CM-2006-001Form A
The State of Texas
County of Williamson
Check #
Now comes City of Round Rock, the subdivider of a subdivision to be known as The
Amended Plat of the Final Plat of Palm Valley Plaza, and states under oath or affirmation
and subject to penalties of law that the original tax certificates attached to the plat of the
subdivision describe all of the property contained within the subdivision and all taxing
entities with jurisdiction over the property.
Acknowledged and sworn before me on
151: Ui MICHAEL MASON WEAVER
Notary Public, State of Texas
My Commission Expires
V i �;;�°� January 31, 2010
Date
James R. Nuse, P.E., City Manager
Typed Name
20(4
Nota ' Public
My commission expires / - 31 ")O/0
0:\1458-2-001 (Palm Valley Plaza)\Owners Affidavit Form Silcox Amended Plat 5-12-06.doc