Affidavit Form - Broward County, Florida
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1COUNTY ADMINISTRATOR, BROWARD COUNTY, FLORIDA
STATE OF FLORIDA
In Re: Tax Deed File No.______________________
COUNTY OF BROWARD
Folio No. ___________________________________
DESCRIPTION OF PROPERTY:___________________________________________________
_________________________________________________________________________________
THE UNDERSIGNED Affiant, being first duly sworn deposes and says: That I am the President or Vice President of
_____________________________________________________________________________________________ of said
corporation, I am authorized to execute this Affidavit; that said corporation is duly organized and exists under the laws
of the State of _________; that _________________________________________________________________________
_________________________________________________________ is the true, correct & legal name of the corporation.
Under Tax Deed Sale held pursuant to Chapter 197, Florida Statutes; and that such ownership of record was continuous
and unbroken from the date it acquired title to said property, up to and including the date of aforesaid sale; & that at the
date of said sale &at the present time, it has the equitable & legal interest & expenses, incurred by the County
Administrator, in the sum of $________________ & that it hereby makes formal demand for & requests said amount be
paid to & mail to this address:
____________________________________________________________________________________________
____________________________________________________________________________________________.
AND THAT, in consideration of the premises and the payment of the said money as herein provided
for hereby ratifies and confirms the official acts and deeds
of the said County Administrator, in the aforesaid Tax Sale proceedings.
AFFIANT further states that the matter, things and statements herein set forth and made, are true,
and are set forth and made with full knowledge of the force and effect thereof, relative to the civil and criminal
responsibilities arising therefrom; and that said statements were made after full explanation in the premises was made to
.
affiant by the said County Administrator
_______________________________________
_____________________________________
SIGNATURE
PRINTED NAME
_______________________________________
_____________________________________
WITNESSES
WITNESSES
________________________________,
as President or Vice President of the above named corporation and to me
well known, first being duly sworn deposes and says that he executed this Affidavit as such President or Vice President of
said corporation by due and regular corporate authority, and that said instrument is the free act and will of said
corporation.
SWORN TO AND SUBSCRIBED BEFORE ME,
ON THIS_______DAY_______________________ 20________
________________________________________________________
NOTARY PUBLIC
MY COMMISSION EXPIRES:
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