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CITY OF SALEM 1ORKOT L FRIM"-_'_
BUILDING DEPARTMENT
120 Washington Street, 3`d Floor, Salem, MA 014 SEP 19 A 11: 41
ABANDONED AND FORCLOSED PROPERTIES REGISTRATION FORM
PROPERTY INFORMATION
Address: 89 OCEAN AVE SALEM, MA 01970 Parcel ID # M:33 L:0058
Square Footage of Building: 1 ,561 Number of Stories: 2
Sprinkler System: Yes_ Nox (Operational yes/no)
Pipe System: Yes_ No x (Operational yes/no)
Fire Detection System: Yes_ No x (Operational yes/no)
OWNER(S) *OF RECORD ("attach additional sheets if necessary)
Owner: Freedom Mortgage
Address: 10500 Kincaid Dr. Suite 300 Fishers, IN 46037
Tel. No.: 317-537-3444 E-mail: Martin.Mascher@freedommortgage.com
CONTACT PERSON/REGISTERED PROPERTY MANAGER
Name: Mortgage Contract Services, LLC
Primary Address (No P.O. Box) 350 Highland Drive, Ste.100 Lewisville, TX 75067
Business Tel. #: 866-563-1100 Non-Business Tel. #: 866-563-1100
E-Mail Address: codecompliance@mcs360.com
Emergency Telephone # - 24hr/day 866-563-1100
IS THE PROPERTY LISTED FOR SALE? Yes_ No "
If yes, Real Estate Agency n/a
"Address: n/a Tel. No. n/a
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: 9/14/2016
REGISTRATION FEE $300 Cash/Money Order/Cert. Bank Check
CITY OF SALEM
HE/D1ULE OF DEPARTMENTAL PAYMENT'S PAYMENTS TO TREASURER
Department Name "e) dDate
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Department# { 1 Fiscal Year 9110 Form#
FROM WHOM ACCOUNT NUMBER&DESCRIPTION AMOUNT TOTAL
11 Gq[ of
13
60
Total 9/20 Comprised of:
Cash:
Checks:
L9 4..;
TOTAL DEPOSIT
THE COMMONwEALTH OF MASSACHUSETTS,DEPARTMENT OF CORPORATiONs AND TAXATION,BUREAU OF ACCOUNTS.
To t"ing Officer: 20k.
` � 20 ..//
The above is detailed list of mpmeYs collected by me,
c 1 r i ��/ � the
`,for the collections fromto
I have paid to the Treasurer,whose receipt I hold therefore.
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VOID if:NOT CASt1ED4iTHIN1,80 DAYS,
297094,1• is 2 1. 10 ?0 It 171: 4508168 ? 27i+'
Mortgage Contracting Services Vendor ID Check Numbei 297094
To: City of Salem-MA 77763 Date: 09/1412016
ate Invoice Number Amount Description Voucher Number
9114/2016 83375600 $300.00 89 OCEAN AVE OVPRI921846
TOTALS: $300,00