LAND USE Initial Application Date 3 / 1 5/11 Application # 1/ f 26 OA
cu #
COUNTY OF HARNETT RESIDENTIAL LAND USE APPLICATION
Central Permitting 106 E Front Street LIIIIngton NC 27546 Phone (910) 893 7525 Fax (910) 893 2793 www harnett orglpermits
LANDOWNER q H P 5 4_ J c 1. n (, Mailing Address 1)0 1 %» I (V 3c• /t. 4 Cd /VC a7 1 A /
G .. r
'7 Ema
City J \ rSc (" CI L State Zip 27 x 3 1 oanted # ti ___ y _
APPLICANT
ANT LC.'
Dn.r,ie1 e, a *P art S �S* ; art Mailing Address (oVino 14°11.1 Imo ..V--, (' J I fQr(
city x P .0 �V 1 11'� / a
State K\ C. zip %stt ontact # (90 SC (455 Email ,`,) __`3 likMblnal
Please fin out applicant information If different than landowner CDm
I� 1 V ci -}-
(Rio) 8(a 1 4 -1.9S515
CONTACT NAME APPLYING IN OFFICE berm -e 1 1" Si-flock l k l Phone # (q in q51 5 761
PROPERTY LOCATION Subdivision M /A f� (�(' �f� ✓ Lot # 4 Lot Size,� /0 ''S
State Rood # State Road Name Chart hart R1 br VP. Off 141 I f`Og n G7 t Map BookBPage ?a W
Parcel 9! q 94 6 3 001-2 a2_ PIN g5S3 — e g(0 - 99x9 , ?90
Zoning 41 24lood Zone X Watershed Deed Book&Page O 5711 n4N5 Power Company
New structures with Progress Energy as service provider need to supply premise number from Progress Energy
SPECIFIC DIRECTIONS TO THE PROPERTY FROMLILUNOTON I Irn ggrit (".'hi' acc Matr, °7i Qrti-n 1-1val in.
Dr1.r2 ct ?QrnYL 1 % mia5 +o 4 .Q1 al (ki1 - 5-e nn. - racn 1 Stand An e.
nitroY,. 1 Mt1e. At Mar1LS Kd. 17A4 n rtr3h r nn *n MaOci 1Z(4 4 1a . hrive- ettpinx
6 hem l e , fn I-1t 11 rnnr\ enrove Rd ettu n r 131 on-1- Nl l l m n n C e Mt n g,r
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PROPOSED USF
rr _r1,,I r M I ill
4 �4 r SFD (Size x 'fl 0,# Bedrooms r ± , # Baths 15Basement(wlwo bath) _ Garage 1u Deck _ Crawl Space y_ Slab Slab
(Is the bonus room finished? ( ) yes (_)no w/ a closet? ( ) y es ( )no (if yes add In with # bedrooms)
O Mod (Size x ) # Bedrooms # Baths Basement (w/wo bath) Garage _ Site Built Deck _ On Frame Off Frame
(Is the second floor finished? (__ j yes (__)no Any other s to built additions? ( ) yes (ono
3 Manufactured Home SW _ DW TW (Size x ) # Bedrooms _ Garage _ (site built? ) Deck _ (site built? )
O Duplex (Size x ) No Buildings No Bedrooms Per Unit
3 Home Occupation # Rooms Use Hours of Operation *Employees
D Addition/Accessory/Other (Size _x ) 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 je<New 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? (i yes (jno
Structures (existing or proposed) Single family dwellings Y Manufactured Homes Other (specify)
Required Residential Property Line Setbacks
/ Com ents /
Front Minimum .� / Actual / 0 � 3 _ 611 i I i' � O flS4 'Z '� ', , r � 9 �7 it
Rear 2 4 47 4 / , 1 ! 1 _ i ' / j iA�t'
■ Closest Side _ It?
Sidestreeticomer lot / _
Nearest Building /9 30
on some lot
If permits are granted 1 agree to orm 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 stat ants are accura a meet t ,the best of my knowl ge Permit subject to revocation If false information is provided
Signature of Owner or Owne s Agent Date
'This application 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 REOUIRED WHEN APPLYING FOR LAND USE APPLICATION
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NAME APPLICATION # / 5 2 6 2 7.6
*This application to be filled out when applying for a septic system Inspection •
County Health Department Application for Improvement Permit and/or Authonzation to Construct
IF THE INFORMATION IN THIS APPLICATION IS FALSIFIED CHANGED OR THE SITE IS ALTERED THEN THE IMPROVEMENT
E OR AUTHORIZATION TO CONSTRUCT SHALL BECOME INVALID The pemut is valid for either 60 months or without expiration
ep ding upon documentation submitted (Complete site plan = 60 months Complete plat = without expiration) // /9�
910 893 7525 option 1 ' //
Environmental Health New Septic SvatentCode 800 CONFIRMATION # `
All property Irons must be made visible Place pink property flags on each corner iron of lot All property
lines must be clearly flagged approximately every 50 feet between corners
Place orange house comer flags at each corner of the proposed structure Also flag dnveways garages decks
out buildings swimming pools etc Place flags per site plan developed at/for 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
All lots to be addressed within 10 business days after confirmation $25 00 retum trip fee may be Incurred
for failure to uncover outlet lid. mark house corners and property Ones. etc. Once lot confirmed ready.
