LAND USE Initial Application Date: (p - 11 `) 0 Application # 10 & -79g 24 hJ &'7
CU#
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 108 E. Front Street, Lillington, NC 27546 Phone: (910) 893 -7525 Fax: (910) 893 -2793 www.harnett.org /permits
LANDOWNER: f \IRN Rot r �L St - el • Mailing Address: "l a Cl o I-I hi Y 3.1() r-i
City: Pht•Le State: f`LC Zip:2)501 Contact# J 4013 - mom - Email:
APPLICANT': S fyrmo Son/ g1iIi0YS t Mailing Address: 1■ in N pn lit Fr{-
City: 'Ft'(\r"{ State: NC Zip: I)S O 'Contact # q 111 )kI.l Email: Y p\ nrlipclttiwon tk'lr:`77
'Please fill out apblicant information if different thane landowner
CONTACT NAME APPLYING IN OFFICE: .I JC'Ptnl • 4r4 ( S! @ lir><c.. -t g.nlf,Uj' Phone # CO - 3n -- -on 66
PROPERTY LOCATION: Subdivision: (.9n 1 'vt ) � Crch1.`B Lot #: . Lot Size: .&C1 ar YPc,
State Road # aft `13 State Road Name: Srn ti*) �r g S C1/2 - Map Book &Pag
Parcel: r1 OS.3S ii I� L PIN: ace -C to - O DI . 000 QOO� 73"7
Zoninb .1.0a. Flood Zone: , Watershed: N Deed Book &Page -J T[ _ / 'ower Company *: SU °-I), Q )vrf
'New structures with Progress Energy as service provider need to supply premise number from Progress Energy.
SPECIFIC DIRECTIONS TO THE PROPERTY FROM LILLINGTON:
to -E -t1wcick S -t Lc4 L ?+3 an 1.e 5C• Qr . ►tee an Sal OS.
ON-, I & X0 0 1-rfa •
PROPOSED USE:
f?' SFD: (Size (o)? S8 ) # Bedrooms: 1/ # Baths: 3_ Basement (w /wo bath): tarage: !Deck: (--*- Crawl Space: t! Slab:
(Is the bonus room finished? ( yes (_)no w/ a closet? ( v yes (__)no Of yes add in with # bedrooms)
❑ Mod: (Size x) # Bedrooms_ # Baths_ Basement (wlwo bath)_ Garage:_ Site Built Deck:_ On Frame Off Frame
(Is the second floor finished? ( ) yes ( )no Any other site built additions? (J yes (___)no
❑ Manufactured Home: _SW _DW _TW (Size x ) # Bedrooms: _ Garage: (site built? ) Deck: (site built ?)
❑ Duplex: (Size x ) No. Buildings: No. Bedrooms Per Unit:
❑ Home Occupation: # Rooms: Use: Hours of Operation: #Employees:
❑ Addition /Accessory/Other: (Size _x 1 Use: Closets in addition? (J yes (__)no
Water Supply: County _ Existing Well New Well (# of dwellings using well ) *MUST have operable water before final
Sewage Supply: t7New Septic Tank (Complete Checklist) Existing Septic Tank (Complete Checklist) County Sewer
Does owner of this tract of land, own land that contains a manufactured home within five hundred feet (500 of tract listed above? ( ) yes (--
Structures (existing or proposed): Single family dwellings: Manufactured Homes: Other (specify):
Required Residential Property Line Setbacks: Comments:
'r
Front Minimum S � Actual 34
Rear '1 Gig
Closest Side 1 l /
Sidestreeticorner lot (-) Q _,3Jp_
Nearest Building DI
on same lot
If permits are granted I agree to conform to all ordinances and laws of the State of North Carolina regulating such work and the specifications of plans submitted.
I hereby state that foregoing statements ur correct to the best of my knowledge. Permit subject to revocation if false information is provided.
(0-11-1() Sig re of or Owner's Agent Date
•.T Is appli Lion expires 6 months from the initial date if permits have not been Issued**
A RECORDED SURVEY MAP, RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION
Residential Land Use Application 1 of 1 03/10
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SITE PLAN`APPro
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NAME: S tlti UYI 6V\ Itio rs APPLICATION #: l a ti ✓ 0 ` 0 7
*This application to be filled out when applying for a septic system inspection.*
County Health Department Application for Improvement Permit and/or Authorization to Construct
IF THE INFORMATION IN THIS APPLICATION IS FALSIFIED, CHANGED, OR THE SITE IS ALTERED, THEN THE IMPROVEMENT
PERMIT OR AUTHORIZATION TO CONSTRUCT SHALL BECOME INVALID. The permit is valid for either 60 months or without expiration
pending upon documentation submitted. (complete site plan = 60 months; complete plat = without expiration)
910- 893 -7525 option 1 CONFIRMATION #
Environmental Health New Septic System Code 800
• Place "pink property flags' on each corner iron of lot. All properly lines must be clearly flagged approximately
. every 50 feet between corners.
