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<style type="text/css">
.myTable,.myTable td {
page-break-after:always;
font-family:宋体;font-size:9pt;
padding-right:0.5pt;
padding-left:0.5pt;
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padding-bottom:0.5pt;
border-style:solid;border-width:1px 0 0 1px;
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<table cellspacing="0" cellpadding="0" border="0" class="myTable" style="border-width:0;width:484pt">
<tbody><tr style="height:0px"><td style="border-width:0;width:30pt"></td>
<td style="border-width:0;width:53pt"></td>
<td style="border-width:0;width:49pt"></td>
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<td style="border-width:0;width:28pt"></td>
<td style="border-width:0;width:36pt"></td>
</tr><tr style="height:4pt">
<td style="border-width:0"><font style="font-size:32pt;font-weight:bold;"></font></td>
<td style="border-width:0"><font style="font-size:32pt;font-weight:bold;"></font></td>
<td style="border-width:0"><font style="font-size:32pt;"></font></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
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<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
</tr>
<tr style="height:18pt">
<td align="center" rowspan="2" colspan="14" style="border-width:0"><font style="font-size:22pt;font-weight:bold;">东莞市住宅专项维修资金征求意见情况登记表</font></td>
</tr>
<tr style="height:29pt">
</tr>
<tr style="height:7pt">
<td align="center" colspan="14" style="border-width:0"></td>
</tr>
<tr style="height:26pt">
<td align="center" style="border-width:0"><font style="font-size:12pt;"></font></td>
<td align="center" colspan="4" style="border-width:0"><font style="font-size:12pt;">万江街道办事处</font></td>
<td align="center" colspan="2" style="border-width:0"><font style="font-size:12pt;">镇（街）</font></td>
<td align="center" colspan="6" style="border-width:0"><font style="font-size:12pt;">幸福花苑(上东国际花园)</font></td>
<td style="border-width:0"><font style="font-size:12pt;">楼盘</font></td>
</tr>
<tr style="height:1pt">
<td style="border-width:0"></td>
<td align="center" colspan="4" style="border-width:1px 0 0 0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:0"></td>
</tr>
<tr style="height:26pt">
<td align="center" colspan="13" style="border-width:0"><font style="font-size:12pt;">幸福花苑（上东国际花园）6栋2单元大堂及负一楼大堂天花、墙面拆除及修复，<br>强电改造工程(182107290111)</font></td>
<td style="border-width:0"><font style="font-size:12pt;">项目</font></td>
</tr>
<tr style="height:1pt">
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:0"></td>
</tr>
<tr style="height:26pt">
<td align="center" colspan="2" style="border-width:0"><font style="font-size:12pt;">单位分摊：</font></td>
<td align="center" colspan="4" style="border-width:0"><font style="font-size:12pt;">9.99</font></td>
<td style="border-width:0" colspan="2"><font style="font-size:12pt;">元/㎡</font></td>
<td style="border-width:0"><font style="font-size:12pt;"></font></td>
<td style="border-width:0"><font style="font-size:12pt;"></font></td>
<td style="border-width:0"><font style="font-size:12pt;"></font></td>
<td style="border-width:0"><font style="font-size:12pt;"></font></td>
<td style="border-width:0"><font style="font-size:12pt;"></font></td>
<td style="border-width:0"><font style="font-size:12pt;"></font></td>
</tr>
<tr style="height:9pt">
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
</tr>
<tr style="height:32pt">
<td align="center" bgcolor="#C0C0C0">序号</td>
<td align="center" bgcolor="#C0C0C0">幢号</td>
<td align="center" bgcolor="#C0C0C0">房号</td>
<td align="center" colspan="2" bgcolor="#C0C0C0">业主姓名</td>
<td align="center" colspan="2" bgcolor="#C0C0C0">建筑面积
<br>（平方米）</td>
<td align="center" colspan="2" bgcolor="#C0C0C0">分摊金额/
<br>备用金额
<br>（元）</td>
<td align="center" colspan="3" bgcolor="#C0C0C0">业主意见
<br>（同意、不同意、
<br>弃权或未表决）</td>
<td align="center" colspan="2" bgcolor="#C0C0C0" style="border-width:1px 1px 0 1px">可用余额</td>
</tr>
<tr style="height:14pt">
<td align="center">1</td>
<td align="center">6栋</td>
<td align="center">2单元1402</td>
<td align="center" colspan="2">陈**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">未表决</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,099.39</td>
</tr>
<tr style="height:14pt">
<td align="center">2</td>
<td align="center">6栋</td>
<td align="center">2单元802</td>
<td align="center" colspan="2">杜**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,071.71</td>
</tr>
<tr style="height:14pt">
<td align="center">3</td>
<td align="center">6栋</td>
<td align="center">2单元202</td>
<td align="center" colspan="2">唐**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">不同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.07</td>
</tr>
<tr style="height:14pt">
<td align="center">4</td>
<td align="center">6栋</td>
<td align="center">2单元101</td>
<td align="center" colspan="2">吴**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">不同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.07</td>
</tr>
<tr style="height:14pt">
<td align="center">5</td>
<td align="center">6栋</td>
<td align="center">2单元1201</td>
<td align="center" colspan="2">翟**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.07</td>
</tr>
<tr style="height:14pt">
