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0065A LOUIS ST
� � r �� 1� u° � � � G ,� REGISTRATION AND CERTIFICATION FORM,, FOR FORECLOSING/FORECLOSED'PROPERTY ` Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each.�pr..oper vA;n-forec`losure (section 224-3)or already foreclosed for which possession has,.been taken (section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section 1 (property information) and the first paragraph of section 2 (foreclosing party, court, etc. and foreclosing party representative, but not other representatives and attorney) so that the Town can review the exemption and update its records: Section I —Property Information Property Address: 65 LOUIS STREET HYANNIS, MA 02601 Assessors Map#: Parcel #: M:309 L:207 r Land area and description BLOCKNUM:000207, LOTNUM:000000,UNITNUM:00000 Building(s) description and contents Occupied: YES Occupant(s)(if borrowers so state and include name(s)) Phone: email: other: Vacant: Date: Anticipated Length of Vacancy: Last occupant(s))(if borrowers so state and include name(s)) Phone: email: other: Has possession been taken If so, please explain and complete and file the maintenance and security plan form(unless exempt as stated above) Section 2 —Foreclosing Party Information Foreclosing Party (full name/title) NATIONSTAR MORTGAGE Foreclosure Case Court: Docket# . r Date filed: 11/19/2014 Current Status: OCCUPIED Foreclosing Party's representative(s) for property (entry, management, repair, etc.)(name,title,): DAWN CAMPO Company (if different from foreclosing party): Address: 8950 CYPRESS WATER RI VD; nALLAs,TX 75063 Phone: 888-456-0714 email: CodeViolations@nationstarmail.com other: If an exemption is claimed,please do not complete the remainder. Other representative(s) (if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure,please so state and do not complete contact information(i. e. "none" or"see above")). Name,title, other: KAREN k WAl i ACE Company (if different from foreclosing party): A CLEAN SWEEP HOME IMPROVEMENTS Address: 103 BARDIN ST: HANOVER, MA 02339 Phone(s): 877-339-8202 email(s): other: Name,title, other: Company (if different from foreclosing party): Address: Phone: email: other: Attorney representing foreclosing party Firm name (if different from attorney's name): Address: Phone(s): email(s): other: I acknowledge that the information provided is accurate and correct. I also understand that any 'naccurate information will result in non-compliance with section 224-3 of chapter 24 of the Code of the Town of Barnstable. u Date: K Name: Title: �-CA I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable., Date: Building Commissioner, Town of Barnstable it " r n A ® DAT ( rrn 71 2014 0 CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terns and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the -_E certificate holder in lieu of such endorsement(s). PRODUCER CONTACT 13 Aon Risk Services Southwest, Inc. NAME: Dallas TX Office (AK-No.E,d): (866) 283-7122 FA/C No : (800) 363-0105 cMPlace center East 2711 North Haskell Avenue ADDRESS: _ Suite 800 Dallas TX 75204 USA INSURER(S)AFFORDING COVERAGE NAICN INSURED INSURER A: Federal insurance company 20281 Natlonstar Mortqaqe LLC INSURERS: Great Northern insurance Co. 20303 3SO Highland Drive wsURERc: Chubb indemnity insurance Co. 12777 Lewisville TX 75067 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570054625753 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown areas requested NS TYPE OF INSURANCE INS WI POLICY NUMBER M MhUp LIMITS T MMERCIAL GENERAL LIABILITY EACH OCCURRENCE S1,000,000 CLAIMS-MADE XM OCCUR PREFASES Ea occurrence $l,OOO,000 MEO EXP(Any one person) S10,000 PERSONAL BAOVINJURY $1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERALAGGREflATE $2,000,000 n pOL)CY ❑JET X LOC PROOUCTS-COMPIOPAGG included OTHER I A AUTOMOBILE LIABILITY 73542S88 07 11 2014 07/11/2015 COMBINED SINGLE LIMIT S1,000,000 Ea eccidIe „ X ANY AUTO BODILY INJURY(Pet person) O ALLOWNEU SCHEDULED BODILY INJURY(Per acddent) a AUTOS AUTOS PROPERTY DAMAGE u X HIREDAUTOS NON-OWNED eracddenl !� AUTOS d1 I A X UMBRELLALIAB X OCCUR 79793959 07 11 11 2015 EACH OCCURRENCE 10, 000,000 v EXCESS LIAR CLAIMSI.VJ11E AGGREGATE' $10,000,000 OEO RETENTION C WORKERS COMPENSATION AND 71701785 07 1 X STAME ETA EMPLOYERS'LIABILITY ANY PROPRIETOR!PARTNER/EXECUnTVE EL.EACHACCIDENT S500,000 OFFICERRJIEMBER EXCLUDED? N I A (MandatcrylnNH) E.L.DISEASE-EA EMPLOYEE $500,000 DESs601ION OF OPERATIONS belsir E.L.DISEASE-POLICY LfF,IR 5500,000- f DESCRIPTION OF OPERATIONS ILOCATIONS 1 VEHICLES(ACORO 101,Additional Remarks Schedule,maybe allathed[(more space is required) Evidence of insurance. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Nationstar Mortgage Holdings LLC AUTHORIZED REPRESENTATIVE 11' 350 Hi hlane orve Lewisville TX 75067 USA ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 26(2014101) The ACORO name and logo are registered marks of ACORO