• Place "orange house corner flags" at each corner of the proposed structure. Also flag driveways, garages, decks,
out buildings, swimming pools, etc. Place flags per site plan developed aUfor Central Permitting.
• Place orange Environmental Health card in location that is easily viewed from road to assist in locating property.
• If property is thickly wooded, Environmental Health requires that you clean out the undergrowth to allow the soil
evaluation to be performed. Inspectors should be able to walk freely around site. Do not grade property.
• Call No Cuts to locate utility lines prior to scheduling inspection. 800 - 632 - 4949 (This is a free service)
• After preparing proposed site call the voice permitting system at 910- 893 -7525 option 1 to schedule and use code
800 (after selecting notification permit if multiple permits exist) for Environmental Health inspection. Please note
confirmation number Given at end of recording for proof of request.
• Use Click2Gov or IVR to verify results. Once approved, proceed to Central Permitting for permits.
❑ Environmental Health Existing Tank Inspections Code 800
• Follow above instructions for placing flags and card on property.
• Prepare for inspection by removing soil over door as diagram indicates. Loosen trap door cover. (Unless
inspection is for a septic tank in a mobile home park)
• After preparing trapdoor call the voice permitting system at 910- 893 -7525 option 1 & select notification permit if
multiple permits, then use code 800 for Environmental Health inspection. Please note confirmation number
Given at end of recording for proof of request.
• Use Click2Gov or IVR to hear results. Once approved, proceed to Central Permitting for remaining permits.
SEPTIC
If applying for authorization ""to� construct please indicate desi s ste • : ): can be ranked in order of preference, must choose one.
{ Accepted I?) Innovative Conventional I (_) Any E 7 f QO „' 1 ,.1�ti
( _ ) Alternative (_} Other WF ndlma)ly di() G
The applicant shall notify the local health department upon submittal of this application if any of the following apply to the property in
question. If the answer is "yes ", applicant must attach supporting documentation.
[_IYES (�f NO Does the site contain any Jurisdictional Wetlands?
{_)YES ( Do you plan to have an if!•1 ; onon st vsiem now or in the future?
( _ } YES ( tNO Does or will the building contain any sl[.a�i t ? Please explain.
I_) YES I / 1 NO Are there any existing wells, springs, waterlines or Wastewater Systems on this property?
(_)YES { ) Is any wastewater going to be generated on the site other than domestic sewage? ! I,
(_ }YES (NO Is the site subject to approval by any other Public Agency?
(_)YES (O Are there any easements or Right of Ways on this property?
(_)YES (, -j NO Does the site contain any existing water, cable, phone or underground electric lines?
If yes please call No Cuts at 800 - 632 -4949 to locate the lines. This is a free service.
I Have Read This Application And Certify That The Information Provided Herein Is True, Complete And Correct. Authorized County And
State Officials Are Granted Right Of Entry To Conduct Necessary inspections To Determine Compliance With Applicable Laws And Rules.
I Understand That I Am Solely Responsible For The Proper Identif tion And Labeling Of All Property Lines And Corners And Making
The Site Accessible So That A Complete Site Evaluation Can Be +r /d.