Alter 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 recordina for proof of request
• Use CIIck2Gov or IVR to verify results Once approved proceed to Central Permitting for permits
0 Environmental Health Existlna Tank inspections Code 800
Follow above instructions for placing flags and card on property
Prepare for Inspection by removing sod over outlet end of tank as diagram indicates and lift lid straight up Of
possible) and then put Ild back In place (Unless Inspection is for a septic tank in a mobile home park)
00 NOT LEAVE LIDS OFF OF SEPTIC TANK
After uncovering outlet end 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 CIIck2Gov or IVR to hear results Once approved proceed to Central Permitting for remaining permits
$ EPTIC
If applying for authonzatton to construct please indicate desired system type(s) can be ranked in order of preference must choose one
(_} Accepted (_} Innovative Conventional (_) Any
(_) Alternative { Other
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
(ZYES (_} NO Does the site contain any lunsdicuonal Wetlands?
(_} YES (/i NO Do you plan to have an &mention system now or in the future?
{_) YES (eI NO Does or will the building contain any km? Please explain
(YES ( NO Are there any existing wells spnngs waterlines or Wastewater Systems on this property?
(_}YES {ZINO Is any wastewater going to be generated on the site other than domestic sewage?
(_) YES (MfNO Is die site subject to approval by any other Public Agency?
(_} YES 16NO Are there any Easements or Right of Ways on this property?
(/ ES (_} NO Does the site contain any existing water cable phone or underground electnc lines?
If yes please call No Cuts at 800 632 -4949 to locate the lines This is a free service
1 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 Sol y Responsible For The Proper Identification And Labeling Of All Property Lines And Comers And Making
The Site Accessible So Th A Complete Site aluatlon C e Performed.
/ / L INt /5Z MAR ac //
PROPERTY OWNERS OR OWNERS LEGA EPRESENTAT E SIGNATURE (REQUIRED) DATE
10 /10
OFFER TO PURCHASE AND CO \TRACT S ACA \T LOT/LAND
[Consult C utdelines (torn 12G) for guidance in completing this forum]
NOTE This contract is intended for unnnprosed teal property that Buyer will purchase only for personal use and does not hate
immediate plans to subdivide It should not be used to sell property that is being subdivided unless the property has been platted
properly approved and recorded with the register of deeds as of the date ot the contract It Seller is Buyer s budder and the sale
ins oh es the cousin:ctren of a new single family dwelling prior to closing use the standard Offer to Pmehase and Contract —New
Construction (Form 800 T) or it the constriction is eompkted use the Offer to Purchase and Contract (Form 2 T) with the New
C onstruction Addendum (form 2A3 1)
For valuable consideration the receipt and legal sufficiency 01 which are hereby acknowledged Buyer offers to purchase and Stile;
upon acceptance agrees to sell and convey the Property en the terms Ind conditions of this Offer t o PurUiase and Contract and any
addendum of modification nt tde in accordance with ns terms (to the Contract )
I TERMS AND DEF1\1TIO\S 1 he lei ins listed below shall have the respective meaning given them as set forth adileent tc each
terns 'l
(a) Seller R�{ pc9 4- V 1 T►UC , nn
(b) Buser p f}Ni9 t P, S'\'ew RwQ WrF? PA y L � -tau iMrf
(c) Propertt 1 he Pi perts shall include III that real estat described helots together with 111 appurtenances thereto including the
impioseinents located thereon �`
SheetAddiesh C' hI 4 - k t e V-e of )4 ((v.-iow / Eoue (20#,-o
City ('/Yvil lip 293a(p —
County 44-1A -t2 All +f- North Carolina
(NOTE Covernmental authority 0% er taxes zoning school distnets utilities and mail delis eiy may diner twin addiess shown )
Legal Description (Complete AL/ applicable)
Plat Reference Lot Unit 4 Block /Section n ' !9 Subdisision/Condormnium 1,! r4
as shown on Plat Book/Slide it Page(s)
The PIN/PID or other identification number of the Propel ty is • N ` • SS 3 g • • e .
Other description VIA(' n— 1- 1 /t b a h ►4 -C►te
Some or all of the Property may be described in Dad Book /'>a 57 7 at Page r),/ y 3
(d) Pm chase Price
S j 20, too ("0 paid in 11 S Dollars upon the follow in terms
b e — BY Dl)E DILIC ENCE ITL made p iyable to Seller
0 0 0 o V BY INITIAL EARNEST MONEY DEPOSIT made payable to Escrow Agent named
in Paragraph 1(f) with thi oiler by O cash F2 personal check 0 ofIiva! bank cheek
❑ other //
S -0- BY (ADDITIONAL) EARNLST MONEY DEPOSIT made payable to Esuow
Agent named in Paragraph 1(t) by cash or Immediately available funds suet' as
otlieial bank cheek or ire transfer to be delivered to Escrow Agent no latet than
TI19E
BEING OF THE ES SE VLE tx ith reg trd to said date
S ^ o — BY ASSUMPTION of the unpaid principal balance and all obligations ot Sellei on
the existing loan(s) seemed by a deed of trust on the Property in accordance w ith the
attached Loan Assumption Addendum (Standard Foun 2A6 T)
S - BY SELLER IPSANCING in accordance with the attached Seller Financing
Addendum (Standard Form 2A, T)
