STATE OF ____________________
COUNTY OF ____________________
I, ____________________, being duly sworn, do hereby depose and attest that:
- I own the property at ____________________
- The property is legally described as follows: ____________________
- No other person has any claims, through written or unwritten agreements, on the aforementioned property.
- There are no other tenants living on the premises.
- The property is offered to potential buyers without lien. I have no outstanding debts, claims, leases, mortgages, security interests, contracts, taxes, assessments or conveyances that would result in a claim of lien on the property.
____________________
AFFIANT
Subscribed and sworn to before me this ____________________ day of ____________________ 20 ____________________
____________________
(Notary Public),
____________________ County.
My commission expires ____________________ 20 ____________________
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