. 6 -/o ?O
PROPERTY OWNERS OR OWNERS LEGAL REPR EN ': / . • .. 1GNATURE (REQUIRED) DATE
5/08
How to Properly Mark Property for Soil Evaluation
(MUST MATCH SITE PLAN)
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ink flag
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pink flag —+_.. Orange flag�
7 ink flag
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ROAD
OFFER TO PURCHASE AND CONTRACT
:S 1rY1 SOCA `?!) M I tier c. 2' nC • . as Buyer,
r eby'offers to purchase and F' rio ry Par - Ipttr \c fftt n t4 • I as Seller,
upon acceptance of said offer, agrees to sell and convey, all of that plot, piece or parcel of land described below, together with all improve-
ments located thereon and such fixtures and personal property as are listed below (collectively referred to as the "Property "), upon the fol-
lowing terms and conditions:
1. REAL PROPERTY: Located in the City of unr,I cY 6I
County of HACnv $- , State of North Carolina, being known as and more particularly described as:
Street Address t1\ Spi., (Trr,cc C4. Zip R3
Legal Description: Lot 39,, W nlruri C-tn. . S, rnnI i vi S i aN
(0 All 0 A portion of the property in Deed Reference: Book 0.2(1c1 -) , Page No. n `/ 1 9 , FA r nerl°J' County)
NOTE: Prior to signing this Offer to Purchase and Contract, Buyer is advised to review Restrictive Covenants, if any, which may limit the
use of the Property, and to read the Declaration of Restrictive Covenants, By -Laws, Articles of incorporation, Rules and Regulations, and
other governing documents of the owners' association and/or the subdivision, if applicable.
2. FIXTURES: The following items, if any, are included in the purchase price free of liens: any built -in appliances, light fixtures, ceiling
• fans, attached floor coverings, blinds, shades, drapery rods and curtain rods, brackets and all related hardware, window and door screens,
storm windows, combination doors, awnings, antennas, satellite dishes and receivers, burglar /fire/smoke alarms, pool and spa equipment,
solar energy systems, attached fireplace screens, gas logs, fireplace inserts, electric garage door openers with controls, outdoor plants and
trees (other than in movable containers), basketball goals, storage sheds, mailboxes, wall and/or door mirrors, and any other items attached
or affixed to the Property, EXCEPT the following items:
Ni
3. PERSONAL PROPERTY: The following personal property is included in the purchase price:
•
4. PURCHASE PRICE: The purchase price is $ 1S i tXf) and shall be paid as follows:
(a) $ n , EARNEST MONEY DEPOSIT with this offer by 0 cash 0 personal check 0 bank check
0 certified check . other. to be deposited and held in
escrow by ( "Escrow Agent") until the sale is closed, at
which time it will be credited to Buyer, or until this contract is otherwise terminated. In the event: (1) this offer is not accepted; or (2) any
of the conditions hereto are not satisfied, then all earnest monies shall be returned to Buyer. In the event of breach of this contract by Seller,
upon Buyer's request, all earnest monies shall be returned to Buyer, but such return shall not affect any other remedies available to Buyer
for such breach. In the event this offer is accepted and Buyer breaches this contract, then all earnest monies shall be forfeited upon Sellers
request, but receipt of such forfeited eamest monies shall not affect any other remedies available to Seller for such breach.
NOTE: In the event of a dispute between Seller and Buyer over the return or forfeiture of earnest money held in escrow by a broker, the
broker is required by state law to retain said earnest money in the broker's trust or escrow account until a written release from the parties
consenting to its disposition has been obtained or until disbursement is ordered by a court of competent jurisdiction.
(b) $ . ADDITIONAL EARNEST MONEY DEPOSIT to be paid to Escrow Agent no later than ,
TIME BEING OF T E ESSENCE WITH REGARD TO SAID DATE.
(c) $ , BY ASSUMPTION of the unpaid principal balance and all obligations of Seller on the existing
loan(s) secu f trust on the Property in accordance with the attached Loan Assumption Addendum.
(d) $ , BY SELLER FINANCING in accordance with the attached Seller Financing Addendum.
(e) $ 38 , OIDn , BALANCE of the purchase price in cash at Closing.
5. CONDITIONS: (State N/A in each bla that is not a condition to this contract.)
(a) Buyer must be able to obtain a 0 FHA 1 VA (attach FHA/VA Financing Addendum) 0 Conventional 0 Other
loan at a 0 Fixed Rate 0 Adjustable Rate 'n the pri ' .. : ount of
(plus any financed VA Funding Fee or FHA a .' or a term of year(s), at an initial interest rate not to exceed % per annum,
with mortgage loan discount points not ed % of the loan amount. Buyer shall apply for said loan within days of
the Effective Date of this contra : uyer sha use Buyer's best efforts to secure the lender's customary loan commitment letter on or
before and t satisfy all terms and conditions of the loan commitment letter by Closing. After the above
letter date, Seller may req est in writing from B yer a copy of the loan commitment letter. If Buyer fails to provide Seller a copy of the
loan commitment letter or a written waiver of this loan condition within five days of receipt of Sellers request, Seller may terminate this
contract by written notice to Buyer at any time thereafter, provided Seller has not then received a copy of the letter or the waiver.
