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</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>
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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业主书面确认
<br>情况登记表</font></td>
</tr>
<tr style="height:42pt">
</tr>
<tr style="height:7pt">
<td align="center" colspan="14" style="border-width:0"></td>
</tr>
<tr style="height:26pt">
<td align="center" colspan="6" style="border-width:0"><font style="font-size:12pt;">万江街道办事处</font></td>
<td align="center" 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;">世纪海怡花园(水印长堤)</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: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>
<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: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;">世纪海怡花园（水印长堤）小区7栋1单元电梯更换主变频器（设备编号：09KT110338)<br>(182104260102)</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>
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<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;">3.27</font></td>
<td style="border-width:0"><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>
<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"><font style="font-weight:bold;">序号</font></td>
<td align="center" colspan="2" bgcolor="#C0C0C0"><font style="font-weight:bold;">幢号</font></td>
<td align="center" colspan="2" bgcolor="#C0C0C0"><font style="font-weight:bold;">房号</font></td>
<td align="center" colspan="2" bgcolor="#C0C0C0"><font style="font-weight:bold;">建筑面积
<br>（平方米）</font></td>
<td align="center" colspan="3" bgcolor="#C0C0C0"><font style="font-weight:bold;">分摊金额/备用金金额
<br>（元）</font></td>
<td align="center" colspan="4" bgcolor="#C0C0C0" style="border-width:1px 1px 0 1px"><font style="font-weight:bold;">业主意见
<br>（同意、不同意、弃权或未表决）</font></td>
</tr>
<tr style="height:14pt">
<td align="center">1</td>
<td align="center" colspan="2">7号楼</td>
<td align="center" colspan="2">1单元102</td>
<td align="center" colspan="2">150.0300</td>
<td align="center" colspan="3">490.04</td>
<td align="center" colspan="4" style="border-width:1px 1px 0 1px">同意</td>
</tr>
<tr style="height:14pt">
<td align="center">2</td>
<td align="center" colspan="2">7号楼</td>
<td align="center" colspan="2">1单元501</td>
<td align="center" colspan="2">148.5500</td>
<td align="center" colspan="3">485.20</td>
<td align="center" colspan="4" style="border-width:1px 1px 0 1px">同意</td>
</tr>
<tr style="height:14pt">
<td align="center">3</td>
<td align="center" colspan="2">六期（水印长堤）7#楼</td>
<td align="center" colspan="2">1单元101</td>
<td align="center" colspan="2">158.3800</td>
<td align="center" colspan="3">517.32</td>
<td align="center" colspan="4" style="border-width:1px 1px 0 1px">不同意</td>
</tr>
<tr style="height:14pt">
<td align="center">4</td>
<td align="center" colspan="2">7号楼</td>
<td align="center" colspan="2">1单元702</td>
<td align="center" colspan="2">148.5500</td>
<td align="center" colspan="3">485.20</td>
<td align="center" colspan="4" style="border-width:1px 1px 0 1px">未表决</td>
</tr>
<tr style="height:14pt">
<td align="center">5</td>
<td align="center" colspan="2">7号楼</td>
<td align="center" colspan="2">1单元402</td>
<td align="center" colspan="2">148.5500</td>
<td align="center" colspan="3">485.20</td>
<td align="center" colspan="4" style="border-width:1px 1px 0 1px">同意</td>
</tr>
<tr style="height:14pt">
<td align="center">6</td>
<td align="center" colspan="2">7号楼</td>
<td align="center" colspan="2">1单元302</td>
<td align="center" colspan="2">148.5500</td>
<td align="center" colspan="3">485.20</td>
<td align="center" colspan="4" style="border-width:1px 1px 0 1px">未表决</td>
</tr>
<tr style="height:14pt">
<td align="center">7</td>
<td align="center" colspan="2">六期(水印长堤)7#楼</td>
<td align="center" colspan="2">1单元502</td>
<td align="center" colspan="2">148.5400</td>
<td align="center" colspan="3">485.17</td>
<td align="center" colspan="4" style="border-width:1px 1px 0 1px">同意</td>
</tr>
<tr style="height:14pt">
<td align="center">8</td>
<td align="center" colspan="2">六期（水印长堤）7#楼</td>
<td align="center" colspan="2">1单元601</td>
<td align="center" colspan="2">148.5400</td>
<td align="center" colspan="3">485.17</td>
<td align="center" colspan="4" style="border-width:1px 1px 0 1px">同意</td>
</tr>
<tr style="height:14pt">
<td align="center">9</td>
<td align="center" colspan="2">7号楼</td>
<td align="center" colspan="2">1单元401</td>
<td align="center" colspan="2">148.5500</td>
<td align="center" colspan="3">485.20</td>
<td align="center" colspan="4" style="border-width:1px 1px 0 1px">同意</td>
</tr>
<tr style="height:14pt">
<td align="center">10</td>
