4D RUSSELL DRIVE - BUILDING INSPECTION ioc,
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KEEPING YOU ORGANIZED
No. 10301
PATENT PENDING
SUSTAINABLE MIN.RECYCLED
FORESTRY
INITIATIVE CONTENT 10V
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MADE IN USA
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1
CITY OF SALEM
BUILDING DEPARTMENT I0I1 JUN 23 A II: 04
120 Washington Street, 3rd Floor, Salem, MA 01970
ABANDONED AND FORCLOSED PROPERTIES REGISTRATION FORM
PROPERTY INFORMATION
Address:
4D Russell Dr. SALEM, MA 01970 Parcel ID# 22-0182-832
Square Footage of Building: Number of Stories:
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: MORTGAGEE: SETERUS
Address: 14523 SW MILLIKAN WAY SUITE 200, BEAVERTON, OR 97005
Tel. No.: 877-272-2149 E-mail: REGISTRATIONS@SVCLNK.COM
CONTACT PERSON/REGISTERED PROPERTY MANAGER
Name: TBD-PROPERTY IS IN COLLECTIONS/PREFORECLOSURE AND IS NOT BANK OWNED AT THIS TIME.
PLEASE ACCEPT OUR 24HR CONTACT INFORMATION.A CONTRACTOR IS IN THE AREA. S
Primary Address(No P.O. Box)
Business Tel. #: 877-272-2149 Non-Business Tel.#: 877-272-2149
E-Mall Address: REGISTRATIONS@SVCLNK.COM
Emergency Telephone#- 24hr/day 877-272-2149
IS THE PROPERTY LISTED FOR SALE?Yes_ No 0✓
If yes, Real Estate Agency
Address: Tel. No.
VACANT BUILDING PLAN: Please check which applies.
L The building is to be demolished.
2. ✓ he building is to remain vacant.
3. _ he building is to be returned to appropriate oc p Cy or use.
SIGNATURE OF OWNER(SuOWNERS AGENT:
DATE: (P OS 1I_�_
REGISTRATION FEE $300 Cash/Money Order/Cert. Bank Check
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$30000 $0.00. $30000
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,pay,ro'the '1 CITY OF SALEM `» '�. .2�r t''t r .+r d •° "ka iS - ? "• w21 k
Older of BDII:DYNG DEPARTMENT . • e`^ "`�.�`"` e .
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a }SAI;EM,MA 01970
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CITY OF SALEM
SCHEDULE OF DEPARTMENTAL PAYMENTS TO TREASURER
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Department Name��1 i C.\\In I.D.A-p Date
Department# r� Fiscal Year 9/10 Form#
FROM WHOM ACCOUNT NUMBER&DESCRIPTION AMOUNT TOTAL
1t 21..E I
Total 9/10 Comprised of:
Cash:
Checks:
TOTAL DEPOSIT
//�� THE COMMONWEALTH OF MASSACHUSETTS,DEPARTMENT OF CORPORATIONS AND TAXATION,BUREAU OF ACCOUNTS
No.o/O7 6) —!Z9 !2 20L
To the Department Officer making the Paymen1t^:
Received of \( 1�� (V�� d ASIA TY the sum of
!e4 �lyzll d4s9d J(k Imp! Dollars.
for the collections from �o fol
i
collections as per schedule of this date,filed in my office.
Treasurer Treasurer
Pet No'.G 2£/64143(