Legal Public Record Declaration

LEGAL PUBLIC RECORD DECLARATION

This Legal Public Record Declaration ("Declaration") is made effective as of by and between Declarant Name: and Record Recipient Name: .

RECITALS

WHEREAS, Declarant is the party providing an attested statement, instrument, or other document intended for placement on the public record described as: (the "Record");

WHEREAS, the Record pertains to property, transaction or matter within the jurisdiction of and is intended to be filed in the official public records of said jurisdiction for the following purpose:

WHEREAS, Declarant requests that Record Recipient accept, file and record the Record and any related instrument, and that such actions be reflected in the public record as provided in this Declaration.

NOW, THEREFORE, in consideration of the mutual covenants and agreements set forth below, the parties agree as follows:

1. DEFINITIONS

For the purposes of this Declaration, the following terms have the meanings set forth below: "Record" means the document, affidavit, instrument, or other material described in record_title to be placed on public record; "Recording Authority" means the governmental office responsible for public records in recording_jurisdiction.

2. DECLARATION AND DESCRIPTION

Declarant hereby declares that the Record is true, accurate and is intended for public filing. A full description of the Record, including the facts and representations the Declarant seeks to make part of the public record, is hereby set forth:

3. FACTUAL CERTIFICATION

Declarant certifies, under penalty of perjury under the laws of the governing law selected below, that the statements contained in the Record are true and accurate to the best of Declarant's knowledge. Declarant provides the following factual statement in support of the Record:

4. AUTHORIZATION TO RECORD

Declarant authorizes Record Recipient and its designees to submit, accept and file the Record and related instruments with the Recording Authority as necessary to give notice of the matters set forth therein. Declarant authorizes the Recording Authority to index, endorse and file the Record as permitted by applicable law.

Instrument type: Instrument number (if known): Original execution date:

5. REPRESENTATIONS, WARRANTIES AND AUTHORITY

Declarant represents and warrants that: (a) Declarant is duly authorized to execute and deliver this Declaration; (b) the Record does not violate any applicable law or encumber rights of third parties in a manner that would render the Record void or unenforceable; (c) there are no pending actions that, if successful, would nullify the Record; and (d) any person executing this Declaration on behalf of an entity is duly authorized to do so.

6. INDEMNIFICATION

Declarant agrees to defend, indemnify and hold harmless Record Recipient, the Recording Authority, and their respective officers, employees and agents from and against any claims, losses, costs, damages or liabilities (including reasonable attorneys' fees) arising out of or connected with any breach of the representations in Section 5, any false statement in the Record, or any improper recording or indexing attributable to Declarant's acts or omissions.

7. RECORDING INSTRUCTIONS

Declarant directs that the Record be recorded in the public records of the Recording Authority under the following preferred handling:

File with county recorder or clerk for recording
Index by Declarant Name
Return recorded instrument to Declarant at address below

8. NOTICES

All notices, requests, consents and other communications required or permitted under this Declaration shall be in writing and delivered to the addresses set forth below.

9. MISCELLANEOUS

Governing Law: This Declaration shall be governed by and construed in accordance with the laws of the jurisdiction where the Record is to be recorded, without regard to conflict of laws principles. Governing jurisdiction:

Entire Agreement: This Declaration constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements and understandings, whether written or oral.

Severability: If any provision of this Declaration is held to be invalid or unenforceable, the remaining provisions shall remain in full force and effect and shall be construed to effectuate the intent of the parties as nearly as possible.

Amendments; Waiver: No amendment, modification or waiver of any provision of this Declaration shall be effective unless in writing and signed by both parties. No waiver of any breach shall constitute a waiver of any other or subsequent breach.

Counterparts: This Declaration may be executed in counterparts, each of which shall be deemed an original, and all of which together shall constitute one and the same instrument. Electronic or facsimile signatures shall be effective as originals.

Record Retention: The Record Recipient may, in its discretion, retain copies of the Record in electronic or paper form. Declarant acknowledges that recorded instruments may be indexed and made available in the public record in accordance with the Recording Authority's procedures.

Notary and Acknowledgment: If required by the Recording Authority, the parties shall provide notarization or other acknowledgment as necessary to effectuate recordation; the parties understand that notarization may be a separate procedural requirement for acceptance by the Recording Authority.

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