Fill and Sign the Lost Deed Search Form

Indemnity Against Loss Resulting from Lost or Mislaid Deed Agreement made on the ________________ (date) , by _________________________ (Name of Seller) , of ___________________________________________________________ ____________________________ (street address, city, county, state, zip code) , referred to herein as Seller and Indemnitor , in favor of ______________________ (Name of Indemnitee) of _________________________________________________________________________ (street address, city, county, state, zip code) , referred to herein as Indemnitee . Seller, as seller of certain real property, residing at ______________________________ _____________________________________ (address of seller) , states that he has lost or mislaid certain title deeds and evidences of title to premises previously occupied by _______________________ (name of seller) , in _________________ (name of city) , ____________________ (name of state) . The title deeds and evidences of title describe the following premises: ____________________________________________________________ _______________________________________________ (legal description of real property) . Seller agrees to indemnify ________________________ (Name of Indemnitee) , and the heirs, executors, administrators, and assigns of Indemnitee , against all persons claiming any right or title to any part of the described premises, and against all costs and charges attending the claims, until the title deeds and evidences of title are found. If the title deeds and evidences should at any time be found, Seller shall deliver them to Indemnitee , or the heirs or assigns of Indemnitee. If a suit is filed against Indemnitor by Indemnitee under this writing, Seller agrees that it may be filed in any court in ___________________ (name of county) , __________________ (name of state) , having jurisdiction of the amount in controversy. WITNESS my signature as of the day and date first above stated. ________________________ (P rinted name) ________________________ (Signature of Indemnitor/Seller) Note: Acknowledgment may vary by state. STATE OF __________________ COUNTY OF _____________________ Personally appeared before me, the undersigned authority in and for the said County and State, on this ______ day of ______________, 20_____, within my jurisdic tion, the within- named _______________________ (Name of Indemnitor/Seller) , who acknowledged that he executed the above and foregoing instrument. ________________________________ NOTARY PUBLIC My Commission Expires: _______________________