Page I of 4
This form jointly approved by:
North Carolina Bar Association
1;" North Carolina Association of Realtors•, Inc. c STANDARD FORM 2 -T
0 7/2002
aemsoa® Buyer Initials (s Seller Initial 10/2002
. (b) There must be no restriction, easement, zoning or nth nit�ental regulation that would prevent the reasonable use of the Property
for /
. purposes.
(c) The Property trust be in substantially the same or condi at Closing as on the date of this offer, reasonable wear and tear except-
ed.)
(d) All deeds of trust, liens and other charges against the Property, not assumed by Buyer, must be paid and satisfied by Seller prior to or
at Closing such that cancellation may be promptly obtained following Closing. Seller shall remain obligated to obtain any such cancel-
lations following Closing.
(e) Tide must be delivered at Closing by GENERAL WARRANTY DEED unless otherwise stated herein, and must be fee simple mar-
ketable title, free of all encumbrances except ad valorem taxes for the current year (prorated through the date of Closing); utility ease-
ments and unviolated restrictive covenants that do not materially affect the value of the Property; and such other encumbrances as may
be assumed or specifically approved by Buyer. The Property must have legal access to a public right of way.
6. SPECIAL ASSESSMENTS: Seller warrants that there are no pending or confirmed governmental special assessments for sidewalk,
paving, water, sewer, or other improvements on or adjoining the Property, and no pending or confirmed owners' association special assess-
ments, except as follows:
(Insert "None" or the identification of such assessments, if any.) Seller shall pay all owners' association assessments and all governmental
assessments confirmed through the time of g, if any, and Buyer shall take title subject to all pending assessments, if any, unless
otherwise agreed as follows:
7. PRORATIONS AND ADJUSTME : Unless otherwise provided, the following items shall be prorated and either adjusted between
the parties or paid at Closing (a) Ad valorem taxes on real property shall be prorated on a calendar year basis through the date of Closing;
(b) Ad valorem taxes on personal property for the entire year shall be paid by the Seller unless the personal property is conveyed to the Buyer,
in which case, the personal property taxes shall be prorated on a calendar year basis through the date of Closing; (c) All late listing penal-
ties, if any, shall be paid by Seller, (d) Rents, if any, for the Property shall be prorated through the date of Closing; (e) Owners' association
dues and other li shall be prorated through the date of Closing. Seller represents that the regular owners' association dues, if any,
are $ ESar
8. CLOSING E E E ES: Buyer shall be responsible for all costs with respect to any loan obtained by Buyer. Buyer shall pay for record-
ing the deed and for preparation and recording of all instruments required to secure the balance of the purchase price unpaid at Closing.
Seller shall pay for preparation of a deed and all other documents necessary to perform Seller% obligations under this agreement, and for
excise tax (revenue stamps) required by law. If Seller is to pay any of Buyers expenses associated with the purchase of the Property, the
amount thereof shall be $ , including any FHA/VA lender and inspection costs that Buyer is not permitted to pay,
but excluding any portion disapproved by Buyer's lender.
9. FUEL: Buyer agrees to purchase from Seller the fuel, if any, situated in any tank on the Property at the prevailing rate with the cost of
measurement thereof, if any, being paid by Seller. possible after the Effective Date
10. EVIDENCE OF TITLE: Seller agrees to use his best efforts to deliver to Buyer as soon as reasonably
of this contract, copies of all title information in possession of or available to Seller, including but not limited to: title insurance policies,
attomeys opinions on title, surveys, covenants, deeds, notes and deeds of trust and easements relating to the Property. Seller authorizes (1)
any attorney presently or previously representing Seller to release and disclose any title insurance policy in such attorneys file to Buyer and
both Buyers and Sellers agents and attorneys; and (2) the Property's title insurer or its agent to release and disclose all materials in the
Property's title insurers (or title insurer% agents) file to Buyer and both Buyers and Sellers agents and attorneys.
11. LABOR AND MATERIAL: Seller shall furnish at Closing an affidavit and indemnification agreement in form satisfactory to Buyer
showing that all labor and materials, if any, furnished to the Property within 120 days prior to the date of Closing have been paid for and
agreeing to indemnify Buyer against all loss from any cause or claim arising therefrom.
