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HomeMy WebLinkAboutNCC224093_FRO Submitted_20221213PART B. FINANCIALLY RESPONSIBLE OWNER (FRO)/PERSONS INFORMATION 1. PERSON(S) OR FIRMS WHO ARE FINANCIALLY RESPONSIBLE FOR THE LAND -DISTURBING ACTIVITY (PROVIDE A COMPREHENSIVE LIST OF ALL RESPONSIBLE PARTIES ON AN ATTACHED SHEET): Tri Pointe Homes Holdings, Inc Bob.DaveniDort@trilDointehomes.com NAME EMAIL 1330 Sunday Drive, Suite 101 ADDRESS Raleigh NC 27607 CITY STATE ZIP CODE 919-675-8822 PHONE CELL 2. IF THE FINANCIALLY RESPONSIBLE PARTY IS NOT A RESIDENT OF NORTH CAROLINA, GIVE NAME AND STREET ADDRESS OF THE DESIGNATED NORTH CAROLINA AGENT: NAME EMAIL ADDRESS CITY STATE ZIP CODE PHONE CELL IF THE FINANCIALLY RESPONSIBLE PARTY IS A PARTNERSHIP OR OTHER PERSON ENGAGING IN BUSINESS UNDER AN ASSUMED NAME, ATTACH A COPY OF THE CERTIFICATE OF ASSUMED NAME. IF THE FINANCIALLY RESPONSIBLE PARTY IS A CORPORATION, GIVE NAME AND STREET ADDRESS OF THE REGISTERED AGENT: NAME OF REGISTERED AGENT ADDRESS CITY STATE ZIP E-MAIL ADDRESS PHONE FAX The above information is true and correct to the Kest of my knowledge and belief and was provided by me under oath (This form must be signed by the Financially Responsible Person if an individual or his attorney -in -fact, or if not an individual, by an officer, director, partner, or registered agent with the authority to execute instruments for the Financially Responsible Person). I agree to provide corrected information should there be any change in the information provided herein. Bob Davenport NAME SIGNATURE Division President TITLE OR AUTHORITY 3-1Y. DATE a Notary Public of the County of wc'V-e— , State of North Carolina, hereby certify that tzob'-' appeared personally before me this day and being duly sworn acknowledged that the above form was executed by him. Witness my hand and notarial seal, this �day of Mc P'C-L'A 20 22- Notary My commission expires to (e Z0z('