I hereby swear that:
I have no outstanding environmental code, building code, or zoning code Notices of Violation issued by the
City of Richmond against any property owned or controlled by myself as an individual, or any company,
corporation, or partnership named above in which I or any of my family is a shareholder or officer.
I am current on all real estate taxes, personal property taxes, business license fees, meals taxes, lodgings or
admissions taxes, whether as an individual, company, corporation, or partnership as named above.
All the information that I have provided is true and correct and that if I am the successful bidder I am
accepting the responsibility without condition for paying yearly real estate taxes and maintaining the
property in accordance with all local and state property maintenance laws. Any false statement submitted
by me on this Bidder’s Form may result in the City of Richmond pursuing all remedies available at law and
the cancellation of my bid.
COMMONWEALTH OF VIRGINIA
CITY OF RICHMOND, to wit:
The foregoing___________________________personally appeared before me and acknowledged
this to be his true signature this ________day of ___________2005.
My commission expires:_________________________
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