NCG550012_owner (name change)_20231017

ROY COOPER
Governor
ELIZABE`T'H S. BISER
Secretary
S. DANIEL SMITH
Director
NOP'rII C.APOI INA
Environmental Quality
NPDL S Certificate of Coverage (CoC)
NCG550000 OWNERSHIP CHANGE FORM ,
I. Please enter the CoC number for which the change is requested.
Ccrti ficate of Coverage
LiT_9J___LS 5 0 -_ CLil
II. Please provide the follo�sing for the requeste change (revised CoC).
a. Request for change is a result of: Change in ownership of the rest
❑ Name change of the facility or o
If ollrer please e>;plartr:
b. CoC w ill be issued to (person's name
or company name, if applicable):
c. Owner: person legally responsible for
CoC: ©f
First MI
Title
�ZO l� +Ilow W aU
Permit }folder ✓tailing ,
Chc�t:l I-I•�11 City State
�l'�y -03�1 prig
Phone E-m
d. Facility name (if applicable):
e. Facility address:
Address
City Stan
f. Facility contact person:
[if different from Owner] Pint �tl
Phone E-
Ill. Contact person (if different from the person legally responsible for the CX)
dence/property
caner
So
Last
4ddrcss
+� Zip
Y16LStllcYg( C,C1ham+I'- LcV)l
E-mail Address
Zip
Last
trait .address
First Ml Last
City
I'ht.me
Title
Martluit; Addtess
Mate `^ zip
E-mail rkddrvss
North CtucdtnaD patmentofElivirunou0nUdQu+lity I ClivislunofWater Re�uurccs
512 North Salit Uury SI rrcY I Ibr/ Mali SCtVlCCCC0tCr I Relrtgh, North Carolina'.? YYI617
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P pt- to this (m ncr4hi or nAm(
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Ai E IN, ")MPIT'I F OR MI«I?�(::
7ht� cxmmplt,lcsl applic:alion 74 rc•4+ired f(rr "h fa¢ilitr•name <hange fniif,�r `fCflir-f nwrttrvltitJ
change requ(4;r4
Ixga, dcxumontatinn of the rranifct of (►vwtphip fQA1rh a< A Vropcny kW d, tplev�ttt :4 of
wntracx. <�r a lUll o1 %ak) t4 f(1t an p,&Tet*hjp chant re+( w-4
.......................................................................
The !h- (onTivtcui and the clew ITIK4r•# 1r, *1,e ;-are +wf sn (" rwml*p
changt requcn.
A AC04- C ERMC ATION
1. Q i S.. atte,,i that this application for a name otisnershtP change ht. n(i t� , ;cueAAe atu!
c.(►rnplett u, the hr.t of rm� know iOdge i undersrartd that If all tcyutfed Part.• u( th" apP►s+:at141n ate 1*14
corrq lewdid that if xil r u,rc(j au4)l)(►tirr►1; tnfutrurtr.ut ixI" uniunkJ, tlu. �tPQ'ts4Otuxs J"JW will bogreturruA qF; t�ttlpisxe.
W C 1�
..................................
PUAtsE SEND THE COMPLETE APPLICATION PACKAGE I k
Ml. Clurrlca It Wcaver
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1617 Moil vwrvicc ( cider
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BK 2361 PG 0565 FILED EISCTF!ONICALLY
CHATHAM Cori M NC
VJMA7 A. RIG+GsaEZ
P 41STZR OF DZZDS
FILED ►tsy 11, 2023
AT 12:41:35 M
WJ iK 02361
ATAP.T VAMI 4565
RM PM-1 0591
rN9TP,mniT 044190
Z/r_r9Z TAit $0.00
DEED OF TRUST
T`.1is tnsC ument Prcpareci By:
Irene Funtila
APer Recordir4 Return To-
STATE ENPLOYEES' CREDIT UNION
PO CRAWER 25279
RALEIGH, NORTH CAROLINA 27611
DE RNM ONS
Words used in rn:iltiple sections of this document are defined below and other words are defined an:ter dte capran
T?-k,SFER OF RIGHTS IN THE PROPERTY and in Sections 3, 4, 10, 11, 12, 16, 19. 24. and ZS. Ca'aus -uk%
regarding the usage of words used in this document are also provided in Section 17.
Parties
(A) -Borrower- is ORIANA SO an unmarried woman
cu T,Mlty residjrg at 1006 KINGSWOOD DR #APT J. CHAPa HILL. NORTH CAROLINA 27517
Borrower is tyre trustor under this Security Instrument.
(B) ••Leoder"is STATE- EMPLOYELS' CREDIT UNION
orgy❑i2rd and existing under the laws o[
Lander is a cDORPORATION
I�ON.TH CAROLINA . Lender's address is F'O D1tAWf`H 2b�=1y, �►Lkl(iN,
N(jiKTH CAW-)LINA 27611-b279
wxruwor Iratib.Is-
hJONTH f;P.FtOI_Ildh 6inPlc Fondly FYnnld MadFioddld Mt►c UNIMM IN6TRUTAENT Ooc.Nagic
Fora 30.34 076021 Higo 1 of 19
I
Submitted electronically by "Midtown Property Law"
in compliance with North caroling statutes governing recordable documents
and the terms with
the submitter agreement with the Chatham county Register of Deeds.

