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OFFICE OF
Town Of Belchertown
P.O. Box 964
Belchertown, Massachusetts
01007
FORM F-2
PERFORMANCE SECURED BY BANK PASSBOOK
, 20
This
agreement between the subdivider, or applicant, and the Town of Belchertown is
bound by the following terms, the Belchertown subdivision regulations,
§270-31E(2), and MGL c. 41, §81U.
Applicant:
Address of applicant:
Name of subdivision:
Designed by:
Address of designer:
On land owned by: Address of owner 1:
Address of owner 2:
Address of owner 3:
Definitive
plan endorsed by the Planning Board on ,
20
Definitive
subdivision plan recorded in the Hampshire Registry of Deeds,
Book , Page
The
applicant posts money in a passbook account in the name of the Town of
Belchertown, to be held by the Belchertown Treasurer-Collector, to secure the
performance of all work committed to in the approval of the definitive
subdivision named above. This passbook
is to be used to insure the performance by the applicant of all covenants,
conditions, agreements, terms and provisions contained in the following:
1.
Amount
held in passbook: $ .
2.
Bank:
.
3.
The
subdivision control law and the Planning Board’s Rules and Regulations
governing this subdivision dated
4.
The
definitive plan as qualified by the Certificate of Approval; and
5.
Other
documents specifying construction or installation to be completed (specify
other documents, if any, and list lots secured if only a part of the
subdivision is secured by the passbook):
This agreement shall remain in full force and effect until the applicant has fully and satisfactorily performed
all obligations, or has elected to provide another method of securing performance as provided in M.G.L.
Chapter 41, Section 81-U.
Upon completion by the applicant of all obligations specified in the certificate of approval, Form C-1, for this subdivision on or before the expiration date of definitive subdivision approval, , 20 , or such later date as may be specified by vote of the Planning Board with written concurrence of the applicant and the bank, the bank passbook shall be returned to the applicant with all accrued interest by the Town of Belchertown and this agreement shall become void. If the applicant fails to complete the construction of ways and installation of municipal services as specified in this agreement and within the time specified, the funds on deposit in this bank passbook may be used, in whole, or in part, by the Planning Board for the benefit of the Town of Belchertown to the extent of the reasonable cost to the town of completing such construction or installation as specified in this agreement. Any unused funds and the bank passbook will be returned to the applicant upon completion of the work by said Town of Belchertown.
The Town of Belchertown acting by and through its Planning Board hereby agrees to accept the aforesaid bank passbook as security for the performance of the applicant.
The (bank) agrees to not release any funds from the passbook account represented here or otherwise amend or make a change to this bank passbook without written agreement by the Planning Board.
Any amendments to this agreement shall be agreed upon in writing by all parties to this agreement.
IN WITNESS WHEREOF we have hereunto set our hands and seals this ______________________
(day)
of _____________________________ , 20______.
(month)
Chair
Signature of applicant
Signatures of a majority of the Planning Board
of the Town of Belchertown
Signature of authorized representative
of the bank
COMMONWEALTH OF MASSACHUSETTS
Hampshire, ss
, 20
Then personally appeared ___________________________________ , the applicant, and acknowledged the foregoing instrument to be the free act and deed of said party before me.
_________________________________________
Notary Public
My commission expires ______________________
COMMONWEALTH OF MASSACHUSETTS
Hampshire, ss
, 20
Then personally appeared ___________________________________ , the authorized representative of the bank and acknowledged the foregoing instrument to be the free act and deed of said party before me.
_________________________________________
Notary Public
My commission expires ______________________
COMMONWEALTH OF MASSACHUSETTS
Hampshire, ss
, 20
Then personally appeared ___________________________________ , one of the above named members of the Planning Board of the Town of Belchertown, Massachusetts and acknowledged the foregoing instrument to be the free act and deed of said party before me.
_________________________________________
Notary Public
My commission expires ______________________
Duplicate copy:
Applicant
Bank
Town Clerk
File