<td align="center" colspan="2">7号楼</td>
<td align="center" colspan="2">1单元802</td>
<td align="center" colspan="2">148.5500</td>
<td align="center" colspan="3">485.21</td>
<td align="center" colspan="4" style="border-width:1px 1px 0 1px">同意</td>
</tr>
<tr style="height:14pt">
<td align="center">11</td>
<td align="center" colspan="2">7号楼</td>
<td align="center" colspan="2">1单元202</td>
<td align="center" colspan="2">148.5500</td>
<td align="center" colspan="3">485.21</td>
<td align="center" colspan="4" style="border-width:1px 1px 0 1px">未表决</td>
</tr>
<tr style="height:14pt">
<td align="center">12</td>
<td align="center" colspan="2">7号楼</td>
<td align="center" colspan="2">1单元801</td>
<td align="center" colspan="2">148.5500</td>
<td align="center" colspan="3">485.21</td>
<td align="center" colspan="4" style="border-width:1px 1px 0 1px">同意</td>
</tr>
<tr style="height:14pt">
<td align="center">13</td>
<td align="center" colspan="2">六期（水印长堤）7#楼</td>
<td align="center" colspan="2">1单元201</td>
<td align="center" colspan="2">148.5200</td>
<td align="center" colspan="3">485.10</td>
<td align="center" colspan="4" style="border-width:1px 1px 0 1px">未表决</td>
</tr>
<tr style="height:14pt">
<td align="center">14</td>
<td align="center" colspan="2">7号楼</td>
<td align="center" colspan="2">1单元602</td>
<td align="center" colspan="2">148.5500</td>
<td align="center" colspan="3">485.20</td>
<td align="center" colspan="4" style="border-width:1px 1px 0 1px">同意</td>
</tr>
<tr style="height:14pt">
<td align="center">15</td>
<td align="center" colspan="2">六期(水印长堤)7#楼</td>
<td align="center" colspan="2">1单元701</td>
<td align="center" colspan="2">148.5400</td>
<td align="center" colspan="3">485.17</td>
<td align="center" colspan="4" style="border-width:1px 1px 0 1px">同意</td>
</tr>
<tr style="height:14pt">
<td align="center">16</td>
<td align="center" colspan="2">7号楼</td>
<td align="center" colspan="2">1单元301</td>
<td align="center" colspan="2">148.5500</td>
<td align="center" colspan="3">485.20</td>
<td align="center" colspan="4" style="border-width:1px 1px 0 1px">同意</td>
</tr>
<tr style="height:14pt">
<td align="center">汇总</td>
<td align="center" colspan="2"></td>
<td align="center" colspan="2"></td>
<td align="center" colspan="2">2388.0500</td>
<td align="center" colspan="3">7,800.00</td>
<td align="center" colspan="4" 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:103pt">
<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 5 月 25 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 16 户，总人数 16 人，专有部分面积 2388.05 平方米；
<br>2、参与表决的业主拥有专有部分面积 1793.8800 平方米，占列支范围的专有部分面积的比例 75.12 ％，同意的业主拥有专有部分面积 1635.5000 平方米，占参与表决专有部分面积的 91.17 ％；
<br>3、参与表决 12 人，占总人数 75 ％，同意表决的人数是 11 人，占参与表决人数的 91.67 ％。
<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>
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<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>
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</tr>
<tr style="height:20pt">
<td rowspan="3" valign="top" colspan="7" style="border-width:1px 0 1px 1px"><font style="font-size:12pt;">
<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。）</font></td>
<td rowspan="3" valign="top" colspan="7" style="border-width:1px 1px 1px 1px"><font style="font-size:12pt;">
<br> 物业服务企业（签名）：
<br></font></td>
</tr>
<tr style="height:20pt">
</tr>
<tr style="height:20pt">
</tr>
</tbody></table>
<table cellspacing="0" cellpadding="0" border="0" class="myTable" style="border-width:0;width:518pt">
<tbody><tr style="height:0px"><td style="border-width:0;width:36pt"></td>
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</tr><tr style="height:32pt">
<td align="center" bgcolor="#C0C0C0"><font style="font-weight:bold;">序号</font></td>
<td align="center" colspan="2" bgcolor="#C0C0C0"><font style="font-weight:bold;">幢号</font></td>
<td align="center" colspan="2" bgcolor="#C0C0C0"><font style="font-weight:bold;">房号</font></td>
<td align="center" colspan="2" bgcolor="#C0C0C0"><font style="font-weight:bold;">建筑面积
<br>（平方米）</font></td>
<td align="center" colspan="3" bgcolor="#C0C0C0"><font style="font-weight:bold;">分摊金额/备用金金额
<br>（元）</font></td>
<td align="center" colspan="4" bgcolor="#C0C0C0" style="border-width:1px 1px 0 1px"><font style="font-weight:bold;">业主意见
<br>（同意、不同意、弃权或未表决）</font></td>
</tr>
<tr style="height:100pt">
<td valign="top" colspan="7"><font style="font-size:12pt;"></font></td>
<td style="border-width:1px 1px 0 1px" valign="top" colspan="7"><font style="font-size:12pt;"></font></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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