Prepared by
Two Rivers Title Company, LLC
26 Ayers Lane
Suite 202
Little Silver, NJ 07739
Incidental to the issuance of a title insurance policy
File Number: TRT ______
OWNER'S AFFIDAVIT
(Corporate)
THIS IS AN AFFIDAVIT MADE UNDER OATH. THE MAKING OF A FALSE
STATEMENT WILL SUBJECT THE AFFIANT TO SEVERE CRIMINAL PENALTIES.
BEFORE ME, the undersigned authority, personally appeared Affiant, _____________
individually and on behalf of ________________________
hereinafter "Corporation," who, being by me first duly sworn on oath, deposes and says:
1. Corporation is the owner of the following described property:
County of _____________, State of Florida
2. Corporation is in exclusive, full, complete and undisputed possession of the above described property and any
personal property included therewith; there are no leases, options, claims, unpaid taxes, assessments or interests of any kind
held thereon; title has not been transferred; and said property is free and clear of all liens, taxes, encumbrances and claims of
every kind, nature and description, except for real property taxes for the current year and except as shown in Title
Commitment # TRT______
3. There have been no improvements, alterations or repairs to the above described property for which costs thereof
remain unpaid; there are no claims for labor, material or services furnished or performed for repairing or improving the same
which remain unpaid; there are no mechanics', material men's or laborers' liens against the above described property; and no
labor has been performed within the last 90 days which has not been paid in full in regards to said premises or personal
property.
4. The personal property, if any, on said property, or contained in the buildings thereon, which is to be sold with the
property or premises, is free and clear of all liens, encumbrances, claims or demands whatsoever.
5. No judgments or decrees have been entered in any Court of this State or of the United States of America against
Corporation which remain unsatisfied or unpaid; there exist no funds due to the Internal Revenue Service which remain
unpaid which may result in a lien against the above described real property; Corporation is not a non-resident alien for United
States Income Tax purposes; and Corporation's Federal Income Tax Payer I.D. number is .
6. This Affidavit is made for the purpose of inducing
to purchase the above described property, inducing to accept the
mortgage loan being given to purchase the above described property, and inducing to authorize hereinafter "Policy Issuing
Agent," to issue Policies of Title Insurance insuring either the conveyance to the purchaser or the Lien of the mortgage or
both.
7. Affiant, individually and on behalf of Corporation, agrees to indemnify and hold Policy Issuing Agent and harmless
of and from all loss, cost, damage and expense of every kind, including attorneys' fees, which Policy Issuing Agent and shall
sustain or become liable for under its policies of title insurance now to be issued on account of or in reliance upon any
statements made herein, including but not limited to, any matters that may be recorded between the effective date of the
Commitment referenced above and the time of the recording of the instruments described in said Commitment.
8. Affiant is familiar with the nature of an oath and with the penalties as provided by the laws of the State of Florida
for falsely swearing to statements in an instrument of this nature. Affiant affirms he/she has read the foregoing affidavit and
fully understands the facts contained herein. For the purposes of this affidavit, the use of the word "he" is intended and
understood to mean all persons executing this affidavit be it "he", "she" or "they", and singular shall include plural, when
indicated.
FURTHER, Affiant sayeth naught.
By:
STATE OF FLORIDA
COUNTY OF ______________
THE FOREGOING INSTRUMENT was acknowledged before me on _______________, by
___________________________________, ___________________________ (title), of ________________, on behalf of
the corporation, and who is personally known to me or has produced _____________________________ as identification.
Signature:
Print Name:
Notary Seal Notary Public
In am a Notary Public in and for the jurisdiction named above and my commission expires: __________________________
