Ancient Mortgage Affidavit

Ancient Mortgage Affidavit

PREMISES:
STATE OF )
COUNTY OF)

being duly sworn, deposes and says:

I/we are the Grantor(s) in the deed recorded on in

The title report issued by discloses a mortgage against the subject property recorded on in held by (the"Mortgage").

That the undersigned have received no demand for payment under the terms of the Mortgage and the note which it secures within the last six (6) years.

That the undersigned has not made or caused to be made any payments under the terms of the Mortgage to the holder of the Mortgage or its designee, if any, within the last six (6) years.

This affidavit is made to induce acting through to issue its policy covering the above referenced premises, knowing full well that it relies upon the truth hereof.

Sworn to before me this
day of ,

Notary Public