General Affidavit Form - City Of Philadelphia Records Department

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GENERAL AFFIDAVIT
City of Philadelphia
Records Department
BEFORE ME, the undersigned Notary, ________________________________ [name of Notary before
whom affidavit is sworn], on this ________ day of ________ [month], 20____, personally appeared
____________________________________________ [name of affiant], known to me to be a credible
person and of lawful age, who being by me first duly sworn, on ________ [his or her] oath, deposes and
says:
In accordance with Section 2-200 of the City of Philadelphia Code of Ordinances, the attached deed is
being filed by ________________________________________________________, a
__ -Title Insurance company, as defined in 40 P.S. § 910-1, located at:
____________________________________________________________________
[address of record for title insurance company]
__ - Law Firm/Individual Attorney, ___ Bar ID # ________, located at:
_____________________________________________________________________
[address of record of law firm or individual attorney]
The attached deed submitted for recording is for the following property address:
____________________________________________________________________
__________________________________
[signature of affiant]
__________________________________
[typed name of affiant]
__________________________________
[address of affiant, line 1]
__________________________________
[address of affiant, line 2]
Subscribed and sworn to before me, this ______ [day of month] day of _____ [month], 20____.
[Notary Seal:]
__________________________________
[signature of Notary]
__________________________________
[typed name of Notary]
NOTARY PUBLIC
My commission expires: ________________, 20____.
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