<td align="center">6</td>
<td align="center">6栋</td>
<td align="center">2单元1601</td>
<td align="center" colspan="2">詹**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.07</td>
</tr>
<tr style="height:14pt">
<td align="center">7</td>
<td align="center">6栋</td>
<td align="center">2单元1101</td>
<td align="center" colspan="2">赵**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.07</td>
</tr>
<tr style="height:14pt">
<td align="center">8</td>
<td align="center">6栋</td>
<td align="center">2单元801</td>
<td align="center" colspan="2">周**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">不同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.07</td>
</tr>
<tr style="height:14pt">
<td align="center">9</td>
<td align="center">6栋</td>
<td align="center">2单元1501</td>
<td align="center" colspan="2">唐**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.07</td>
</tr>
<tr style="height:14pt">
<td align="center">10</td>
<td align="center">6栋</td>
<td align="center">2单元401</td>
<td align="center" colspan="2">朱**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">弃权</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.07</td>
</tr>
<tr style="height:14pt">
<td align="center">11</td>
<td align="center">6栋</td>
<td align="center">2单元201</td>
<td align="center" colspan="2">孙**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">未表决</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.07</td>
</tr>
<tr style="height:14pt">
<td align="center">12</td>
<td align="center">6栋</td>
<td align="center">2单元902</td>
<td align="center" colspan="2">黎**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">未表决</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.07</td>
</tr>
<tr style="height:14pt">
<td align="center">13</td>
<td align="center">6栋</td>
<td align="center">2单元1102</td>
<td align="center" colspan="2">许*</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.07</td>
</tr>
<tr style="height:14pt">
<td align="center">14</td>
<td align="center">6栋</td>
<td align="center">2单元602</td>
<td align="center" colspan="2">覃**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">未表决</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.07</td>
</tr>
<tr style="height:14pt">
<td align="center">15</td>
<td align="center">6栋</td>
<td align="center">2单元1302</td>
<td align="center" colspan="2">李**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.07</td>
</tr>
<tr style="height:14pt">
<td align="center">16</td>
<td align="center">6栋</td>
<td align="center">2单元102</td>
<td align="center" colspan="2">何**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">不同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.07</td>
</tr>
<tr style="height:14pt">
<td align="center">17</td>
<td align="center">6栋</td>
<td align="center">2单元1602</td>
<td align="center" colspan="2">门**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">未表决</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.07</td>
</tr>
<tr style="height:14pt">
<td align="center">18</td>
<td align="center">6栋</td>
<td align="center">2单元601</td>
<td align="center" colspan="2">裴**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">不同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.07</td>
</tr>
<tr style="height:14pt">
<td align="center">19</td>
<td align="center">6栋</td>
<td align="center">2单元501</td>
<td align="center" colspan="2">郑**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">不同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.07</td>
</tr>
<tr style="height:14pt">
<td align="center">20</td>
<td align="center">6栋</td>
<td align="center">2单元1802</td>
<td align="center" colspan="2">黄**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.07</td>
</tr>
<tr style="height:14pt">
<td align="center">21</td>
<td align="center">6栋</td>
<td align="center">2单元1801</td>
<td align="center" colspan="2">卢**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.07</td>
</tr>
<tr style="height:14pt">
<td align="center">22</td>
<td align="center">6栋</td>
<td align="center">2单元1002</td>
<td align="center" colspan="2">刘**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">未表决</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.07</td>
</tr>
<tr style="height:14pt">
<td align="center">23</td>
<td align="center">6栋</td>
<td align="center">2单元301</td>
<td align="center" colspan="2">莫**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">不同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.07</td>
</tr>
<tr style="height:14pt">
<td align="center">24</td>
<td align="center">6栋</td>
<td align="center">2单元402</td>
<td align="center" colspan="2">赖**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.07</td>
</tr>
<tr style="height:14pt">
<td align="center">25</td>
<td align="center">6栋</td>
<td align="center">2单元1401</td>
<td align="center" colspan="2">张**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.08</td>
</tr>
<tr style="height:14pt">
<td align="center">26</td>
<td align="center">6栋</td>
<td align="center">2单元1202</td>
<td align="center" colspan="2">刘**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.08</td>
</tr>
<tr style="height:14pt">
<td align="center">27</td>
<td align="center">6栋</td>
<td align="center">2单元701</td>
