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<table cellspacing="0" cellpadding="0" border="0" class="myTable" style="border-width:0;width:484pt">
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<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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<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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<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;">理想0769家园</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>
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<tr style="height:26pt">
<td align="center" colspan="13" style="border-width:0"><font style="font-size:12pt;">理想0769家园西9座3单元客梯维修变频器的项目（注册代码：3110441900200807<br>0793)(182112080102)</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>
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<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;">0.79</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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<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>
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<td style="border-width:0"></td>
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<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">西9座</td>
<td align="center">3单元203</td>
<td align="center" colspan="2">苏**</td>
<td align="center" colspan="2">73.9900</td>
<td align="center" colspan="2">58.53</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">2</td>
<td align="center">西9座</td>
<td align="center">3单元202号</td>
<td align="center" colspan="2">魏**</td>
<td align="center" colspan="2">111.0000</td>
<td align="center" colspan="2">87.82</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">5,481.28</td>
</tr>
<tr style="height:14pt">
<td align="center">3</td>
<td align="center">西9座</td>
<td align="center">3单元201号</td>
<td align="center" colspan="2">胡**</td>
<td align="center" colspan="2">85.8800</td>
<td align="center" colspan="2">67.93</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">3,642.78</td>
</tr>
<tr style="height:14pt">
<td align="center">4</td>
<td align="center">西9座</td>
<td align="center">3单元302号</td>
<td align="center" colspan="2">王*</td>
<td align="center" colspan="2">111.0000</td>
<td align="center" colspan="2">87.82</td>
<td align="center" colspan="3">未表决</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">5,342.24</td>
</tr>
<tr style="height:14pt">
<td align="center">5</td>
<td align="center">西9座</td>
<td align="center">3单元303号</td>
<td align="center" colspan="2">冯**</td>
<td align="center" colspan="2">73.9900</td>
<td align="center" colspan="2">58.53</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">3,024.57</td>
</tr>
<tr style="height:14pt">
<td align="center">6</td>
<td align="center">西9座</td>
<td align="center">3单元301号</td>
<td align="center" colspan="2">邓**,张*</td>
<td align="center" colspan="2">85.8800</td>
<td align="center" colspan="2">67.93</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">4,240.84</td>
</tr>
<tr style="height:14pt">
<td align="center">7</td>
<td align="center">西9座</td>
<td align="center">3单元401</td>
<td align="center" colspan="2">冯*</td>
<td align="center" colspan="2">85.8800</td>
<td align="center" colspan="2">67.94</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">8</td>
<td align="center">西9座</td>
<td align="center">3单元402</td>
<td align="center" colspan="2">吴**,梁**</td>
<td align="center" colspan="2">111.0000</td>
<td align="center" colspan="2">87.82</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">9</td>
<td align="center">西9座</td>
<td align="center">3单元403</td>
<td align="center" colspan="2">谢**,徐*</td>
<td align="center" colspan="2">73.9900</td>
<td align="center" colspan="2">58.53</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">10</td>
<td align="center">西9座</td>
<td align="center">3单元501号</td>
<td align="center" colspan="2">陈*</td>
<td align="center" colspan="2">85.8800</td>
<td align="center" colspan="2">67.94</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">4,239.83</td>
</tr>
<tr style="height:14pt">
<td align="center">11</td>
<td align="center">西9座</td>
<td align="center">3单元502</td>
<td align="center" colspan="2">王**</td>
<td align="center" colspan="2">111.0000</td>
<td align="center" colspan="2">87.82</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">4,440.00</td>
</tr>
<tr style="height:14pt">
<td align="center">12</td>
<td align="center">西9座</td>
<td align="center">3单元503号</td>
<td align="center" colspan="2">栾*</td>
<td align="center" colspan="2">73.9900</td>
<td align="center" colspan="2">58.53</td>
<td align="center" colspan="3">未表决</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">3,377.02</td>
</tr>
<tr style="height:14pt">
<td align="center">13</td>
<td align="center">西9座</td>
<td align="center">3单元603</td>
