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CITY OF SAN MARCOS <br />DISCLOSURE AFFIDAVIT-REAL PROPERTY <br />STATE OF TEXAS <br />COUNTY OF HAYS <br />The undersigned member of the City of Son Marcos GAL" , (name of City Board, <br />Commission, etc.) states under oath as follows: <br />I have a substantial interest in real property that may be involved in a vote or decision of the governmental body <br />described above, and it is reasonably foreseeable that the vote or decision will have a special economic effect on the <br />value of the property, distinguishable from its effect on the public. <br />The real property is described as follows (give street address, or location and approximate size): <br />( 4+11 <br />lira sm ?fi S-f-r-e?•t <br />I acknowledge that my interest in this real property has a fair market value of $2,500 or more. <br />The vote or decision involving this interest in real property is on the _11 J0_"' 1+ Zv 0 1 (date) agenda of the <br />governmental body, and the subject matter of the vote or decision is as follows: <br />n _ _ In _ _ _ <br />Check if appli <br />The interest described above belongs to a person related to me in the first degree by consanguinity <br />(natural kinship) or affinity (marriage). Relative's name and relation: <br />EXECUTED on P1/LGc Z 1 Z d O! (date). <br />SWORN TO AND <br />JANIS K. WOMACK <br />Notary Public, State of Texas <br />My Commission Expires <br />August 13, 2005 <br />Signature _ <br />Printed name So e 3• Go J- <br />K, V', <br />rlo)lry Public <br />State of Texas <br />date). <br />FILED on <br />date). <br />City 546e#>,ry of the City orSan Marcos <br />COSM Form 9/99