STATE OF TEXAS:
COUNTY OF TARRANT:
WHEREAS, the undersigned, as lienholder on the acreage subdivided according to this plat, hereby consents to such subdivision and joins in the dedication for the use of the public forever, the streets, (parks, alleys, etc.) and easements shown thereon.
WITNESSED MY HAND THIS DAY on this the day of , 20_.
(Lienholder Name and Title)
Date:
(Add a NOTARY block for each signature above)