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ATTACHMENT 6 <br />STATEMENT OF OWNERSHIP <br />PERSONAL PROPERTY, TENANT IMPROVEMENTS, FIXTURES AND EQUIPMENT <br />PARCEL NO.: PROJECT: CCU: <br />TENANT'S NAME: <br />ADDRESS: <br />CITY/STATE/ZIP CODE: <br />The undersigned tenant agrees that the items listed on the attached inventory are owned by him or <br />her. <br />Date: <br />Tenant <br />PROPERTY OWNER'S NAME: <br />ADDRESS: <br />CITY/STATE/ZIP CODE: <br />The undersigned tenant agrees that the items listed on the attached inventory are owned by him or <br />her. <br />Property Owner <br />Date: <br />Please have each signature on this document notarized. <br />75R-33 <br />