BK 2361 PG 0566
Lender is the beneficiary under this Security Listrument. The term "Lender" includes any successors and assigns of
Lender.
(C) 'Trustee" is PHILIP A GLASS
Trustee's address is PO DRAWER 25279, RALEIGH, NORTH CAROLINA 27611-5279
The term "Trustee" includes any substitute/successor Trustee.
Documents
(D) 'Note" means the promissory note dated May 11, 2023 , and signed by each Borrower
who is legally obligated for the debt under that promissory note, that is in either (i) paper form, using Borrower's
written pen and ink signature, or (ii) electronic form, using Borrower's adopted Electronic Signature in accordance
with the UETA or E-SIGN, as applicable. The Note evidences the legal obligation of each Borrower who signed the
Note to pay Lender TWO HUNDRED SIXTY-ONE THOUSAND SIX HUNDRED AND 001100
Dollars (U.S. $ 261,600.00 ) plus interest.
Each Borrower who signed the Note has promised to pay this debt in regular monthly payments and to pay the debt
in full not later than June 1, 2053
(E) `Riders" means all Riders to this Security Instrument that are signed by Borrower. All such Riders are
incorporated into and deemed to be a part of this Security Instrument. The following Riders are to be signed by
Borrower [check box as applicable]:
® Adjustable Rate Rider M Condominium Rider
1-4 Family Rider ® Planned Unit Development Rider
Second Home Rider El Other(s) [specify]:
(F) "Security Instrument" means this document, which is dated May 11, 2023 , together
with all Riders to this document.
Additional Definitions
(G) "Applicable Law" means all controlling applicable federal, state, and local statutes, regulations, ordinances,
and administrative rules and orders (that have the effect of law) as well as all applicable final, non -appealable judicial
opinions.
(H) "Community Association Dues, Fees, and Assessments" means all dues, fees, assessments, and other charges
that are imposed on Borrower or the Property by a condominium association, homeowners association, or similar
organisation.
(I) "Default" means: (i) the failure to pay any Periodic Payment or any other amount secured by this Security
Instrument on the date it is due; (ii) a breach of any representation, warranty, covenant, obligation, or agreement in
this Security Instrument; (iii) any materially false, misleading, or inaccurate information or statement to Lender
provided by Borrower or any persons or entities acting at Borrower's direction or with Dorrower's laiowledge or
Borrower Initials;
NORTH CAROLINA - Single Family - Fannie Mati/Freddie Mac UNIFORM INSTRUMENT
Form 3034 07/2021
*0ocMaglc
Page 2 of t 9

BK 2361 PG 0568
TRANSFER OF RIGHTS IN THE PROPERTY
This Security Instrument secures to Lender (i) the repayment of the Loan, and all renewals, extensions, and
modifications of the Note, and (ii) the performance of Borrower's covenants and agreements under this Security
Instrument and the Note. For this purpose, Borrower irrevocably grants and conveys to Trustee, in trust, with power
of sale, the following described property located in the
COUNTY of Chatham
[Type of Recording Jurisdiction] [Name of Recording Jurisdiction]
SEE EXHIBIT "A" ATTACHED HERETO AND BY THIS REFERENCE MADE A PART HEREOF.
20909 sf., DB 941 PG 01, CHATHAM DEVELOPMENT, CCR
which currently has the address of 120 WILLOW WAY
[Street]
CHAPEL HILL , North Carolina 27516 ("Property Address");
[City] [Zip Code]
TO HAVE AND TO HOLD this property unto Trustee, forever, together with all the improvements now or
subsequently erected on the property, including replacements and additions to the improvements on such property,
all property rights, including, without limitation, all easements, appurtenances, royalties, mineral rights, oil or gas
rights or profits, water rights, and fixtures now or subsequently a part of the property. All of the foregoing is referred
to in this Security Instrument as the "Property."
BORROWER REPRESENTS, WARRANTS, COVENANTS, AND AGREES that: (i) Borrower lawfully owns
and possesses the Property conveyed in this Security Instrument in fee simple or lawfully has the right to use and
occupy the Property under a leasehold estate; (h) Borrower has the right to grant and convey the Property or
Borrower's leasehold interest in the Property; and (iii) the Property is unencumbered, and not subject to any other
ownership interest in the Property, except for encumbrances and ownership interests of record. Borrower warrants
generally the title to the Property and covenants and agrees to defend the title to the Property against all claims and
demands, subject to any encumbrances and ownership interests of record as of Loan closing.
THIS SECURITY INSTRUMENT combines uniform covenants for national use with limited variations and
nonuniform covenants that reflect specific North Carolina state requirements to constitute a uniform sec�ui instrument covering real property. ty
UNIFORM COVENANTS. Borrower and Lender covenant and agree as follows:
1. Payment of Principal, Interest, Escrow Items, Prepayment Charges, and Late Charges. Borrower will
pay each Periodic Payment when due. Borrower will also pay any prepayment charges, and late charges due under
the Note, unless prohibited by Applicable Law, and any other amounts due under this Security Instrument. Pt
due under the Note and this Security Instrument must be made in U.S, ntz
currency, if a}vrany chick or other instrument
received by Lender as payment under the Note or this Security Instrument is returned to Lender unpaid, Lcnder may
Borrower Initials;
14ORTH CAROLINq - g;flly— Form 2034 0712021 dFnnle M►,e/freddle Mee UNIfARM IN&TfiUMEN
Papa 4 or 19 oocMaglc