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OFFICE OF
Town Of Belchertown
P.O. Box 964
Belchertown, Massachusetts
01007
FORM F-6
PERFORMANCE SECURED BY LENDER’S AGREEMENT
, 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(4), 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 has recorded a first mortgage with the lender covering the
subdivision specified in this document and shown on the plan referred to above,
as security for the payment of a certain note in the principal sum of $
dollars, and has secured
this obligation by the lender retaining this
sum
of money of said principal sum otherwise due the applicant 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.
Lender:
.
3.
Mortgage
recorded in the Hampshire Registry of Deeds,
Book , Page
4.
The
subdivision control law and the Planning Board’s Rules and Regulations
governing this subdivision dated
5.
The
definitive plan as qualified by the Certificate of Approval; and
6.
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 as specified in the following schedule:
SUM TO BE RETAINED STAGE OF CONSTRUCTION DATE WHEN
BY LENDER OR INSTALLATION TO BE CONSTRUCTION
COMPLETED AND INSTALLATION
IS TO BE COMPLETE
1. $
2. $
3. $
(add additional stages if necessary)
the interest of the town in such funds retained by the lender shall be released, that portion of the agreement covering a specific stage of work shall become void, and the lender may disburse such funds which have been held as security for a specific stage of work , to the applicant. In the event the applicant should fail to complete any stage of construction of ways and installation of municipal services as specified in this agreement and within the time herein specified, any funds remaining undisbursed shall be available in whole, or in part, by the lender to the Planning Board for the benefit of the Town of Belchertown to the extent of the reasonable cost the town of completing such construction or installation as specified in this agreement. Any unused portion of such funds will be released by the Planning Board and may be disbursed by the lender to the applicant upon completion of the work by said town.
The lender and the applicant hereby agree that none of the funds retained as security, as specified herein, shall be disbursed to the applicant without prior written release of said funds by the Planning Board.
Any amendments to this agreement shall be agreed upon in writing by all parties to this agreement.
Chair
Signature of applicant
Signature of authorized representative
of the lender
Signatures of a majority of the Planning Board
of
the Town of Belchertown
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 lender 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