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{\*\listoverridetable{\listoverride\listid1868759464\listoverridecount0\ls1}}{\info{\title Attachment I}{\author Linda Owens}{\operator Linda Owens}{\creatim\yr2003\mo4\dy22\hr9\min41}{\revtim\yr2003\mo4\dy22\hr9\min41}{\version2}{\edmins0}{\nofpages2}
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{\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}\pard\plain \s15\qr\widctlpar\adjustright \f2\fs20\cgrid {\b\f1\fs24 Attachment III
\par }{\f1\fs24 DOA-712
\par }\pard \s15\widctlpar\adjustright {\f1\fs24 
\par }\pard \s15\qc\widctlpar\adjustright {\f1\fs24 Notice of Record - Senior Center Reversionary Interest
\par Private Non-Profit Corporations
\par }\pard \s15\widctlpar\adjustright {\f1\fs24 
\par 
\par This is to serve as notice to all potential sellers, purchasers, transferors and recipients of a transfer of the real property described below 
as to the Federal Government's reversionary interest as set forth in Section 312 of the Older Americans Act of 1965, as amended, 42 U.S.C. 303b, which have arisen as a result of 
\par 
\par }{\f1\fs24\ul \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab 
\par }\pard \s15\qc\widctlpar\adjustright {\f1\fs24 (Senior Center Sponsoring Agency)
\par }\pard \s15\widctlpar\adjustright {\f1\fs24 
\par receipt and use of Department of Health and Human Service's grant funds in connection with the purchase or construction of said property.  The property to which this notice is applicable is
\par 
\par }{\f1\fs24\ul \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab 
\par }\pard \s15\qc\widctlpar\adjustright {\f1\fs24 (Address)
\par }\pard \s15\widctlpar\adjustright {\f1\fs24 
\par and identified as Parcel }{\f1\fs24\ul \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab 
\par }\pard \s15\qc\widctlpar\adjustright {\f1\fs24 (Insert Appropriate Number(s)
\par }\pard \s15\widctlpar\adjustright {\f1\fs24 
\par in the books and records of the Register of Deeds for 
\par 
\par }{\f1\fs24\ul  \tab \tab \tab \tab \tab \tab }{\f1\fs24 County, North Carolina.  Said
\par \tab (County Name)
\par 
\par real property is also described as:}{\f1\fs24\ul \tab \tab \tab \tab \tab \tab \tab \tab \tab 
\par }{\f1\fs24 
\par }{\f1\fs24\ul \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab 
\par }{\f1\fs24 \tab \tab (Insert Description Provided in Survey)
\par 
\par Further information as to the Federal Government's interest referred to above can be obtained from }{\f1\fs24\ul \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab 
\par }{\f1\fs24 
\par }{\f1\fs24\ul \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab 
\par }\pard \s15\qc\widctlpar\adjustright {\f1\fs24 (Name of Agency)
\par }\pard \s15\widctlpar\adjustright {\f1\fs24 
\par }{\f1\fs24\ul \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab 
\par }{\f1\fs24 \tab \tab \tab (Address of Area Agency on Aging)
\par 
\par }\pard \s15\qr\widctlpar\adjustright {\f1\fs24 \page }{\b\f1\fs24 Attachment III
\par }{\f1\fs24 DOA-712
\par }\pard \s15\widctlpar\adjustright {\f1\fs24 
\par 
\par \tab \tab \tab \tab \tab }{\f1\fs24\ul \tab \tab \tab \tab \tab \tab 
\par }{\f1\fs24 \tab \tab \tab \tab \tab Name of Corporation
\par 
\par \tab \tab \tab \tab By\tab }{\f1\fs24\ul \tab \tab \tab \tab \tab \tab }{\f1\fs24  (Signature)
\par \tab \tab \tab \tab \tab Executive Director
\par 
\par 
\par 
\par Attest: }{\f1\fs24\ul \tab \tab \tab \tab \tab }{\f1\fs24  (Signature)
\par \tab Secretary of Governing Body
\par 
\par 
\par \tab \tab \tab \tab \tab (Notary Seal)
\par 
\par }}