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<table cellspacing="0" cellpadding="0" border="0" class="myTable" style="border-width:0;width:489pt">
<tbody><tr style="height:0px"><td style="border-width:0;width:30pt"></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>
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</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:25pt">
<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;">松山湖管委会</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;">松山湖教师村</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>
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<td style="border-width:0"></td>
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<tr style="height:25pt">
<td align="center" colspan="13" style="border-width:0"><font style="font-size:12pt;">教师村小区17号楼1单元电梯 4G 无线网络五方对讲安装(182311140111)</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>
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<tr style="height:25pt">
<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;">0.32</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>
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<tr style="height:8pt">
<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:29pt">
<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">17号楼</td>
<td align="center">254</td>
<td align="center" colspan="2">赵*</td>
<td align="center" colspan="2">11.5000</td>
<td align="center" colspan="2">3.66</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">720.93</td>
</tr>
<tr style="height:14pt">
<td align="center">2</td>
<td align="center">17号楼</td>
<td align="center">255</td>
<td align="center" colspan="2">张*</td>
<td align="center" colspan="2">11.5000</td>
<td align="center" colspan="2">3.66</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">692.93</td>
</tr>
<tr style="height:14pt">
<td align="center">3</td>
<td align="center">17号楼</td>
<td align="center">256</td>
<td align="center" colspan="2">钟**</td>
<td align="center" colspan="2">11.5000</td>
<td align="center" colspan="2">3.66</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">720.93</td>
</tr>
<tr style="height:14pt">
<td align="center">4</td>
<td align="center">17号楼</td>
<td align="center">257</td>
<td align="center" colspan="2">王*</td>
<td align="center" colspan="2">11.5000</td>
<td align="center" colspan="2">3.66</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">692.93</td>
</tr>
<tr style="height:14pt">
<td align="center">5</td>
<td align="center">17号楼</td>
<td align="center">258</td>
<td align="center" colspan="2">赵**</td>
<td align="center" colspan="2">11.5000</td>
<td align="center" colspan="2">3.66</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">720.93</td>
</tr>
<tr style="height:14pt">
<td align="center">6</td>
<td align="center">17号楼</td>
<td align="center">1单元201号房</td>
<td align="center" colspan="2">徐**</td>
<td align="center" colspan="2">163.8300</td>
<td align="center" colspan="2">52.23</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,219.19</td>
</tr>
<tr style="height:14pt">
<td align="center">7</td>
<td align="center">17号楼</td>
<td align="center">1单元202</td>
<td align="center" colspan="2">胡**</td>
<td align="center" colspan="2">160.6100</td>
<td align="center" colspan="2">51.20</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">7,966.34</td>
</tr>
<tr style="height:14pt">
<td align="center">8</td>
<td align="center">17号楼</td>
<td align="center">1单元301号房</td>
<td align="center" colspan="2">吕**,蒲**</td>
<td align="center" colspan="2">162.6400</td>
<td align="center" colspan="2">51.85</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,159.56</td>
</tr>
<tr style="height:14pt">
<td align="center">9</td>
<td align="center">17号楼</td>
<td align="center">1单元302</td>
<td align="center" colspan="2">陈*,邓*</td>
<td align="center" colspan="2">159.4300</td>
<td align="center" colspan="2">50.82</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">7,997.71</td>
</tr>
<tr style="height:14pt">
<td align="center">10</td>
<td align="center">17号楼</td>
<td align="center">1单元402</td>
<td align="center" colspan="2">孙**,吴**</td>
<td align="center" colspan="2">160.6100</td>
<td align="center" colspan="2">51.20</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,055.40</td>
</tr>
<tr style="height:14pt">
<td align="center">11</td>
<td align="center">17号楼</td>
<td align="center">1单元401</td>
<td align="center" colspan="2">张**</td>
<td align="center" colspan="2">163.8300</td>
<td align="center" colspan="2">52.23</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,152.39</td>
</tr>
<tr style="height:14pt">
<td align="center">12</td>
<td align="center">17号楼</td>
<td align="center">1单元501</td>
<td align="center" colspan="2">王**</td>
<td align="center" colspan="2">163.8300</td>
<td align="center" colspan="2">52.23</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,215.83</td>
</tr>
<tr style="height:14pt">
<td align="center">13</td>
<td align="center">17号楼</td>
<td align="center">1单元502</td>
<td align="center" colspan="2">左**</td>
<td align="center" colspan="2">160.6100</td>
<td align="center" colspan="2">51.19</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">7,834.40</td>
</tr>