12. OPERTY DISCLOSURE AND INSPECTIONS:
( roperty Disclosure:
Buyer has received a signed copy of the N.C. Residential Property Disclosure Statement prior to the signing of this Offer to Purchase
and Contract.
❑ Buyer has NOT received a signed copy of the N.C. Residential Property Disclosure Statement prior to the signing of this Offer to
Purchase and Contract and shall have the right to terminate or withdraw this contract without penalty prior to WHICHEVER OF THE
FOLLOWING EVENTS OCCURS FIRST: (1) the end of the third calendar day following receipt of the Disclosure Statement; (2) the
end of the third calendar day following the date the contract was made; or (3) Closing or occupancy by the Buyer in the case of a sale or
exchange.
❑ Exempt from N.C. Residential Property Disclosure Statement because (SEE GUIDELINES)
❑ The Property is residential and was built prior to I978 (Attach Lead -Based Paint or Lead -Based Paint Hazards Disclosure Addendum.)
Page 2 of 4
FORM 2-T
L -T
/ ® STANDARD FORM 7/2002
Buyer Initials y/ Seller Initials 1012002
•
(b) Property Inspection: Unless otherwise stated herein, Buyer shall have the option of inspecting or, obtaining at Buyer's expense, inspec-
tions to determine the condition of the Property. Unless otherwise stated herein, it is a condition of this contract that (i)the built -in appli-
ances, blectrical system, plumbing system, heating and cooling systems, roof coverings (including flashing and gutters), doors and
windows, exterior surfaces, structural components (including foundations, columns, chimneys, floors, walls, ceilings and roofs), porch-
es and docks, fireplaces and flues, crawl space and attic ventilation systems (if any), water and sewer systems (public and private), shall
be perforating the function for which intended and shall not be in need of immediate repair, (ii) there shall be no unusual drainage con-
ditions or evidence of excessive moisture adversely affecting the structure(s); and (iii) there shall be no friable asbestos or existing envi-
ronmental contamin on. Any inspections shall be completed and written notice of necessary repairs shall be given to Seller on of
.k
before r..e ,,.2)4\ .20It7 . Seller shall provide written notice to Buyer or Seller's response within _ days of' Buyer's
notice. : . . 9 • • .r • 1 : C L 1 1..'=i I 1 H . : 1 !ICI t1 • cji1' ••. .& • IN.• • . ! ' -1• . 1 it. i . !1 11 • 1 ,: ill. J
required airs to be comnlete b y Closine.
(c) Wood - Destroying Insects: Unless otherwise stated herein, Buyer shall have the option of obtaining, at Buyer's expense, a report from a
licensed pest control operator on a standard form in accordan cfi the regulations of the North Carolina Structural Pest Control
Committee, stating that as to all structures except / \
there was no visible evidence of wood -destroying insects and containing no indication of visible damage therefrom. The report must be
obtained in sufficient time so as to permit treatment, if any, and repairs, if any, to be completed prior to Closing. All treatment required
. shall be paid for by Seller and completed prior to Closing, unless otherwise agreed upon in writing by the parties. The Buyer is advised • tha l e i . '.n 191!1 !.9.. i•.�1..1 _ !::.rflrd Ha no • .k. r31 ti er tt r •r itL: , I ,ti : • • ✓ c! J •' b 1
organisms other than wood- destrovin rg . If new construction, Seller shall provide a standard warranty of termite soil treatment.
(d) Repairs: Pursuant to any inspections in (b) and/or (c) above, if any repairs are necessary, Seller shall have the option of completing them
or refusing to complete them If Seller elects not to complete the repairs, then Buyer shall have the option of accepting the Property in
its present condition or terminating this contract, in which case all earnest monies shall be refunded. Unless otherwise stated herein, any
items not covered by (b) (1), (b) (ii), (b) (iii) and (c) above are excluded from repair negotiations under this contract.
(e) Acceptance: CLOSING SHALL CONSTITUTE ACCEPTANCE OF EACH OF THE SYSTEMS. ITEMS AND CONDITIONS
i t • B I • lb Y,L _. - III 1 II 1 .S. ' 1 1 IS h. S ri. tI.J Eu.r_ 1. 9
13. REASONABLE ACCESS: Seller will provide reasonable access to the Property (including working, existing utilities) through the ear-
lier of Closing or possession by Buyer, to Buyer or Buyer's representatives for the purposes of appraisal, inspection, and/or evaluation. Buyer
may conduct a walk- through inspection of the Property prior to Closing.
