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</tr><tr style="height:4pt">
<td style="border-width:0"><font style="font-size:32pt;font-weight:bold;"></font></td>
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<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>
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<tr style="height:29pt">
</tr>
<tr style="height:7pt">
<td align="center" colspan="14" style="border-width:0"></td>
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<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;">凤岗镇</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;">半山逸品花园</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>
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<td align="center" colspan="13" style="border-width:0"><font style="font-size:12pt;">半山逸品花园一区6号商铺121外墙开裂渗水维修(182407110103)</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>
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<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;">2.74</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>
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<td style="border-width:0"></td>
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<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="2" bgcolor="#C0C0C0">业主意见
<br>（同意、不同意、
<br>弃权或未表决）</td>
<td align="center" bgcolor="#C0C0C0">投票方式</td>
<td align="center" colspan="2" bgcolor="#C0C0C0" style="border-width:1px 1px 0 1px">可用余额</td>
</tr>
<tr style="height:26pt">
<td align="center">1</td>
<td align="center">一区6号</td>
<td align="center">6号商铺11<br>9</td>
<td align="center" colspan="2">黄**</td>
<td align="center" colspan="2">163.2500</td>
<td align="center" colspan="2">447.29</td>
<td align="center" colspan="2">同意</td>
<td align="center">纸质投票</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,974.50</td>
</tr>
<tr style="height:26pt">
<td align="center">2</td>
<td align="center">一区6号</td>
<td align="center">6号商铺11<br>2</td>
<td align="center" colspan="2">宋**</td>
<td align="center" colspan="2">94.6900</td>
<td align="center" colspan="2">259.44</td>
<td align="center" colspan="2">同意</td>
<td align="center">纸质投票</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">5,204.21</td>
</tr>
<tr style="height:26pt">
<td align="center">3</td>
<td align="center">一区6号</td>
<td align="center">6号商铺11<br>6</td>
<td align="center" colspan="2">刘**</td>
<td align="center" colspan="2">194.0600</td>
<td align="center" colspan="2">531.71</td>
<td align="center" colspan="2">同意</td>
<td align="center">纸质投票</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">10,382.36</td>
</tr>
<tr style="height:14pt">
<td align="center">4</td>
<td align="center">一区6号</td>
<td align="center">商铺102</td>
<td align="center" colspan="2">曾**</td>
<td align="center" colspan="2">98.6700</td>
<td align="center" colspan="2">270.34</td>
<td align="center" colspan="2">同意</td>
<td align="center">纸质投票</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">5,420.28</td>
</tr>
<tr style="height:14pt">
<td align="center">5</td>
<td align="center">一区6号</td>
<td align="center">商铺103</td>
<td align="center" colspan="2">高**</td>
<td align="center" colspan="2">59.8600</td>
<td align="center" colspan="2">164.00</td>
<td align="center" colspan="2">同意</td>
<td align="center">纸质投票</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">3,288.18</td>
</tr>
<tr style="height:14pt">
<td align="center">6</td>
<td align="center">一区6号</td>
<td align="center">商铺104</td>
<td align="center" colspan="2">杨**</td>
<td align="center" colspan="2">111.4500</td>
<td align="center" colspan="2">305.36</td>
<td align="center" colspan="2">同意</td>
<td align="center">纸质投票</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">6,127.17</td>
</tr>
<tr style="height:14pt">
<td align="center">7</td>
<td align="center">一区6号</td>
<td align="center">商铺105</td>
<td align="center" colspan="2">杨**,杨**</td>
<td align="center" colspan="2">112.5600</td>
<td align="center" colspan="2">308.41</td>
<td align="center" colspan="2">同意</td>
<td align="center">纸质投票</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">6,183.78</td>
</tr>
<tr style="height:14pt">
<td align="center">8</td>
<td align="center">一区6号</td>
<td align="center">商铺106</td>
<td align="center" colspan="2">杨**</td>
<td align="center" colspan="2">110.1500</td>
<td align="center" colspan="2">301.79</td>
<td align="center" colspan="2">同意</td>
<td align="center">纸质投票</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">6,051.29</td>
</tr>
<tr style="height:14pt">
<td align="center">9</td>
<td align="center">一区6号</td>
<td align="center">商铺107</td>
<td align="center" colspan="2">黎**</td>
<td align="center" colspan="2">55.0500</td>
<td align="center" colspan="2">150.83</td>
<td align="center" colspan="2">同意</td>
<td align="center">纸质投票</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">3,029.50</td>
</tr>
<tr style="height:14pt">
<td align="center">10</td>
<td align="center">一区6号</td>
<td align="center">商铺108</td>
<td align="center" colspan="2">刘*</td>
<td align="center" colspan="2">90.7800</td>
<td align="center" colspan="2">248.72</td>
<td align="center" colspan="2">同意</td>
<td align="center">纸质投票</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">4,995.21</td>
</tr>
<tr style="height:14pt">
<td align="center">11</td>
<td align="center">一区6号</td>
<td align="center">商铺109</td>
<td align="center" colspan="2">刘*</td>
<td align="center" colspan="2">96.4200</td>
<td align="center" colspan="2">264.18</td>