<tr style="height:14pt">
<td align="center">14</td>
<td align="center">17号楼</td>
<td align="center">1单元602</td>
<td align="center" colspan="2">翟**</td>
<td align="center" colspan="2">159.4300</td>
<td align="center" colspan="2">50.82</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">7,776.83</td>
</tr>
<tr style="height:14pt">
<td align="center">15</td>
<td align="center">17号楼</td>
<td align="center">1单元601</td>
<td align="center" colspan="2">东**</td>
<td align="center" colspan="2">162.6400</td>
<td align="center" colspan="2">51.85</td>
<td align="center" colspan="3">未表决</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">7,049.36</td>
</tr>
<tr style="height:14pt">
<td align="center">16</td>
<td align="center">17号楼</td>
<td align="center">1单元702</td>
<td align="center" colspan="2">邢*</td>
<td align="center" colspan="2">160.6100</td>
<td align="center" colspan="2">51.19</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">7,834.40</td>
</tr>
<tr style="height:14pt">
<td align="center">17</td>
<td align="center">17号楼</td>
<td align="center">1单元701</td>
<td align="center" colspan="2">彭**</td>
<td align="center" colspan="2">163.8300</td>
<td align="center" colspan="2">52.23</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">7,991.49</td>
</tr>
<tr style="height:14pt">
<td align="center">18</td>
<td align="center">17号楼</td>
<td align="center">1单元801</td>
<td align="center" colspan="2">尹*</td>
<td align="center" colspan="2">163.8300</td>
<td align="center" colspan="2">52.23</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,215.54</td>
</tr>
<tr style="height:14pt">
<td align="center">19</td>
<td align="center">17号楼</td>
<td align="center">1单元802</td>
<td align="center" colspan="2">张*</td>
<td align="center" colspan="2">160.6100</td>
<td align="center" colspan="2">51.19</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">7,834.40</td>
</tr>
<tr style="height:14pt">
<td align="center">20</td>
<td align="center">17号楼</td>
<td align="center">1单元901号房</td>
<td align="center" colspan="2">马**</td>
<td align="center" colspan="2">162.6400</td>
<td align="center" colspan="2">51.85</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,159.46</td>
</tr>
<tr style="height:14pt">
<td align="center">21</td>
<td align="center">17号楼</td>
<td align="center">1单元902号房</td>
<td align="center" colspan="2">赵*,梁*</td>
<td align="center" colspan="2">159.4300</td>
<td align="center" colspan="2">50.82</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">7,998.23</td>
</tr>
<tr style="height:14pt">
<td align="center">22</td>
<td align="center">17号楼</td>
<td align="center">1单元1002</td>
<td align="center" colspan="2">陶**</td>
<td align="center" colspan="2">160.9800</td>
<td align="center" colspan="2">51.32</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,076.09</td>
</tr>
<tr style="height:14pt">
<td align="center">23</td>
<td align="center">17号楼</td>
<td align="center">1单元1001</td>
<td align="center" colspan="2">杜*,王*</td>
<td align="center" colspan="2">164.2000</td>
<td align="center" colspan="2">52.35</td>
<td align="center" colspan="3">未表决</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,237.28</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">2971.0900</td>
<td align="center" colspan="2">947.10</td>
<td align="center" colspan="3"></td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px"></td>
</tr>
<tr style="height:9pt">
<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 2023 年 12 月 18 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 0 户，总人数 22 人，专有部分面积 2971.09 平方米；
<br>2、参与表决的业主拥有专有部分面积 2644.2500 平方米，占列支范围的专有部分面积的比例 89.00 ％，同意的业主拥有专有部分面积 2644.2500 平方米，占参与表决专有部分面积的 100 ％；
<br>3、参与表决 20 人，占总人数 90.91 ％，同意表决的人数是 20 人，占参与表决人数的 100 ％。
<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 0 1px 0"></td>
<td style="border-width:0 0 1px 0"></td>
<td style="border-width:0 0 1px 0"></td>
<td style="border-width:0 0 1px 0"></td>
<td style="border-width:0 0 1px 0"></td>
<td style="border-width:0 0 1px 0"></td>
<td style="border-width:0 0 1px 0"></td>
<td style="border-width:0 0 1px 0"></td>
<td style="border-width:0 0 1px 0"></td>
<td style="border-width:0 0 1px 0"></td>
<td style="border-width:0 0 1px 0"></td>
<td style="border-width:0 0 1px 0"></td>
<td style="border-width:0 0 1px 0"></td>
<td style="border-width:0 0 1px 0"></td>
</tr>
</tbody></table>
<table cellspacing="0" cellpadding="0" border="0" class="myTable" style="border-width:0;width:489pt">
<tbody><tr style="height:0px"><td style="border-width:0;width:30pt"></td>
<td style="border-width:0;width:67pt"></td>
<td style="border-width:0;width:49pt"></td>
<td style="border-width:0;width:34pt"></td>
<td style="border-width:0;width:34pt"></td>
<td style="border-width:0;width:25pt"></td>
<td style="border-width:0;width:25pt"></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:25pt"></td>
<td style="border-width:0;width:28pt"></td>
<td style="border-width:0;width:36pt"></td>
</tr><tr style="height:151pt">
<td valign="top" colspan="6">
<br> 业主委员会（盖章）：
<br>
<br>
<br>
<br>
<br>
<br>
<br>
<br> 年 月 日
<br>
<br> </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:12pt">
<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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