Affidavit Form

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THIS AFFIDAVIT WHEN COMPLETED IS TO BE SIGNED AND NOTARIZED. BEFORE RETURNING BE SURE TO
COMPLETE ALL THE REQUESTED INFORMATION TO ENABLE THIS COMPANY TO PROPERLY PROCESS THE
TRANSACTION PRESENTLY PENDING.
AFFIDAVIT
______________________________________________________________ EACH FOR HIMSELF AND HERSELF,
DECLARE: That they are the identical parties who made, executed and delivered that certain deed to
__________________________, dated _______________________ and recorded ___________________ _ _ _ _
________, conveying the following property, to wit:
MORE COMMONLY KNOWN AS _____________________________________________________________________
(STREET ADDRESS)
That no consideration or minimal consideration was paid therefor;
That possession of said premises has been surrendered to the grantee;
That in the execution and delivery of said deed I was not acting under any misapprehension as to the effect
thereof, and acted freely and voluntarily and was not acting under coercion or duress;
That this declaration is made for the protection of the grantee in said deed, his successors and assigns, and all
other _____________________________ which is about to insure the title to said property in reliance thereon, and any
other title company which may hereafter insure the title to said property;
That I will testify, declare, depose, or certify before any competent tribunal, officer, or person, in any case now
pending or which may hereafter be instituted, to the truth of the particular facts hereinabove set forth.
TITLE ORDER NO.__________________________
APN NO. _____________________________________
Dated______________________________________
_____________________________________________
_____________________________________________
State of California
County of _________________________________________
On __________________________ before me,
,
A Notary Public, personally appeared
______________
______________
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within inst rument
and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/thei r
signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Signature __________________________________
(Seal)

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