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{\author Linda Owens}{\operator Linda Owens}{\creatim\yr2003\mo4\dy22\hr9\min40}{\revtim\yr2003\mo4\dy22\hr9\min40}{\version2}{\edmins0}{\nofpages2}{\nofwords207}{\nofchars1180}{\*\company DHHS}{\nofcharsws1449}{\vern113}}\margl1440\margr1440 
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Excerpt from NC Division of Aging-Area Agency on Aging Policies and Procedures Manual 
\par }\pard \s17\widctlpar\tqc\tx4320\tqr\tx8640\adjustright {\i\f0\fs18 Effective Date: July 1, 1994\tab \tab Page}{\i\f0\fs16  }{\field{\*\fldinst {\cs18\f0\fs16  PAGE }}{\fldrslt {\cs18\f0\fs16\lang1024 2}}}{
\par }}{\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang{\pntxta )}}
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\pnlcltr\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}\pard\plain \s15\qr\widctlpar\adjustright \f2\fs20\cgrid {\b\f1\fs24 Attachment II
\par }{\f1\fs24 DOA-711
\par }\pard \s15\widctlpar\adjustright {\f1\fs24 
\par }\pard \s15\qc\widctlpar\adjustright {\f1\fs24 Notice of Record - Senior Center Reversionary Interest
\par Units of Local Government
\par }\pard \s15\widctlpar\adjustright {\f1\fs24 
\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 th
e 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 }{\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 }\pard \s15\qc\widctlpar\adjustright {\f1\fs24 (Insert Description Provided in Survey)
\par }\pard \s15\widctlpar\adjustright {\f1\fs24 
\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 }\pard\plain \qc\widctlpar\adjustright \f1\cgrid {(Address of Area Agency on Aging)
\par 
\par }\pard\plain \s15\qr\widctlpar\adjustright \f2\fs20\cgrid {\f1\fs24 \page }{\b\f1\fs24 Attachment II
\par }{\f1\fs24 DOA-711
\par 
\par }\pard \s15\widctlpar\adjustright {\f1\fs24 
\par \tab \tab \tab \tab \tab }{\f1\fs24\ul \tab \tab \tab \tab \tab \tab 
\par }\pard \s15\fi720\li2880\widctlpar\adjustright {\f1\fs24 (Indicate County/Municipality)
\par }\pard \s15\widctlpar\adjustright {\f1\fs24 
\par \tab \tab \tab \tab By\tab }{\f1\fs24\ul \tab \tab \tab \tab \tab \tab }{\f1\fs24  (Signature)
\par }\pard \s15\li3600\widctlpar\adjustright {\f1\fs24 (Indicate Chairman, Board of
\par }\pard \s15\fi720\li2880\widctlpar\adjustright {\f1\fs24 Commissioners or Mayor)
\par }\pard \s15\widctlpar\adjustright {\f1\fs24 
\par 
\par Attest: }{\f1\fs24\ul \tab \tab \tab \tab \tab }{\f1\fs24  (Signature)
\par \tab (Indicate Clerk, County Board
\par \tab of Commissioners or Town or
\par \tab City Clerk)
\par 
\par }\pard\plain \widctlpar\adjustright \f1\cgrid {\tab \tab \tab \tab \tab (Notary Seal)
\par }}