//9 / 00 n 0 0 BALANCE of the Purchase Price in cash at Settlement (some or all of which may he
paid with the proceeds ofa new loan)
Should Buyer fail to delver either the Due Diligence Fee or any Initial Earnest Money Deposit by the Effective Date or should
any check or other hinds paid by Buyer be dishonored for any reason by the Institution upon wInch the payment is drawn Buyer
shall have one (1) banking day atter written notice to deliver good funds to the payee In the event Buyer does not timely delver
good funds Seller shall have the right to terminate this Conti act upon written notice to Buyer
Page 1 of 8
Tins formtomtit approved by
Association FORM 12 T
North Carolina Bar Associaon Revised 1/2011
North Carolina Association of REALTORS In A 0 1/2011
REALTORS
c .0.41110
Buyer nitiatsbe Ili Seller initials
(t) Eat nest tones Dtposit Fhe Initial Earnest Money Deposit the Additi mat Eat nest Money Depo it and any other earnest
monies paid in connection IN ith this transaction hereutafte' oilcan elv referred to as Earnest Money Deposit shall be deposited
and held in escrow by Escrow Agent until C. losing at which time it will be u edited to Buyer at until this Contract is otherwise
terminated In the cleat (1) this offer is not ictcpted or (2) a condition ot any resulting contract is not satisfied then the Eames'
Money Deposit shall be relunded to Buyer In the event ot breath ot this Contract by Seller the Earnest Money Deposit shall be
refunded to Buy el upon Buyers request but such return shall nit affect an other remedies it ultble to Buyci for such breach hi
the event of breach of this Contact by Buyer the 1 arrest Money Deposit shall be paid to Sells upon Seller s request as liquidated
damages and as Seller s sole and exclusrte remedy tot such breath but without limning Seller s rights under Paragraphs 20.) std
a(d) tor damage to the Property or Seller s n to retain the Due Diligence Fee It is acknowledged by the parties than payment of
the Earnest Money Deposit to Seller in the etent ot a preach of this Contract by Buyer is cenpensItor} end not punitive such
amount being a reasonable e timation ot the actual Toss tint Seller w ould incur as a result at such breach The payment ot the
Earnest Money Deposit to Seller shall not constitute a penalty or forfeiture but actual compensation tor Seller s antiupated loss
both parties acknowledging the difficulty determining Seller s actual d images for such breach I1 legal pioceedmis are brought by
Buyer or Seller igamst the other to recover the Earnest Monet/ Deposit the prevailing party in the proLeedne shall he entitled to
retoter from the non prevailing party re 'satiable attcmey tees and court toss incurred in connection with the proLtedng
(1) Escrow Agent (insert name) P \Actsmn, la.e0A E
(NOTE in the event ot a dispute between Seller and Buyu ov r the disposition of the Earnest Money Deposit held in escrow a
!teemed reil estate bicker ( Bioker ) is tequned by suite law (and Lserow Agent it not a Br her herehv neees) to let tin the
E unest Money Deposit in the Lsuow Agent trust x escrow rue unt until Escrow Agent has out tined a wuttet release from the
pate consenting to it disposition or until disbursement is 01 dued by u court ot eampetent lunsdiction Ahcrnatrtel\ it a Broke'
is he !ding the Lamest Money Deposit the Bioker may depose the disputed monies with the ipproprnte clerk ot court in
reeotdance with the pit w msmons of N C ( S yy9 A 12 )
HIE PARTIES AG12EE THAT A RFAi FSTA1E BROKERACE FIRM ACTING AS ESCROW ACENT MAY P1 ACE THE
EARNESI MONEY DEPOSIT iN AN INTEREST BEARING IRUSf ACCOUNT AND THAI ANY INTEREST EARNED
1 IIEREON SIIALL BE DISBURSED TO THE f SCROVV AC EN1 MONTIILI IN CONSIDERATION OF THE FXI FNSFS
INCURRED B\ MAINTAININC SUCH ACCOUNT AND RECORDS ASSOCIATED THEREVvITH
(e) Efftttiv t Date the date th it (1) the I tst one ot Buyer and Sells has si_ned of initialed this otter or the final counterottu it
my and (2) such 'gnmg or nut' hn is gonna kited to the party making th t Her or counteroffer is the c Ise m ny be
(h) Due Diligtnee Buyer s opportunity during the Due Diligence I eriod to investigate the Property and the InnsiLt'on
mteniptiied by th' Contract iLtudnib but ni I nuts auk Imutcd ti th millets destrrhed m Puagaph 2 below to decide
t‘ 'wilier Buyer in 13uyen s s ale disetetton will proved t ith or terminate the transaction
(i) Due Diligence Fee A negotiated 'mount if any p lid by Buyu to Seller with this Contract to' Buyer s right to conduct Dut
Diligence dunng the Due Diligence Peru d h sh ill be the property of Seller upon the Ettective Dire and shall be a credit to Buyer
at Closing the Due Diligence Fee shall be non tiWadable except in the event i t a mateual breach ot this Contract by Seller or if
this Confirm is terminated under Patagiaph 6(1) or Paragraph 9 or as otherwise provided in any iddendum hoer) Bu}ei and
Seller each expressly wane any right that they may his to deny the r'cht to c induct Due Diligence 01 to a sert any defense as to
the entorceab'hts of this Conti act based on th absence or alleged instalments of any Due Diligence Fee it being the intent ot the
parties to create a legally binding contract for the purchase ind sale of the Property without regard to the existence or amount of
