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<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>
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<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;">黄江镇</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;">雍雅山庄</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>
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</tr>
<tr style="height:26pt">
<td align="center" colspan="13" style="border-width:0"><font style="font-size:12pt;">棕榈泉11栋电梯（编号：05KT110214）主控板维修(182106170107)</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;">0.34</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: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">(棕榈泉)11座</td>
<td align="center">十一层（复式）A户</td>
<td align="center" colspan="2">兰**</td>
<td align="center" colspan="2">353.9400</td>
<td align="center" colspan="2">119.98</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">15,258.70</td>
</tr>
<tr style="height:14pt">
<td align="center">2</td>
<td align="center">(棕榈泉)11座</td>
<td align="center">202</td>
<td align="center" colspan="2"></td>
<td align="center" colspan="2">209.3200</td>
<td align="center" colspan="2">70.96</td>
<td align="center" colspan="3">未表决</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">0.00</td>
</tr>
<tr style="height:14pt">
<td align="center">3</td>
<td align="center">(棕榈泉)11座</td>
<td align="center">702</td>
<td align="center" colspan="2">林**</td>
<td align="center" colspan="2">194.1200</td>
<td align="center" colspan="2">65.80</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">0.00</td>
</tr>
<tr style="height:14pt">
<td align="center">4</td>
<td align="center">(棕榈泉)11座</td>
<td align="center">九层A户</td>
<td align="center" colspan="2">曾**</td>
<td align="center" colspan="2">195.0800</td>
<td align="center" colspan="2">66.12</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,596.38</td>
</tr>
<tr style="height:14pt">
<td align="center">5</td>
<td align="center">(棕榈泉)11座</td>
<td align="center">五层B户</td>
<td align="center" colspan="2">邓**</td>
<td align="center" colspan="2">195.0800</td>
<td align="center" colspan="2">66.12</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">9,732.00</td>
</tr>
<tr style="height:14pt">
<td align="center">6</td>
<td align="center">(棕榈泉)11座</td>
<td align="center">一层B户</td>
<td align="center" colspan="2">余**</td>
<td align="center" colspan="2">209.0100</td>
<td align="center" colspan="2">70.85</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,814.72</td>
</tr>
<tr style="height:14pt">
<td align="center">7</td>
<td align="center">(棕榈泉)11座</td>
<td align="center">902</td>
<td align="center" colspan="2">刘**</td>
<td align="center" colspan="2">194.1200</td>
<td align="center" colspan="2">65.80</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,479.69</td>
</tr>
<tr style="height:14pt">
<td align="center">8</td>
<td align="center">(棕榈泉)11座</td>
<td align="center">402</td>
<td align="center" colspan="2">梁**</td>
<td align="center" colspan="2">196.0300</td>
<td align="center" colspan="2">66.45</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">0.00</td>
</tr>
<tr style="height:14pt">
<td align="center">9</td>
<td align="center">(棕榈泉)11座</td>
<td align="center">101</td>
<td align="center" colspan="2">李**</td>
<td align="center" colspan="2">209.3200</td>
<td align="center" colspan="2">70.96</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">10,480.93</td>
</tr>
<tr style="height:14pt">
<td align="center">10</td>
<td align="center">(棕榈泉)11座</td>
<td align="center">十层A户</td>
<td align="center" colspan="2">千**</td>
<td align="center" colspan="2">193.1400</td>
<td align="center" colspan="2">65.46</td>
<td align="center" colspan="3">未表决</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">8,182.04</td>
</tr>
<tr style="height:14pt">
<td align="center">11</td>
<td align="center">(棕榈泉)11座</td>
<td align="center">二层A户</td>
<td align="center" colspan="2">萧**</td>
<td align="center" colspan="2">209.0100</td>
<td align="center" colspan="2">70.85</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">10,323.20</td>
</tr>
<tr style="height:14pt">
