Same Name Affidavit Form
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1Prepared by and return to:
SAME NAME AFFIDAVIT
Before me, the undersigned authority, this day personally appeared
(“Affiant”) who being by me first duly sworn, affirmed as follows:
1. Affiant is one and the same person as:
2. This affidavit is given in reference to the conveyance/purchase/refinance of the
property described as:
____________________________
(SIGNATURE)
(PRINT NAME OF AFFIANT)
STATE OF
COUNTY OF
Sworn to and subscribed before me this
day of
, 20
, by
who was personally known to
me or who presented
as identification.
______________________________
Commission No.
(Signature of Notary)
Commission Expiration:
(Printed name of Notary)
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