<td align="center" colspan="2">穆**</td>
<td align="center" colspan="2">73.9900</td>
<td align="center" colspan="2">58.53</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">14</td>
<td align="center">西9座</td>
<td align="center">3单元601号</td>
<td align="center" colspan="2">宋**</td>
<td align="center" colspan="2">85.8800</td>
<td align="center" colspan="2">67.94</td>
<td align="center" colspan="3">未表决</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">3,917.98</td>
</tr>
<tr style="height:14pt">
<td align="center">15</td>
<td align="center">西9座</td>
<td align="center">3单元602号</td>
<td align="center" colspan="2">邓*</td>
<td align="center" colspan="2">111.0000</td>
<td align="center" colspan="2">87.82</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">4,700.36</td>
</tr>
<tr style="height:14pt">
<td align="center">16</td>
<td align="center">西9座</td>
<td align="center">3单元703</td>
<td align="center" colspan="2">林**</td>
<td align="center" colspan="2">73.9900</td>
<td align="center" colspan="2">58.53</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">17</td>
<td align="center">西9座</td>
<td align="center">3单元702号</td>
<td align="center" colspan="2">何**</td>
<td align="center" colspan="2">111.0000</td>
<td align="center" colspan="2">87.82</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">5,218.22</td>
</tr>
<tr style="height:14pt">
<td align="center">18</td>
<td align="center">西9座</td>
<td align="center">3单元701号</td>
<td align="center" colspan="2">郑*</td>
<td align="center" colspan="2">85.8800</td>
<td align="center" colspan="2">67.93</td>
<td align="center" colspan="3">不同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">3,644.25</td>
</tr>
<tr style="height:14pt">
<td align="center">19</td>
<td align="center">西9座</td>
<td align="center">3单元803号</td>
<td align="center" colspan="2">郑*,马**</td>
<td align="center" colspan="2">73.9900</td>
<td align="center" colspan="2">58.53</td>
<td align="center" colspan="3">未表决</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">3,023.83</td>
</tr>
<tr style="height:14pt">
<td align="center">20</td>
<td align="center">西9座</td>
<td align="center">3单元801号</td>
<td align="center" colspan="2">付**</td>
<td align="center" colspan="2">85.8800</td>
<td align="center" colspan="2">67.94</td>
<td align="center" colspan="3">未表决</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">4,224.85</td>
</tr>
<tr style="height:14pt">
<td align="center">21</td>
<td align="center">西9座</td>
<td align="center">3单元802号</td>
<td align="center" colspan="2">陈*</td>
<td align="center" colspan="2">111.0000</td>
<td align="center" colspan="2">87.82</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">5,101.34</td>
</tr>
<tr style="height:14pt">
<td align="center">22</td>
<td align="center">西9座</td>
<td align="center">3单元902</td>
<td align="center" colspan="2">龙**</td>
<td align="center" colspan="2">111.0000</td>
<td align="center" colspan="2">87.82</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">23</td>
<td align="center">西9座</td>
<td align="center">3单元903号</td>
<td align="center" colspan="2">龚**</td>
<td align="center" colspan="2">73.9900</td>
<td align="center" colspan="2">58.53</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">3,546.53</td>
</tr>
<tr style="height:14pt">
<td align="center">24</td>
<td align="center">西9座</td>
<td align="center">3单元901号</td>
<td align="center" colspan="2">石**,张**</td>
<td align="center" colspan="2">85.8800</td>
<td align="center" colspan="2">67.93</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">3,725.70</td>
</tr>
<tr style="height:14pt">
<td align="center">25</td>
<td align="center">西9座</td>
<td align="center">3单元1001</td>
<td align="center" colspan="2">彭**</td>
<td align="center" colspan="2">85.8800</td>
<td align="center" colspan="2">67.94</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">26</td>
<td align="center">西9座</td>
<td align="center">3单元1002</td>
<td align="center" colspan="2">邱**</td>
<td align="center" colspan="2">111.0000</td>
<td align="center" colspan="2">87.82</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">4,440.00</td>
</tr>
<tr style="height:14pt">
<td align="center">27</td>
<td align="center">西9座</td>
<td align="center">3单元1003号</td>
<td align="center" colspan="2">彭**</td>
<td align="center" colspan="2">73.9900</td>
<td align="center" colspan="2">58.53</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">3,430.17</td>
</tr>
<tr style="height:14pt">
<td align="center">28</td>
<td align="center">西9座</td>
<td align="center">3单元1102号</td>
<td align="center" colspan="2">易**</td>
<td align="center" colspan="2">111.0000</td>
<td align="center" colspan="2">87.82</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">5,474.09</td>
</tr>
<tr style="height:14pt">
<td align="center">29</td>
<td align="center">西9座</td>
<td align="center">3单元1103号</td>
<td align="center" colspan="2">辛*</td>
