Fill and Sign the Affidavit Purpose Form

Affidavit as to Status of Title for Conveyance of Real Property For the Purpose of Inducing the Purchase the Property STATE OF ____________________ COUNTY OF _______________________ PERSONALLY appeared before me, the undersigned authority in and for said county and state, ____________________ (Name of Affiant) , who, having been being first duty sworn by the undersigned Notary Public, deposes and says: 1. I, _________________ (name of affiant) , the Affiant, am the Grantor in the deed dated ________________ (date of deed) , to _______________________ (name of grantee) , as Grantee, conveying the following described real property (the Property) : (legal description of Property) ___________________________________________ ______________________________________________________________________ _____________________________________________________________________. 2. Since _____________________ (date) , I have not done, or caused to be done, anything that could in any way affect the title to the Property, and no proceedings have been filed by or against me, nor has any judgment or order been rendered against me relating to the Property. 3. I am in undisputed possession of the Property, and no other parties have any rights or claims to the possession of the Property. 4. Any general real-estate taxes have been paid and are not delinquent, and water charges have been paid. 5. No labor or material has been furnished for the Property since _______________ (date of sales contract) , that has not been paid. 6. These representations and warranties shall survive the transfer, sale and conveyance of the Property to grantee and are made for the purpose of inducing the grantee to purchase the Property. ___________________________________ (Printed Name of Affiant) ___________________________________ (Signature of Affiant) SWORN to and subscribed before me, this the _____ day of ______________, 20_____. _____________________________ NOTARY PUBLIC My Commission Expires: ___________________