ABAND/FORECLOSED REG FORM CV
LL
CITY OF SALEM C'
BUILDING DEPARTMENT
120 Washington Street, 3rd Floor, Salem, MA 01970
ABANDONED AND FORCLOSED PROPERTIES REGISTRATION FORM
PROPERTY INFORMATION
Address: 18 ORD ST# 20 SALEM, MA 01970 Parcel ID # SALEM 16L 0036
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: Lakeview Loan Servicing - FHA
Address: 3637 Sentara Way Virginia Beach VA 23452
Tel. No.: 757-955-8014 E-mail: sarah.richardson@loancare.net
CONTACT PERSON/REGISTERED PROPERTY MANAGER
Name: First Allegiance
Primary Address (No P.O. Box) 473 Broadway 5th Floor, Bayonne NJ 07002
Business Tel. #: 888-727-6303 Non-Business Tel. #:
E-Mail Address: code@firstallegiance.com
Emergency Telephone # - 24hr/day 888-727-6303
IS THE PROPERTY LISTED FOR SALE? Yes No
If yes, Real Estate Agency
Address: Tel. No.
VACANT BUILDING PLAN: Please check which applies.
1. _The building is to be demolished.
2. _The building is to remain vacant.
3. _ The building is to be returned to appropri cupancy or use.
SIGNATURE OF WNE()/OWNERS AGEN1
DATE: J \ `DA3
REGISTRATION FEE $300 Cash/Money Order/Cert. Bank Check