Claim Of Interest Michigan
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1CLAIM OF INTEREST
(under Public Act 200 of 1945)
STATE OF MICHIGAN
)
)SS.
COUNTY OF
)
____________________________________________________________________________, whose address is ________________
_______________________________________________________________________________________________________
being duly sworn depose(s) and state(s):
1.
That this affidavit is based upon personal knowledge.
2.
That on _________________________________ entered into a certain executory contract for the sale of land wherein
________________________________________________________________________________
were
the
Sellers
and
________________________________________________________________________________ were the Purchasers.
3.
That pursuant to the provisions of P.A. 200 of 1945 (being MCLA 565.103) this affidavit is made for the purpose of giving notice to
the world of the existence of the land contract.
4.
That the property affected by said land contract is: Land in the _____________________ of _______________________,
_________________________ County, Michigan described as:
5.
Further deponent sayeth not.
WITNESSED BY:
SIGNED BY:
________________________________________
________________________________________
________________________________________
________________________________________
STATE OF MICHIGAN
)
)SS.
COUNTY OF
)
The foregoing instrument was acknowledged, sworn, and subscribed before me this ________ day of
________________________, 20______, by _____________________________________________________________________.
_________________________________________________
, Notary Public
County, Michigan
My commission expires: ______________________________
Drafted by:
Return to:
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