<td align="center" colspan="2">肖**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">不同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.08</td>
</tr>
<tr style="height:14pt">
<td align="center">28</td>
<td align="center">6栋</td>
<td align="center">2单元1701</td>
<td align="center" colspan="2">陈**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.08</td>
</tr>
<tr style="height:14pt">
<td align="center">29</td>
<td align="center">6栋</td>
<td align="center">2单元901</td>
<td align="center" colspan="2">李**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">未表决</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.08</td>
</tr>
<tr style="height:14pt">
<td align="center">30</td>
<td align="center">6栋</td>
<td align="center">2单元1702</td>
<td align="center" colspan="2">黎**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.08</td>
</tr>
<tr style="height:14pt">
<td align="center">31</td>
<td align="center">6栋</td>
<td align="center">2单元702</td>
<td align="center" colspan="2">苏**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">未表决</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.08</td>
</tr>
<tr style="height:14pt">
<td align="center">32</td>
<td align="center">6栋</td>
<td align="center">2单元502</td>
<td align="center" colspan="2">张**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.59</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.08</td>
</tr>
<tr style="height:14pt">
<td align="center">33</td>
<td align="center">6栋</td>
<td align="center">2单元1001</td>
<td align="center" colspan="2">张**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.58</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.08</td>
</tr>
<tr style="height:15pt">
<td align="center">34</td>
<td align="center">6栋</td>
<td align="center">2单元1301</td>
<td align="center" colspan="2">黄**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.58</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.08</td>
</tr>
<tr style="height:14pt">
<td align="center" style="border-width:1px 0 1px 1px">35</td>
<td align="center" style="border-width:1px 0 1px 1px">6栋</td>
<td align="center" style="border-width:1px 0 1px 1px">2单元302</td>
<td align="center" colspan="2" style="border-width:1px 0 1px 1px">李**</td>
<td align="center" colspan="2" style="border-width:1px 0 1px 1px">166.7600</td>
<td align="center" colspan="2" style="border-width:1px 0 1px 1px">1,665.58</td>
<td align="center" colspan="3" style="border-width:1px 0 1px 1px">不同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 1px 1px">8,103.08</td>
</tr>
</tbody></table>
<table cellspacing="0" cellpadding="0" border="0" class="myTable" style="border-width:0;width:484pt">
<tbody><tr style="height:0px"><td style="border-width:0;width:30pt"></td>
<td style="border-width:0;width:53pt"></td>
<td style="border-width:0;width:49pt"></td>
<td style="border-width:0;width:36pt"></td>
<td style="border-width:0;width:36pt"></td>
<td style="border-width:0;width:26pt"></td>
<td style="border-width:0;width:30pt"></td>
<td style="border-width:0;width:36pt"></td>
<td style="border-width:0;width:36pt"></td>
<td style="border-width:0;width:25pt"></td>
<td style="border-width:0;width:25pt"></td>
<td style="border-width:0;width:24pt"></td>
<td style="border-width:0;width:28pt"></td>
<td style="border-width:0;width:36pt"></td>
</tr><tr style="height:14pt">
<td align="center">36</td>
<td align="center">6栋</td>
<td align="center">2单元1502</td>
<td align="center" colspan="2">孟**</td>
<td align="center" colspan="2">166.7600</td>
<td align="center" colspan="2">1,665.58</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,103.08</td>
</tr>
<tr style="height:14pt">
<td align="center">汇总</td>
<td align="center"></td>
<td align="center"></td>
<td align="center" colspan="2"></td>
<td align="center" colspan="2">6003.3600</td>
<td align="center" colspan="2">59,961.20</td>
<td align="center" colspan="3"></td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px"></td>
</tr>
<tr style="height:14pt">
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
<td style="border-width:1px 0 0 0"></td>
</tr>
<tr style="height:81pt">
<td style="border-width:0" valign="top" colspan="14"><font style="font-size:12pt;"> 本《维修和更新、改造方案》/《电梯备用金设立方案》于 2022 年 2 月 28 日完成业主表决，表决结果如下：
<br>1、列支范围内涉及房屋总户数 36 户，总人数 36 人，专有部分面积 6003.36 平方米；
<br>2、参与表决的业主拥有专有部分面积 4669.2800 平方米，占列支范围的专有部分面积的比例 77.78 ％，同意的业主拥有专有部分面积 3001.6800 平方米，占参与表决专有部分面积的 64.29 ％；
<br>3、参与表决 28 人，占总人数 77.78 ％，同意表决的人数是 18 人，占参与表决人数的 64.29 ％。
<br>以上填报信息及提交材料全部真实有效，现予以确定，如有隐瞒或虚假，使用申请人（单位）承担由此引起的法律等责任。</font></td>
</tr>
<tr style="height:4pt">
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
<td style="border-width:0"></td>
</tr>
<tr style="height:156pt">
<td valign="top" colspan="6">
<br> 业主委员会委员（签名）：
<br> （已成立业主委员会的由业委会半数以上成员签名，未成立的不用签名。）
<br>
<br>
<br>
<br>
<br>
<br>
<br> 年 月 日
<br>
<br> （签章）</td>
<td style="border-width:1px 1px 0 1px" valign="top" colspan="8">
<br> 物业服务企业（签名）：
<br>
<br>
<br>
<br>
<br>
<br>
<br>
<br>
<br> 年 月 日
<br>
<br> （签章）</td>
</tr>
<tr style="height:20pt">
<td style="border-width:1px 0 0 0" colspan="14">说明：业主书面确认情况登记表若多余一页，需要在所有页面上盖章确认或盖骑缝章。</td>
</tr>
</tbody></table>
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