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Epic Land Solutions, Inc. <br />FULL ACQUISITION OFFSET STATEMENT <br />(Conforms to CalTrans Exhibit 8- EX -18A) <br />1 of 2 <br />PERSONAL INFORMATION NOTICE <br />Pursuant to the Federal Privacy Act (P.L. 93 -579) and the Information Practices Act of 1977 (Civil Code Sections 1789, at seq), notice is hereby given for the request <br />of personal information by this form. The requested personal information is voluntary. The principal purpose of the voluntary information is to facilitate the processing <br />of this form. The failure to provide all or any part of the requested information may delay processing of this form. No disclosure of personal information will he made <br />unless permissible under Article 6, Section 1798.24 of the IPA of 1977. Each individual has the right upon request and proper identification, to inspect all personal <br />information in any record maintained on the individual by an identifying particular. Direct any inquiries on information maintenance to your IPA Office <br />O—V 015- 194 -29 <br />Co Rte Post Parcel No. <br />Bernard N. Gaon and Judith A. Gaon, as trustees and <br />subsequent trustees of the Bernard N. Gaon and Judith A. <br />Gaon Family Trust dated October 6, 1993 as Community <br />Grantor <br />WMREAS, The City of Santa Ana (City) seeks to acquire the fee - simple title to certain lands and buildings, <br />including that certain building known as: <br />2227 S. Bristol Street, Santa Ana, CA 92704 ; and, <br />(Address) <br />WHEREAS, the City and the owner of said building are negotiating a sale of said building. <br />NOW, THEREFORE, The undersigned makes the following statement of facts and represents to the City that <br />each of said facts are true and correct in every detail. <br />That the undersigned are the tenants in possession under the terms of: <br />1. O An oral lease from month -to -month <br />( A written lease for a term ending 1 _3I - Z,.J at a monthly rental of <br />$ 1C G and that the undersigned has paid all rents to and including the day of Is'yl r3T <br />year ,a t7) 1, and has paid no rents beyond said date except <br />2. That the last rental payment was made to and that the next rental payment of $ i cc: ( will be due and <br />payable on the "i2 0, day of .1,uNrt% year A-,i) ] (e <br />3. (That no offsets are claimed by the undersigned tenants and /or lessees against any rents which have been <br />paid or which may hereafter become due. <br />( ) That the following offsets are claimed by the undersigned tenants ( ), lessees O, against future rents: <br />