Judgment Affidavit

Judgment Affidavit

The undersigned, being duly sworn, depose(s) and say(s) that:

1. The undersigned [was/were] named as grantee(s) in a certain deed recorded in the County Office , conveying premises commonly known as ; and
2. The undersigned [is/are] the owner(s) in fee of the premises described in said deed; and
3. The attention of the undersigned has been called to certain judgments, tax liens, warrants, bankruptcies and/or incompetencies against persons with names similar to those of the undersigned; and
4. None of said judgments, tax liens or warrants are against the undersigned and there are no judgments, tax liens, warrants or other encumbrances or liens of any nature whatsoever against the undersigned; and
5. [has/has not] been adjudicated incompetent or bankrupt and [neither of] the undersigned [has/has not] filed any petition in bankruptcy nor has an involuntary petition in bankruptcy been filed against [either of] the undersigned.
6. This affidavit is made to induce the purchase of and/or a loan secured by the Property and the issuance of a title insurance commitment(s) and/or policy(ies) relating to same. Indemnitor acknowledges that Title Company is relying on the representations contained herein in issuance of said commitment(s) and/or policy(ies).

Notary Public