NOTICE OF INTENT TO COMBINE PARCELS Date: ___________

Parcels listed below are contiguous and we are requesting the Haywood County Land
Records/GIS Office to map them as one parcel to be given one new parcel number:

Parcel Number Acreage Legal Land Ref Grantee Acct Number

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*Note: Parcels to be combined must have exact Grantee name as in current deed.
**Note: Acreage subject to change after re-mapping.
Future divisions can only be made pursuant to the subdivision and Pre-Development
Ordinance, Title ZV, Chapter 152A, County of Haywood, North Carolina, Code of
Ordinance.
This______ day of ______________, 20______.

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NOTARY ACKNOWLEDGEMENT

STATE OF NORTH CAROLINA

COUNTY OF HAYWOOD

I, the undersigned Notary Public of the aforesaid State of North Carolina, County of , do certify
that, ________________________________________________________, personally appeared before
me on this day and acknowledged the due execution of the foregoing instrument for the purposes therein
expressed. Witness my hand and Notarial seal or stamp this _______day of December, 2022.

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Notary Signature

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Notary Printed Name

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Date Commission Expires