any Due Diligence I Le
0) Due Diligence Pei od The period be on the Eileen) e Date and extending through 5 00 p m on
/ JJME BEJ" G OF THE ES SE\ LE ab reard 10 said date
(k) Settlement The proper exe utiou and deiiv ery to the titltment agent ot all documents necessity to complete the transaction
ontemplated by this Contras mLiudmg the deed settlement statement deed of trust and other loan or eonsL)ance documents
and the settlement agent s receipt of ill funds neLe s tit/ to complete suet) trans tetion
(1) Settlement Date The parties agree that Settlement w ill take place on 9 4 - (the Settlement Date 1 unless
otherwise agreed in writing at a time and plate designated by Buyer
Page 2 of 8
�R STANDARD FORM 12 T
D� �5 Seller annals �� Y) Revtsed 1/2011
Buyer annals 1) 1/2011
(m) Closing line legit process which results in the tianster of title to the 1 ropeity from Sellet to Buyei Closing includes the
following steps (1) the Settlement (defined above) (2) the completion of satistactov title update to the Property loliowmg the
Settlement (3) the settlement agents receipt of tuthontanon to disburse ill neeessats funds aid (4) recordation In the apptopnatc
county registry of the leed(s) and decd(,) of trust it any which shill take place as soon as reasonably possible tor the settlement
agent atter Settlement Upon such re oidition of the deed(s) and dccd(s) ot mist it an} Closin shall be deemed completed and
the proceeds of sale shill be disbursed by the settlement agent in iecordince with the settlement statement and the provisions 01
Chapter 4sA ot the Noith Carolina Ueneral Statute If the title update hould reveal unexpected teens encumbrances or other title
detects or it the settlement agent is not authorized to dlsbuise all necessary tunds then the Closing shall be suspended and the
Settlement deemed delayed undo Para 10 (Delay in Settleiunt/Closine)
(n) Special assessments A charge animal the Property h) a covernmentil authority in addition to ad vale rem taxes ot by au
owners association in addition to any regular assessment (dues) either of which may be a hen tf.atnst the Property A Speen'
Assessment ma} be either proposed or confined
Proposed Special Assessment \ Veil d Assessment th it n under torm it considei atwn but which has int been ipprov d pnol
to Settlement
Contii'mcd Special Assessment A Special Assessment th it has been approved prior to Settlement whether or not it is fully
pa } able at time ot Settlement
BUYER S DLE DILIGENCE PROCESS
(a) Loan Durnf. the Due Diligence Period Buyer at Buy el s expense hall be entitled to pursue quatiticition for and approval of
Ill Loan 11 any
NOTE Buyer is adv ised to con tilt with Buyer s lender prior to signing this octet to issure that the Due Diligence Peuod allows
uthocnt time tor the appraisal to be completed and for Buyer lender to prnvnle Buyei ulliuent information to decide whether
tt pried with of te the tiansaition
(h) Piopetts insestigation Duung the Due DIIi ence Period Buyer si Buyer awns or iepresenutnes at Buyer s cxpen c
(tall be entitled ty condu t all de 'red tests sune}s appraisals in} sti_ation exanunat 0ns and inspection ot the Property a
Buyer deems ippropriate including but NOT (united tc the following
(i) Soil Lttlities And Ensuonmental Reports to detommne whether the sod is unable ter Buyer s intended use and
whether thee is any ens ronmenral contaminati In law ade or regulation rent ina} prohibit restrict or Inuit Buyer s
Intended use
(It) Septic/Sew er S) stem Any applicable ins cstteaion(s) to detei nine (1) the condition of an existing sewage system (
the costs and expenses to install a sewage s} tens approved by in existing Improvement Permit (3) the av til ability and
expense to cornet to a public or eonununity ewel system md/tr (4) whethei an Imps. Yemeni Permit or s\ itten
evaluation may he obt tined tI om the County Health Department tor a suitable ground absorption sewage sy tent
1111) N ate' An applicable urvcstij,ation(s) to determine (I) the condition of an exlsun private drinking water well ( ) the
costs and expenses to install i priv ate drmkuib w ater well approv ed by an existing Construction Permit ( ) the
av ill Alibi\ costs mid expenses to connect to a public or eommumty water system or a shared pm ate well and /or (4)
whether a Constriction Petrnit may be obtained trom the County health Department fat a private di nking water well
(n) Restew of Documents Review of the Decliraion of Restncive Covenants Bylaws Articles ot Incorporation Rules
and Regulations and other governing documents of ins applicable owners association andior subdnision It the
Plopert} 1s subject to tceulaion by in owners issoeation it is recommnended that Buyi rev Kw the completed Ow ners
Assoeation Disclosure And Addendum (Standard Form 2Al2 f) provided by Seller pnoi to signing this offer
(v) Appraisals An appraisal of the Property
(vi) Sun es A survey to determine whether there are any encroachments on the Pioperty horn acllacent properties (fences
driveways cue ) onr°ielunents trom the Property onto adjacent properties load or utility easements crossing the