<td align="center" colspan="2">同意</td>
<td align="center">纸质投票</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">5,305.25</td>
</tr>
<tr style="height:14pt">
<td align="center">12</td>
<td align="center">一区6号</td>
<td align="center">商铺110</td>
<td align="center" colspan="2">郑**</td>
<td align="center" colspan="2">96.4200</td>
<td align="center" colspan="2">264.18</td>
<td align="center" colspan="2">同意</td>
<td align="center">纸质投票</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">5,304.84</td>
</tr>
<tr style="height:14pt">
<td align="center">13</td>
<td align="center">一区6号</td>
<td align="center">商铺113</td>
<td align="center" colspan="2">曾**</td>
<td align="center" colspan="2">96.4200</td>
<td align="center" colspan="2">264.18</td>
<td align="center" colspan="2">同意</td>
<td align="center">纸质投票</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">5,305.25</td>
</tr>
<tr style="height:14pt">
<td align="center">14</td>
<td align="center">一区6号</td>
<td align="center">商铺114</td>
<td align="center" colspan="2">张*</td>
<td align="center" colspan="2">96.4200</td>
<td align="center" colspan="2">264.18</td>
<td align="center" colspan="2">同意</td>
<td align="center">纸质投票</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">5,218.15</td>
</tr>
<tr style="height:14pt">
<td align="center">15</td>
<td align="center">一区6号</td>
<td align="center">商铺115</td>
<td align="center" colspan="2">叶**</td>
<td align="center" colspan="2">194.0600</td>
<td align="center" colspan="2">531.71</td>
<td align="center" colspan="2">同意</td>
<td align="center">纸质投票</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">10,354.76</td>
</tr>
<tr style="height:14pt">
<td align="center">16</td>
<td align="center">一区6号</td>
<td align="center">商铺117</td>
<td align="center" colspan="2">苏**</td>
<td align="center" colspan="2">194.0600</td>
<td align="center" colspan="2">531.71</td>
<td align="center" colspan="2">未表决</td>
<td align="center">未投票</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">10,502.45</td>
</tr>
<tr style="height:14pt">
<td align="center">17</td>
<td align="center">一区6号</td>
<td align="center">商铺118</td>
<td align="center" colspan="2">黄**</td>
<td align="center" colspan="2">162.7600</td>
<td align="center" colspan="2">445.95</td>
<td align="center" colspan="2">未表决</td>
<td align="center">未投票</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,764.53</td>
</tr>
<tr style="height:14pt">
<td align="center">18</td>
<td align="center">一区6号</td>
<td align="center">商铺120</td>
<td align="center" colspan="2">徐**</td>
<td align="center" colspan="2">177.9000</td>
<td align="center" colspan="2">487.43</td>
<td align="center" colspan="2">同意</td>
<td align="center">纸质投票</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">9,627.21</td>
</tr>
<tr style="height:14pt">
<td align="center">19</td>
<td align="center">一区6号</td>
<td align="center">商铺121</td>
<td align="center" colspan="2">方**</td>
<td align="center" colspan="2">177.9000</td>
<td align="center" colspan="2">487.43</td>
<td align="center" colspan="2">同意</td>
<td align="center">纸质投票</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">9,787.88</td>
</tr>
<tr style="height:26pt">
<td align="center">20</td>
<td align="center">一区6号</td>
<td align="center">6号商铺10<br>1</td>
<td align="center" colspan="2">东**</td>
<td align="center" colspan="2">59.8000</td>
<td align="center" colspan="2">163.84</td>
<td align="center" colspan="2">同意</td>
<td align="center">纸质投票</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">0.00</td>
</tr>
<tr style="height:26pt">
<td align="center">21</td>
<td align="center">一区6号</td>
<td align="center">6号商铺11<br>1</td>
<td align="center" colspan="2">东**</td>
<td align="center" colspan="2">75.6700</td>
<td align="center" colspan="2">207.32</td>
<td align="center" colspan="2">同意</td>
<td align="center">纸质投票</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">0.00</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">2518.3500</td>
<td align="center" colspan="2">6,900.00</td>
<td align="center" colspan="2"></td>
<td align="center"></td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px"></td>
</tr>
<tr style="height:12pt">
<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>
</tbody></table>
<table cellspacing="0" cellpadding="0" border="0" class="myTable" style="border-width:0;width:502pt">
<tbody><tr style="height:0px"><td style="border-width:0;width:25pt"></td>
<td style="border-width:0;width:64pt"></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:37pt"></td>
<td style="border-width:0;width:52pt"></td>
<td style="border-width:0;width:17pt"></td>
<td style="border-width:0;width:29pt"></td>
</tr><tr style="height:184pt">
<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2025年3月11日完成业主表决，<br>表决结果如下：
<br>1、列支范围内涉及房屋总户数 21 户，总人数 19 人，专有部分面积 2518.35平方米；
<br>2、参与表决的业主拥有专有部分面积 2161.5300 平方米，占列支范围的专有部分面积<br>的比例 85.83 ％，同意的业主拥有专有部分面积 2161.5300平方米，占参与表决专有部<br>分面积的 100 ％；
<br>3、参与表决17人，占总人数89.47 ％，同意表决的人数是 17人，占参与表决人数的 100 <br>％。
<br>
<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<br>（单位）承担由此引起的法律等责任。</font></td>
</tr>
<tr style="height:146pt">
<td valign="top" colspan="6"></td>
<td style="border-width:1px 1px 0 0" valign="top" colspan="8">
<br> 申请人（盖章）：
<br>
<br> 法定代表人（签名）：
<br>
<br> 委托代理人（签名）：
<br>
<br>
<br>
<br> 年 月 日
<br>
<br>
<br> </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>
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</tbody></table>
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