<td align="center">12</td>
<td align="center">(棕榈泉)11座</td>
<td align="center">六层B户</td>
<td align="center" colspan="2">李**</td>
<td align="center" colspan="2">195.0800</td>
<td align="center" colspan="2">66.13</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">9,746.82</td>
</tr>
<tr style="height:14pt">
<td align="center">13</td>
<td align="center">(棕榈泉)11座</td>
<td align="center">三层A户</td>
<td align="center" colspan="2">黄**</td>
<td align="center" colspan="2">209.0100</td>
<td align="center" colspan="2">70.85</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">9,480.93</td>
</tr>
<tr style="height:14pt">
<td align="center">14</td>
<td align="center">(棕榈泉)11座</td>
<td align="center">三层B户</td>
<td align="center" colspan="2">林**</td>
<td align="center" colspan="2">209.0100</td>
<td align="center" colspan="2">70.85</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">9,717.36</td>
</tr>
<tr style="height:14pt">
<td align="center">15</td>
<td align="center">(棕榈泉)11座</td>
<td align="center">501号房</td>
<td align="center" colspan="2">蔡**</td>
<td align="center" colspan="2">194.1200</td>
<td align="center" colspan="2">65.80</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">9,727.88</td>
</tr>
<tr style="height:14pt">
<td align="center">16</td>
<td align="center">(棕榈泉)11座</td>
<td align="center">801</td>
<td align="center" colspan="2">李**</td>
<td align="center" colspan="2">196.0300</td>
<td align="center" colspan="2">66.45</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">9,815.46</td>
</tr>
<tr style="height:14pt">
<td align="center">17</td>
<td align="center">(棕榈泉)11座</td>
<td align="center">802(8B)</td>
<td align="center" colspan="2">吴**</td>
<td align="center" colspan="2">196.0300</td>
<td align="center" colspan="2">66.45</td>
<td align="center" colspan="3">未表决</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">9,836.46</td>
</tr>
<tr style="height:14pt">
<td align="center">18</td>
<td align="center">(棕榈泉)11座</td>
<td align="center">601</td>
<td align="center" colspan="2">林**</td>
<td align="center" colspan="2">196.0300</td>
<td align="center" colspan="2">66.45</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">9,815.46</td>
</tr>
<tr style="height:14pt">
<td align="center">19</td>
<td align="center">(棕榈泉)11座</td>
<td align="center">701</td>
<td align="center" colspan="2">张*</td>
<td align="center" colspan="2">195.0800</td>
<td align="center" colspan="2">66.13</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">9,775.33</td>
</tr>
<tr style="height:14pt">
<td align="center">20</td>
<td align="center">(棕榈泉)11座</td>
<td align="center">四层A户</td>
<td align="center" colspan="2">张**</td>
<td align="center" colspan="2">195.0800</td>
<td align="center" colspan="2">66.12</td>
<td align="center" colspan="3">未表决</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">9,328.75</td>
</tr>
<tr style="height:14pt">
<td align="center">21</td>
<td align="center">(棕榈泉)11座</td>
<td align="center">十层B户</td>
<td align="center" colspan="2">林**</td>
<td align="center" colspan="2">193.1400</td>
<td align="center" colspan="2">65.46</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">9,669.48</td>
</tr>
<tr style="height:14pt">
<td align="center">22</td>
<td align="center">(棕榈泉)11座</td>
<td align="center">11层B号房</td>
<td align="center" colspan="2">余**</td>
<td align="center" colspan="2">353.8800</td>
<td align="center" colspan="2">119.96</td>
<td align="center" colspan="3">未表决</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">15,331.18</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">4690.6600</td>
<td align="center" colspan="2">1,590.00</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 2021 年 7 月 6 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 22 户，总人数 19 人，专有部分面积 4690.66 平方米；
<br>2、参与表决的业主拥有专有部分面积 3543.2100 平方米，占列支范围的专有部分面积的比例 75.54 ％，同意的业主拥有专有部分面积 3543.2100 平方米，占参与表决专有部分面积的 100 ％；
<br>3、参与表决 15 人，占总人数 78.95 ％，同意表决的人数是 15 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: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: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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