Property lack of (cl access to a public nght of w ay ot Ind finite of erroneaus legal descriptions in profit us deeds to
the Property
(\i) Zoning and Gov ernmental Regulation Inv estigation ot current or proposed mime or other go}eninnental regulation
that in iy attest Buyer s intended use of the Pioperty adj scent l i nd uses planned or proposed road construction and
school attend ince /ones
(cm) Flood Haiard Investigation ot potential flood hazards on the Property andVor any requitement to puichise flood
insurance in order to obtain the 1 oan
Pale 1 of g
� -t^ STANDARD FORDO 12 7
Buyer initials EeL I c_ Seller initials OW Revised ;/2011
(c) Buse' s Obligation to Repair D image Buyer shall at Buyu s expense promptly repair any damage to the Property
resulting from any activities of Buyer and Buyer s agents and conuauots but Buyer shall not be respond le for any damage
caused by rccepted practices applicable to any N C hcen ed protcssronal pettornung reasonable appear als tests sun eys
examinations and inspections of the Property 1 his repair obligation shall sun n c any termination of this Contract
(d) Indemnits Buyer will indemnity and hold Seller harmless hom all loss damage claims suits 01 costs ttluch shall arise out
of any contract agreement or injury to any person of property a a result ot any aunities of Buyer and Buyer s agents and
contnetors relating to the Property except for any loss damage claim sun or cost arising out of pre exismn conditions 01 the
Property and /on out of Seller s negligence or wilttul acts or omissions this indemnity shall survive this Contriet and any
termination hereof
(e) Buyer s Right to Tet mutate Buyer shall have the tight to terminate this Contract tot any reason 01 no reason by delivering it
Seller wrinen notice of termmmon (the Termination Notice ) during the Due Diligence Period (or any agreed upon writes
extension of the Due Diligence Period) TIME BEING OF THE ESSENCE It Buyer timely delvers the Fennmahon Notice Chi
Contact shall be ruminated and the Elincst Money Depesu shall be refunded to Buyer
WARNING It Buyer is not satisfied with the results or progics% of Buyer s Due Diligence Buver should terminate this Contut
prior l.) the cnpnatron of ire Doc D?Jrgenec Pencil unless Buyu c m obtain 1 written extension horn Seller SFLI FR IS NOT
OBI 1C ATED TO GRANT AN EXTENSION Buyer s tailule to (fritter a Tern Nonce to Seller prior to the expiration of
the Due Ddit,ence Period shall constitute a ttaner by Buyer of any right to terminate this Conti act b ised on any matter rel nag to
Buyer s Due Dilicenee
NOTE Following the Duc Diligence Period Buyer any still exercise t rillit to temmnate this Contract tot any a iher reason
permitted undo the terms ot this Contract or North Catohn t 1 m
(1) CLOSI \G SHALL CONSTITUTE ACCEPTANCE OF THE PROPERTY IN ITS THE\ EXISTING CONDITION
UNLESS PROVISION 1S OTHERWISE MADE IN N BITING
1 BLYER REPR 2E \TATIONS
(a) Loan Buyu does O does not hat e to - it ern a new to in in c tdu to purchase the Property It Buyer is obtaining 1 new loan
Buyei intends tc obtain a loan as follows Cons cation it O (Chu loan air lo at a
'Pt Fixed Rate O Adjustable Rite in the princip 11 amount c l /p PU 0 o U tot a terns ot 3 0 ycar(s) at
an mite al interest rate nc t to exceed pet annum (the I oan )
NOTE It Buyer represents that Buyer does not h ne to obtain 1 nett loan in older to purchase the Property Seller is advised pnot
to sigma& this otter to obtain documentation hom Buyer whxh demonstrates that Buyei will be able to ckse on the Property
tt nhout the necessity of obtlinin& 1 new loan
(b) Other Pi o t% Buyer 0 does does not have to sell -r lease other teal property in order to quality tot it new loan or to
complete purchase (NOTE If Buyu does have to sell Buser and Suffer she add consider includm_ a Contingent Sale Addendum
(Standard Forin 1 A2 T) with this otfer )
(e) Performance of Buser s Financial Obligations To the bust ot Buyer s knowledge thete ate no other circumstances of
conditions existing as of the date of this otter that could prohibit Buyer from performing Buyer s tmnane 11 obligations in
accordance with this Contract except as may be spccihcally set forth hum
1 BUYER OBLIGATIONS
(a) Owners Association Fees /Charges Buyer shall pay any tees required for conhnnmg account payment information on
owners association dues or assessments tor payment or proration and any charge made by the owners as °cation in connection
with the disposition of the Property to Buyer uxludinL anv transter and/ot document tee unposed by the owners assocnuon
Buyer shall not he responsible for tees incuned by Seller in completing the Owners A souation Disclosure and Addendum
(Standard Form 2Al2 T)
(b) Responstbtlit) for Proposed Special 4ssessments Buyer shall take title subject to all Propsed Special Assessments
disclosed by Seller in Pari&raph 5(h) it any
Page 4 of 8
STANDARD FORM 12
Buyer mitiats) P5 lL r Seller initials \A\ Res istd 1 /2011
M0 1/2011
(c) Responsibdits for Certain Costs Buyer shill be responsible tor all costs with respect to inv loin obtained by Buyer
appr usa] title se irth title tnsunnce tecordrn, the deed its t for preparation and recording of ill instrumutts required to secure the