<td align="center" colspan="2">73.9900</td>
<td align="center" colspan="2">58.53</td>
<td align="center" colspan="3">未表决</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">3,699.21</td>
</tr>
<tr style="height:14pt">
<td align="center">30</td>
<td align="center">西9座</td>
<td align="center">3单元1101号</td>
<td align="center" colspan="2">周**</td>
<td align="center" colspan="2">85.8800</td>
<td align="center" colspan="2">67.93</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">3,692.63</td>
</tr>
<tr style="height:14pt">
<td align="center">31</td>
<td align="center">西9座</td>
<td align="center">3单元1201</td>
<td align="center" colspan="2">梁**</td>
<td align="center" colspan="2">85.8800</td>
<td align="center" colspan="2">67.94</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">32</td>
<td align="center">西9座</td>
<td align="center">3单元1202号</td>
<td align="center" colspan="2">朱**</td>
<td align="center" colspan="2">111.0000</td>
<td align="center" colspan="2">87.82</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">4,893.94</td>
</tr>
<tr style="height:14pt">
<td align="center">33</td>
<td align="center">西9座</td>
<td align="center">3单元1203号</td>
<td align="center" colspan="2">覃**</td>
<td align="center" colspan="2">73.9900</td>
<td align="center" colspan="2">58.53</td>
<td align="center" colspan="3">未表决</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">3,257.60</td>
</tr>
<tr style="height:15pt">
<td align="center">34</td>
<td align="center">西9座</td>
<td align="center">3单元1301号</td>
<td align="center" colspan="2">侯**,高*</td>
<td align="center" colspan="2">85.8800</td>
<td align="center" colspan="2">67.93</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">3,744.81</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">西9座</td>
<td align="center" style="border-width:1px 0 1px 1px">3单元1302号</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">111.0000</td>
<td align="center" colspan="2" style="border-width:1px 0 1px 1px">87.82</td>
<td align="center" colspan="3" style="border-width:1px 0 1px 1px">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 1px 1px">4,825.06</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">西9座</td>
<td align="center">3单元1303号</td>
<td align="center" colspan="2">唐**</td>
<td align="center" colspan="2">73.9900</td>
<td align="center" colspan="2">58.53</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">3,653.66</td>
</tr>
<tr style="height:14pt">
<td align="center">37</td>
<td align="center">西9座</td>
<td align="center">3单元1403号</td>
<td align="center" colspan="2">李**</td>
<td align="center" colspan="2">73.9900</td>
<td align="center" colspan="2">58.53</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">3,645.34</td>
</tr>
<tr style="height:14pt">
<td align="center">38</td>
<td align="center">西9座</td>
<td align="center">3单元1402</td>
<td align="center" colspan="2">王**</td>
<td align="center" colspan="2">111.0000</td>
<td align="center" colspan="2">87.82</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">39</td>
<td align="center">西9座</td>
<td align="center">3单元1401号</td>
<td align="center" colspan="2">曾**</td>
<td align="center" colspan="2">85.8800</td>
<td align="center" colspan="2">67.94</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">4,101.82</td>
</tr>
<tr style="height:14pt">
<td align="center">40</td>
<td align="center">西9座</td>
<td align="center">3单元1502号</td>
<td align="center" colspan="2">罗*</td>
<td align="center" colspan="2">111.0000</td>
<td align="center" colspan="2">87.82</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">5,481.20</td>
</tr>
<tr style="height:14pt">
<td align="center">41</td>
<td align="center">西9座</td>
<td align="center">3单元1503号</td>
<td align="center" colspan="2">丁*</td>
<td align="center" colspan="2">73.9900</td>
<td align="center" colspan="2">58.53</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">3,600.31</td>
</tr>
<tr style="height:14pt">
<td align="center">42</td>
<td align="center">西9座</td>
<td align="center">3单元1501号</td>
<td align="center" colspan="2">刘**</td>
<td align="center" colspan="2">85.8800</td>
<td align="center" colspan="2">67.94</td>
<td align="center" colspan="3">同意</td>
<td align="right" colspan="2" style="border-width:1px 1px 0 1px">4,054.66</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">3792.1800</td>
<td align="center" colspan="2">3,000.00</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 2022 年 2 月 23 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 42 户，总人数 42 人，专有部分面积 3792.18 平方米；
<br>2、参与表决的业主拥有专有部分面积 2745.7100 平方米，占列支范围的专有部分面积的比例 72.40 ％，同意的业主拥有专有部分面积 2659.8300 平方米，占参与表决专有部分面积的 96.87 ％；
<br>3、参与表决 30 人，占总人数 71.43 ％，同意表决的人数是 29 人，占参与表决人数的 96.67 ％。
<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>
</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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