Microsoft Word - Not Me Affidavit
STATE OFAFFIDAVITCOUNTY OFThe undersigned, being first duly sworn, deposes and says:My name is . My Social Security Number is and my date of birth is ;I hereby swear and affirm that the following judgments are not against me: (a)I hereby swear and affirm that I have never lived at or been associated with the property located at the following addresses:(a)I hereby swear and affirm that I have never represented the last four digits of my Social Security Number as ;(6)I hereby agree to hold harmless , Attorney and Title Insurance Company from any matters arising out of the inaccuracy of any of the information contained herein and from any claims arising from said inaccuracy.This day of , 20__.Sworn to and Subscribed before meThis day of , 20__.Notary PublicMy Commission Expires: ................
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