balance of the Purchase Pine unp lid it Settlement
• SELLER REPRESENTATIO \S
(a) Ow nership Seiler teprtscnts that Seller
�nas owned the Propene tor at least one year
❑ has owned the Property tor less than one year
❑ does not set own the Property
(b) Assessments To the lest of Sellers kilo \I ledbe there ire no Proposed Special Assessments except as toltosss (Inset None of
the tdenhheation of such as essments it any) Arnw-4
Scllet warrants tint there ire no Confirmed Spettal Assessment cae pt as follows (Insert None or the identiticatnan 01 uch
tssessiuents it any) No Ai -e
(c) Owners Assoctation(s) and Dues To best ot Seller s kilos\ ledge onneislnip ot the Property ❑ subjects ❑ does not sublets
Buyer to 1 ego! 1110n by lit 01 1u01c ow ncis association( ) and L0% I-1111112 documents %Mitch impost. \ irtous m indatory cot enants
c)nditions and iestricions upon the Property and Buy el s enjoyment thetcol mtludme but not limited to obligations to pay legulat
assessments (dues) Ind Spt.etil Assessments It there is in ow ners association then an Osiers Association Disclosure and
Addendum (Stindaid Fonn 2A!2 1) shalt be completed bs Seller at Sellers expense and must be ittached I an ad 'tendon] u
this Conic act
(d) Sewage Sssttm Pt' nut (❑ Applicthlt. Er Not Applicable) Seller s\auants that the se\ i6„e system described in the
Improsement Fount attached hereto has been mstalitd Rhl 11 represent nun ,ur t\ c. Closure but makes no turthcr
rerrese nnttons is to the system
(e) Pin ate Di %'later NA ell Permit (G�Applicable ❑ Not Applicable) Seller n ur int, that 1 pntlie di nking Hater cell
has been installed uhtch representation sun is es Closure. but mikes no tether repre eLtauons Is to the cell (I1 N ell installed
ahu iuly 1 2008 atta h Improsement I emit hereto
6 SELLER OBLIGATIONS
(1) Esidence of Title Seiler 'glees to use hest effort to deliver to Buys,' is oon as reason thly possible ate! the Ftfecuse Dite
Lopes ot all title mlornntton in possession ot or a%atlahle to StIlet uutuclune but not limited to title insur m e pohues attorney
opinions on title uneys covenvns deeds notes and deeds ot trust and easements relating to the Property Seller iuthorves (I)
any ittomey ptesettly or presiously lepiescnting Seller to release and disclose any title insurance policy in such attorneys tile to
Buvei ind both Buyers and Seller -teems and attorneys and (2) the Property title insurer tr its agent to relea e and disclose all
in nerr ils in the Ptoputy s title insurer (01 title insurer s aLent s) the to Buser Ind both Buyer s and Sellers agents and attomess
(h) Access to Pi operts Seller shall plc vide ref on Mk recess to the Property (including workme exrstme utilities) thtoueb the
cattle' of Closing or pos ession by Buyer Fo the extent applic ible Seller shall also he responsible tot tunels clearing tint portion
of the Property requited by the County to pet tut in tests inspections and c r 15 duations to determine the suitability at the Properts
tor a sewa system and /ot private drmkm water well
(c) Remus al of Seller s Properh Seller shall iemase by the date posses 1011 is made as ulahle to Buyer all per onal property
sthuh is not a part et the purchase and III garbage Ind debris trom the Property
(d) Affidasit and Indemnification Agreement Seller shill furnish it Settlement an affidavit and indemnification agreement in
forme stustattory to Buyer and Buyer title insults it my executed by Setlet and any person or entity who his performed or
tut coshed labor sell tees materials or rent It equipment is described in N C U S §44A 8 to the Property \N UM') 1 a0 d cos prior to
the date ot Settlement sentynn& tint each such person or emits Ins be n paid in hell and aSreemg to indemnity Buyer Buyer s
!under( ) and Buyer s tide insurer leanist ill loss iron my cause or claim ansung therefrom
( Pas ment and Satisfaction of Liens All deeds of mist liens and other charges a(,unst the Property not assumed by Buyer
must be panel and satisfied by Seller prior to or at Settlement uch that can citation mas be promptly obtained tollossmk C rosin)
Seller shall rem tin ()Wig tied to obtain any such cancellations tollow mg Closure
Page s of 8
DC STANDARD FORM 12 T
Buyer initials t ` J 11-3 C� Seller initials e � Reslsed 1 /2011
T 1/2011
it) Title Legal Access Seller shall execute and delver a C ENERAL WARRANT\ DFFD tor the Property at Settlement unles
otherwise stated herein which shall coney tee simple m trketahle and insurable title bee of all encumbrances except ad talorem
taxes tor the current tear (prorated through the date ct Settlement) utility easement and um totaled restrictive cot rants that do
not materially affect the t -due of the Property and such other encumbrances as may be assumed or specifically approt ed by Buyer
ern writing I he Piopertv must have k.gtl access to public right of way
NOTE If any sale of the Property may be a short sale consideration should be e aten to attaching 1 Short Sale Addendum
(Standard F 01 m 2A 14 I) is tn addendum to this Contract
(g) Deed Evcrse Taxes Seller shall pry tor preparation ot 1 deed and ill other documents necessay to pertoun Seller s
