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CITY OF SALEM ;; k� G :;
BUILDING DEPARTMENT
120 Washington Street, 3d Floor, Salem, MA WRIJG -2 A 39
ABANDONED AND FORCLOSED PROPERTIES REGISTRATION FORM
PROPERTY INFORMATION
19 LIONS LN UNIT 2006
Address: SALEM, MA 01970 Parcel ID # 030006908
Square Footage of Building: 1,867 Number of Stories: 1.0
Sprinkler System: Yes_ No_ (Operational yes/no)
Pipe System: Yes_ No_ (Operational yes/no)
Fire Detection System: Yes _ No_ (Operational yes/no)
OWNER(S) -OF RECORD (*attach additional sheets if necessary)
Owner: Edward /s Fitzsimons c/o CitiMortgage
Address: 1000 Technology Drive O'Fallon, MO 63368
Tel. No.: 877-290-3997 E-mail: Code.violation®citi.com
CONTACT PERSON/REGISTERED PROPERTY MANAGER
Name: Safeguard Properties
Primary Address (No P.O. Box) 7887 Safeguard Circle valley View, OH 44125
Business Tel. #: 800-852-8306 Non-Business Tel. #:
E-Mail Address: code.violations@safeguardproperties.com
Emergency Telephone # - 24hr/day 800-852-8306
IS THE PROPERTY LISTED FOR SALE? Yes No x
If yes, Real Estate Agency n/a
Address: Tel. No.
VACANT BUILDING PLAN: Please checkwhich applies.
1. —The building is to be demolished.
2. _The building is to remain vacant.
3. x The building is to be returned to appropriate occupancy or use.
SIGNATURE OF OWNER(S)/OWNERS AGENT: "-
DATE: 7/27/2017
REGISTRATION FEE $300 Cash/Money Order/Cert. Bank Check
Mortgage Contract ng Services A7TNW5 Bank of America 035245
4890 W Kennedy Blvd
Suite 500 071000039 DATE
Tampa,Ft 33609
(813)3874100
Jul 28,2017
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Pay Three Hundred Dollars and 00 Cents
to the Order of.,
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City of Salem-MA
Building Department
120 Washington Street, 3rd Floor
Salem, MA 01970
VOID IF NOT.CASHEDYVr.rHIN-180,DAYS'.
11'03524511' 1:0 ? 10000 391: 8 6 ?0 Le 0 ? L 2 9 0
..... ......
Mortgage Contracting Services Vendor ID Check Numbei 035245
TO: City of Salem-MA 77763 Date: 07/28/2017
Date Invoice Number Amount Description Voucher Number
07/28/2017 400701404 $300.00 19 LIONS LN OVPR3578902
TOTALS: $300.00