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CITY OF SALEM rivr_�
BUILDING DEPARTMENT ."ca i� LSEr r ,.
120 Washington Street, 3rd Floor, Salem, M/ IEP 2q A 0 4�
ABANDONED AND FORCLOSED PROPERTIES REGISTRATION FORM
PROPERTY INFORMATION
5 PURITAN ROAD,SALEM,MA,01970
Address: Parcel ID # 35-0363-0
Square Footage of Building: 7.050 sq8 Number of Stories: 1
Sprinkler System: Yes_ No_ (Operational yes/no)Unknown
Pipe System: Yes_ No_ (Operational yes/no) Unknown
Fire Detection System: Yes_ No_ (Operational yes/no) Unknown
OWNER(S) -OF RECORD ('attach additional sheets if necessary)
Owner: US Bank National Association
Address: 200 S 6th Street,Minneapolis MN 55402
Tel. No.: 612-973-2749 E-mail: residentialpropertyviolations@usbank.com
CONTACT PERSON/REGISTERED PROPERTY MANAGER
Name: Carrington Home Solutions
Primary Address (No P.O. Box) 1600 South Douglass Road,Suite 130 B Anaheim,CA 92806
Business Tel. #: 949-517-6733 Non-Business Tel. #: 949-517-6733
E-Mail Address: codeviolations@carringtonhs.com
Emergency Telephone # - 24hr/day 949-517-6733
IS THE PROPERTY LISTED FOR SALE? Yes No X
If yes, Real Estate Agency N/A
Address: N/A Tel. No. N/A
VACANT BUILDING PLAN: Please check which applies.
1. —The building is to be demolished.
2. X The building is to remain vacant.
3. _The building is to be returned to appropriate occupancy or use.
SIGNATURE OF OWNER(S)/OWNERSAGENT: �1l4Al )?6ea/L Authorized Agent of US BANK
DATE: 9/25/2017
REGISTRATION FEE $300 cheek Cash/Money Order/Cert. Bank Check
6800056522-US BANK-1 19371
CITY OF SALEM
SCHEDULE OF DEP nTMENTAL PAYMENTS TO TREASURER
)epartrnent Name hh U l 1 /f�` Date f U g.1'j
)epartment# V Fiscal Year L/ 9/10 Form#
FROM WHOM . ACCOUNT NUMBER&DESCRIPTION AMOUNT TOTAL'
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THE COMMONWEALTH OF MASSACHUSETTS,DEPARTMENT OF CORPORATIONS AND TAXATION,BUREAU OF ACCOUNTS
969u>4�g Officer: 16 —C�Z—20—�2—
The above is �tailed list of moneys collected by me,
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the sum of
Dollars;
collections from
to which
paid to the Treasurer, whose receipt I hold therefore:
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TITLE
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PAY TO T`HE CI
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5 ARCH CODE COMPLIANCE LLC WINDSOR,CO 80550 19388
City of Salem 9/22/2017
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City of Salem 19388
9/22/2017
6800056522-RI 300.00
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