oblieations under this Cols t an for state and county excise taxes required by it fhe deed is to be nude to
Illk i • j' - . :a: a -- l t1• . :.r
(h) Agreement to Pus Buser Expenses Seller shall pay at Settlement $ — 0— towed any ot Buyer s
cxpen es associated with the purchase of the Property le any portion disapprot ed by Buyer s lender
NOTE Examples ot Buyer s expenses associated wadi tht purchase t t the Property include but are not limited t i discount point
Ilan ornunlimn tees appraisal fe s attorney s tees inspecti m lees and pr pods (taxes insurance ( \\ ners is ouauon dues
etc )
(i) Payment of Confirmed Special Assessments Seller shill pay ill Confirmed Special Assessments 1 1 any pies ided that the
amount ther of can be 1easounbly determined or estimat d
(I) Late Lrshn), Penalties All piopei ty t ax 1 ite h tin pen Mies it any sh111 he pad by Seller
(k) Otsncrs Association Disclosure Ind Addendum (Standard 1-oiin 1 AI , T) 11 applicable Seller shill pro' ide the completed
Owners Assocnuon Dist. lo cite and Addendum (Standard 1 oim'At' f) to Buser on 01 be tore the EH ctit D ite
(I) Seller s Fatlute to Comply or Breach If Seller lads to matet illy comply with any ot Seller obligations under this
1-tra iph 6 to Seller materulty breaches this Contract and Buyei elects to ruminate this Contrnu is a result ot such failure or
breach then ale Farnest Money Dcposit and the Due Diligence Fee slnait be rounded to Buyer eel Seiler shall reimburse to Buyer
iht, teason able costs actuatly incurred by Buyei in connection with Buyer s 1)uc Diligence without attcctm any other remedies
7 PRORATIONS AND ADJLST't1L \TS Unless otherwise plc ided the follow inc items shill he prorated through the date of
Settlement and either adjusted between the parties tit paid at Settlement
(a) Taxes on Real Pi opettt Ad t alorem t axes to is 11 pis pet n chichi h prorated on a calend it ye tr basis
(b) Rents Rents it city ti r the Property
(c) Dues Ow nets nssoci mon regular asse sinews (due ) and oth i like ch a es
8 CONDITION OF PROPERTY AT CLOSING The Ptopeity nut t be in substantially the same or hettct condition at Closing 1
n the date of this ottet tea onahl wear and tem excepted
9 RISK OF LOSS T hi. risk ot loss or darnagc by tire or other casualty prior to Closing shall be upon Seller If the import emcuts on
the Property ire destroyed or materially damaged prior to Closing Buyer may terminate thi Contract by written notice delivered to
Scller or Seller s agent and the Famest Money Deposit and env Due Diligence Fee shall he refunded to Buyer In the (tent Buy r doe
NOT elect to terminate this Contract Buyer shall be entitled to tecetsc in tddrtion to the Property any of Seller s insurance proceeds
payable on account ot the damage of destruction applicable to the Property hems puichased Sellei is adusecl not to cancel existing
unur MCC on the Pi operty until alto c intimung recordation ot the deed
10 DELAY IN SETTLE\IE \T /CLOSI \G Absent agreement to the contrary in this Contract or any subsequent modification
thereto al a party is unable to complete Settlement by the Settlement D ate but intends to complete the transaction and t acting in good
faith and with reasonable dilieence to proceed to Settlement ( Delaying Party ) and it the other party is ready w filling and able ti
omplete Settlement on the Settlement Date ( Non Delaying Party ) then the Delaying Party shall give is much nice a possible to
the Non Delaying Party and settlement agent and shall be entitled to a delay in Sutictnent It the parties fail to complete Settlement
and Closing within fourteen (14) days ot the Settlement Date or to further extend the Settlement Date by written agreement then the
Delaying Party shall be to breach and the Non Delaying Party may tem this Contract and shall be cnnticd to enlace any
remedies mailable to such patty under this Contract for the breach
Page 6of4
\ ( STANDARD FORM 12
Buycr initials Seller initial c \\\ Resised1 /2011
to 1 /2011
11 POSSESSION Lnkss othenmrsc pro \ided herein possession shall t e detineted at closing Na alterations excawattons tree oI
vegetation iemoval or other such act'\ Ries may be done befoi e possession Is deliteted
1 OTHER PRO \ISIO \S AND CONDITIO \S CHECK Al L STANDARD ADDENDA TIIAT MAY BE A PART OF THIS
CONTRACT IF ANN AND Af1ACM HERETO ITEMI7E AI I OTHER ADDENDA 10 THIS CONTRACT IF ANY AND
ATTACH HERETO
NOTE UNDER NORTH CAROLINA I AW REAI FSTA I F BROKERS ARE NO I PERMITTED TO DRAFT CONDITIONS OR
CONTINGLNCIFS ro THIS CONTR_ACT
D Additional Provisions Addendum (Form 2A 1 1 T) D Lo in Assumption Addendum (Form 2A6 1)
D Back Up Conuaet Addendum (Fenn) 2A1 T) D Owners Association Disclosure And Addendum (Form 2Al2 T)
D Contingent Sale Addendum (Form 2A2 T) 0 Seller Financing Addendum (Forst 2A5 T)
D Short Sale Addendum (Form 2A14 1)
O OTHI R N / 4'
11 ASSIGNMENTS This Contract may not be assigned without the w ritten consent 01 all p irtie except in connection with a tax
dclured Lxcliange but it asslotied by agreement then this Contract shall be hindm_ 011 the assignee ind issi&nec s huh and
successors
14 TAN DEFERRED EXCHANGE In the event Bu}el or Seller. desires to effect a tax deferred exchange m connection with the
