)
® Lead -Based Paint Or Lead -Based Paint Haaard
Addendum (Form 2M-T)
OTHER: - lto,o G `T3_. ORD E
❑ Loan Assumption Addendum (Form 2A6-T)
❑ New Construction Addendum (Form 2A3-7)
[� Seller Financing Addendum (Form 2AS-T)
❑ Short Sale Addendum (Fora; 2A14-T)
❑ Vacatiou Rental Addendum (Form 2A13-T )
16. ASSIGNMENTS: This Contract may not be assigned without the written consent of all parties except in connection with a tax-
ieferred exchange, but if assigned by agreement, then this Contract shall be binding on the assignee and assignee's heirs and successors.
17. TAX-DEFERRI✓D EXCHANGE: In the event Buyer or Seller desires to effect a tax -deferred exchange in connection with the
:onvcyance of the Property, Buyer and Seller agree to cooperate in effecting such exebange, provided, however, that the exchanging
)arty shall be responsible for all additional costs associated with such exchange, and provided ftuther, that a non -exchanging party shall
iot assume any additional liability, with respect to such tax -deferred exchange. Buyer and Scller shall oxecute such additional decumento,
ncluding assignmerxt of this Contract in connection therewith, at no cost to the non-e=haxiging party, as shall be required to give effect
o this provision
S. PARTIES; This Contract shall be binding upon and shall inure to the benefit of Buyer and Seller and their respective heirs,
uccessors and assigns. As used herein, words in the singular include the plural and the masculine includes the feminine and neuter
enders, as appropriate.
9, SURVIVAL: If any provision herein contained which by its netuze and effect is required to be observed, kept or performed M- er
30 Closing, it sball survive the Closing and remain binding upon and for the benefit of the parties hereto until fully observed, kept or
erformed.
9. ENTIRE AGREEKXNT. Thi9 Contract contains the entire agreement of the parties and there are no representations,
,ducements or other provisions other than those expressed heroin. All changes, additions or deletions hereto must be in writing and
geed by all parties. Nothing contained herein shall alter any agreement between a REALTORO or broker and Sella' or Buyer as
intainod in airy listing agreement, buyer agmey agreement, or any other agency agreement between them.
1. NOTICE: Any notice or communication to be given to a party herein may be given to the party or to such party's agent. Aqy
ritten notice or communication in connection with the transaction contemplated by this Contract may be giver, to a party or a parws
ton+ by a"A;n — f.o..n...44— h — ......- __m —----- - .. • - .-. _ _ _

22_ FXECUTYON: 'Phis Contract rray be pignod in multiple originals or counterparts, all of Iq
same instrument, and the parties adapt as their seals the word "SEAL" beside their signatures b67"
23. CONTUTATION nR DAYS: Unless therWiee providod, for purposcs of [L:a Contract, [br''
calendar days, including Saturdays; Sundays, i and holidays, whether federal, state, local or religio�s
the count of "days" shall begin on the day following the day upon which any act or notice as prov c
perforurcd a' u,ttcle.
THE NORTH CAROUNA ASSOCIATION OF REALTORS0, INC. AND
NO REPRESENTATION AS TO: TIE LBOAL VALIDITY OR AAEQU
SPECIFIC TRANSACTION. IF YOU DO NOT URS NDETATiD THIS FM
LEGAL NEEDS, YOU -SHOULD CONSULT A NORTH CAROLINA REAL
i
This offer shall become a bbuhn contract on Effective Date.
Date: '~
Ditto:
Buyer _ •-�'� _ I SEAL) Sell
Date: '� f
I �/
Datn:
Buyer
�EAL)
Sohn
Shari Vaughan
Dats:
Date:
13uyu
(SEAL)
Seller
l
Nether constitute one and tb
"� aye" shall mean consacuth
ipurposes of calculating days
u Contract was reauirmA to h
RM
THE NORTH CAtp
1�'1 iM ASSOCIATOOI'
ACY OF ANY PR�}
Zi � 10F TMS FORM
OR FEEL THAT 1,T
ESTATE ATTO
S NNOT PROVIDE FG
V YOU SIGN IT.
i
Lucy tj Shears
Thoma S?Zear
I
fk;.
,
�
I
I
I
If•
�1f
1
E
;
[ MAK:
N AY
t YOU]
(SEAL
(SEAL;

|
�|FEE
RECEIPT OF ANY NOTICE CONTUIPLATED BY THIS CONTRACr. INSERT IIN(A'
-ANY WMCH AU NO'I