14. CLOSING: Closing shall be defined as the date and time of recording of the deed. All parties agree to execute any and all documents
and papers necessary in connection with Closing and transfer of title on or before . + 9
at a place designated by Buyer. The deed is to be made to 4Ft pt.t n,5111%.1 , it ‘. . P r5 C ,
15. POSSESSION: Unless otherwise provided herein, possession shall be delivered at Closing, In the event possession is NOT to be
delivered at Closing: ❑ a Buyer Possession Before Closing Agreement is attached. OR, O a Seller Possession After Closing Agreement
is attached.
16. OTHER PROVISIONS AND CONDITIONS: (ITEMIZE ALL ADDENDA TO THIS CONTRACT AND ATTACH HERETO.)
•
t le
17. RISK OF LOSS: The risk of loss or damage by fire or other casualty prior to Closing shall be upon Seller. If the improvements on the
Property are destroyed or materially damaged prior to Closing, Buyer may terminate this contract by written notice delivered to Seller or
Seller's agent and all deposits shall be returned to Buyer. In the event Buyer does NOT elect to terminate this contract, Buyer shall be enti-
tled to receive, in addition to the Property, any of the Seller's insurance proceeds payable on account of the damage or destruction applica-
ble to the Property being purchased.
18. ASSIGNMENTS: This contract may not be assigned without the written consent of all parties, but if assigned by agreement, then this
contract shall be binding on the assignee and his heirs and successors.
19. PARTIES: This contract shall be binding upon and shall inure to the benefit of the parties, i.e., Buyer and Seller and their heirs, suc-
cessors and assigns. As used herein, words in the singular include the plural and the masculine includes the feminine and neuter genders, as
appropriate.
20. SURVIVAL: If any provision herein contained which by its nature and effect is required to be observed, kept or performed after the
Closing, it shall survive the Closing and remain binding upon and for the benefit of the parties hereto until fully observed, kept or performed.
Page3of4
STANDARD FORM 2 -T
® 7/2002
Buyer Initials V t Seller Initials V. 10/2002
21. ENTIRE AGREEMENT This contract contains the entire agreement of the parties and there are no representations, 'inducements or
other provisions other than those expressed herein. All changes, additions or deletions hereto nmst be in writing and signed by all parties.
Nothing contained herein shall alter any agreement between a REALTOR•or broker and Seller or Buyer as contained in any listing agree-
ment, buyer agency apemen; or any ether agency agreement between them.
22. NOTICE AND EXECUT ION: Any notice or commnmication to be given to a party herein nmy be given to the party or to such party%
agent This offer shall become a binding contract (the "Effective Date") when signed by both But and Seiler and such signing is commu-
nicated to the offemhg party. This contract is accented under seal in signed multiple raisin's, all of whidt together constitute one and the
same instrument with a signed original being retained by each party and each REALTOR' or broker hereto, and the parties adopt the word
"SEAL" beside their signatures below
Bayer acmowledges having made an on-site personal eraminadon of the Property prior to the making of this offer.
THE NORTH CAROLINA ASSOCIATION OF REALTORS®, INC. AND THE NORTH CAROLINA BAR ASSOCIATION MAKE NO
REPRESENTATION AS TO THE LEGAL VALIDITY OR ADEQUACY OF ANY PROVISION OF THIS FORM 114 ANY SPECIFIC
TRANSACTION. IF YOU DO NOT UNDERSTAND THIS FORM OR FEEL THAT IT DOES NOT PROVIDE FOR YOUR. LEGAL
NEEDS, YOU SHOULD CONSULT A NORTH CAROLINA REAL ESTATE ATTORNEY BEFORE YOU SIGN IT.
Date: 60 — 9-ID Date: - — — < w
_aIt1 / a,. � , er -- "^� ri
Buyer / . . a!r,.�, (SEAL) Sell ' '� (SEAL)
1
Date: Date:
Buyer (SEAL Seller (SEAL
Escrow Agent acknowledges receipt of the earnest money and agrees to hold and disburse the same in accordance with the
terms hereof.
Date Firm: -
By:
(Signature)
Selling Agent/Firm/Phone
Acti as ❑ Buyer's Agent ❑ Seller's (sub)Agent ❑ Dual Agent
Listing Agent/Firm/Phone
cting as ❑ Seller's (sub)Agent ❑ Dual Agent
Page 4 of 4
STANDARD FORM 2-T
® 7/2002
op o/2002