come\ ince of the Property Buyer and Seller agree to cooperate in Lunen'', suet exchange prom tiled howL%s that the exeliangm
putty shall be responsible tot all additional costs associated with such exchun,e and pro ided hardier that a non exclnnt tip_ part}
shill not tssuine my additional It961Iity with 1espect to such tax deterred exchinpe Buyet Ind Seller shall execute such additional
documents mcludin& asst nment 01 this Contract in LOImeetion thcicwith a no Lost to the non exeltingmR party Is shall he required
to give cllext to this prom Isms
Is PARTTES Thi Contract shall he butting upon Ind shall inure to the benefit of Buyer and Seller and their re pectne heirs
ULeessors Ind issi As used /item 1101 CIS win the smgulai nmludc the plural and the masculine includes the feminine mcl neuter
enders us appropriate
16 SUR\ IVAL 11 any punuton herein contained which by its nature and effect is tequned to be observed kept or pettonned alter
the Closing it shall sun ne the Closing and remain bindinc up m and for the benefit of the parties hereto until hilly observed kept or
performed
17 E \'LIRE AGREEMENT this Contract contains the entire agreement of the parties and there ace no represent Rlons
i ndueements or other proms ions other than those expressed herein All chances additions 01 deletions hereto must be in wntin& and
signed by all pastes Nothing contained herein shill titer city agreement between a REAL TOR or broker and Seller or Buyer a
Loin-lined in any listing u ieement buyer a &encv agreement of an} othei agenc} igteement between them
18 NOTICE Any nutlet. or conununlc Mon to be Liven to a p arty herein nna\ be been to the part} 0t to suet' party s a An‘
mm ritten notice 01 communication in connection with the transaction contemplated by this Contract may be given to a party or a party s
agent by sending or transmitting it to any marlin& address e mad address or tax number set forth in the Notice Information section
bel AN Seller and Buyer there that the Notice Information and Esuow Acknowledgment sections below shall not constitute 1
material part of this Contract and that the addition or modification of any information therein shall not constitute a 'election of an
Infer cr the creation of a countetofier
19 EXECLTIO\ This Contract may be signed in multiple ou or counterparts all of which together constitute one and the
same instrument and the parties adopt as their seals the word SEAL beside then signatures below
''0 COMPUTATION OF DAYS Unless otherwise prom riled for purposes of this Contract the teen days shall mean colisecutne
alcndar days mcluding Saturdays Sundays and holidays whether federal state local or religious For the purposes of calculatin
days the count of days shall begin on the day follow mg the day upon w lnt.h any ict or notice as promtded in this Contras w
required to be pettonned or made
Page 7 018
Q C STANDARD FORM 12 T
Buyer tmttals S 1 L) Sella imtnts l A 11 Revised 1/2011
CO 1/2011
THE NORTH CAROLINA ASSOCIATION OF REAL TORS INC AND THE NORTH CAROLINA BAR ASSOCIATION
MAKE NO RFI RFSI-NTATION AS TO THF 1 FOAL \ Al WI I OR ADEQUACY OF ANY PRO'vISION OF THIS FORM IN
ANY SPECIFIC I RANSAC 1 ION IF Y OD DO NOT UNDER') I AND 1 HIS FORM OR 1-FEL FHAT IT DOES NOT PROVIDE
FOR YOUR LEGAL NEEDS YOU SHOUI D CONSUL 1 A NORTH CAROL INA REAL ESTATE ATTORNEY BEFORE YOU
SIGN IT
This oiler shall becc me a binding contract on the Fllecu\ e D ne
Date Z' I, Date
Buvu :�.. ✓L�'� •" (SFAL) Selig 41 ► (SEAL)
Dau 3 �'Z" 1 Di t
'Buyer V.ua,. ✓. . I Vii - . . w . •• (SFAL) 'ell r (SLAL)
Date _ D rte
Buvet (Si Al ) Seller _ (SEAL)
NOTICE INFORMATION
(NOTE INSFR THF ADDRESS AND /OR ELFCIRONIC DFI IVERY ADDRLSS EACH PARIY AND ACENF APPROVES
FOR I HI RECEIPT 01- ANY NOTICE CONTEMN All I) BY 11115 CONTRACT INSFR1 N'A FOR ANY W1 -IICFI ARF
NO APPROVED )
BUYER NOTICE ADDRESS II SELLER NOTICE nn ADDRESS
6`
Mtihnc Address (X) Host Mock CosakT Mailing Addre Y 0 (4o )r A I 9
t 14�e - e u. te N (. R'3p3 _ S m. etlt0 ry C 2.7 330
Buyer Fax# S Ilcr Fax#
BulerE mail 5-1-Cs4.4oe $a P oft L2A► t^'tA t c...rieiiei r mil ' r1 � ' O AA • •✓V
SELLI \G AGENT NOTICE ADDRESS
• 1 LISTING AGENT NOTICE ADDRESS I
Firm Name 'Yfi So.� 1SPA l LS' 'I' 1 um Nun A µP.S,.J p. n.! Ech4. ---e
Acting as ❑ Buyers Ag nt fa� i s (sub)Agent ❑ Dual Ac nt Acting a Seller s Acent D Dual Agent
Malin Address . 5 Yo C Q4- Ct QO s 'vl Mi ng Address
's J ��
lndivtdu it Selling. Agent L7 • Indrvtdt Lls[mc Agen
❑ Acting a 1 De icnated Dual Agent (check only it applicable') ❑ Acum_ i t Destg D�n t ck only it apply. this)
Liecnse# � 14 License#
Selling Agent Phones€ to '7 7 Co 4A4 1 Listen, Agent Phone#
Selhn A,cnt F ixn Gj 1f1 72 (a 4 ? 4 l_J � 1 n tin& Agent Fax#
Scllnig Agent F mail pti1}}ersoro gea-I1 (()ivv,94r2.ekvriListing Agent F mail
r A/C *-
ESCROW ACKNOWLEDGMENT OF INITIAL EARNEST MONEY DEPOSIT
Est.) oss Agent acknowledges receipt of the Initial Earnest Ylones Deposit and agi ees to hold and disburse the same in
accordance pith the ter ms hereof
Date 3 ( 2 1 Firin A • r + � ' — s —
By /3grist^ ,�Ci.l lo&t —,
l�
(� bientture)
BII L1 f.4- �'- e,
(Print name)
Pa.eS
STANDARD FORM 12 T
Resised 1/2011
tr 1/2011