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TO: Hillsborough County Registry of Deeds State of New Hampshire SUBJECT: Properties of _____________________________ _____________________________ _____________________________ NOTICE OF VOLUNTARY MERGER (RSA 674:39-a) This notice is to advise that two parcels of land owned by _____________________and _____________________________, located on_________________________________, in the Town of Greenfield County of Hillsborough, State of New Hampshire, identified as Tax Map ________________, Lot ______ and Tax Map ________________, Lot _____, as recorded at the Hillsborough County Registry of Deeds in Volume _______________, Page _________________ and Volume _____________, Page_______________, are voluntarily merged for municipal regulation and taxation purposes. These parcels may no longer be separately transferred without subdivision approval and will henceforth be known as Map _________, Lot ____________ containing _____________acres. Voluntary Merger Requested by: ___________________________________ __________________________ Owner’s Signature Witness ___________________________________ Co-Owner’s Signature Subscribed and Sworn before me this ________ day of _____________________ 20__. _________________________________________ Notary Public/Justice of the Peace My commission expires: ____________________ Approved by the Greenfield Planning Board _____________________________________ _______________________ Planning Board Chairman Date _____________________________________ Planning Board Secretary