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SURVEY AFFIDAVIT

State of North Carolina

County

_________________________________________________each being first duly sworn, depose and say:

That I/we am/are the owner(s) of certain real property described as

_____________________________________________________________________________________________

as shown in Plat Book , Page , of the County

Registry, which property is also known by the address of

That said real property is further shown on a survey prepared by __________________________________________

Dated ___________and titled ______________________________________________________________________", designated as Job No._____, a copy of said survey is attached hereto and incorporated herein by reference;

That the undersigned affiant(s), owner(s) of said real property, has/have owned said property since_______________.

That there have been no structural changes or additions to the residence or other improvements located on said property since the date of said survey, there has been no construction or improvements on the surveyed property or on the adjoining properties along or near their common boundaries with the surveyed property, and the location of the boundaries of said property and title to said property have not been disputed or questioned to my/our knowledge, nor do I/we know of any facts by reason of which the boundaries of, title to, or possession of said property might be disputed or questioned.

This Affidavit is given as an inducement to Statewide Title, Inc. and its policy insurers to issue a Loan Title Insurance Policy as agent for said policy insurer to insure the mortgagee interest of__________________________________without general exceptions as to matters of survey.

Further, the undersigned affiant(s) do hereby jointly and severally agree to indemnify and hold Statewide Title Company and its policy insurers insuring the property shown on said survey harmless of and from any and all loss, cost, damage and expense of every kind, including attorney fees, which it shall or may suffer or incur or become liable for under its policy or policies directly or indirectly, as a result of matters that would have been revealed by an accurate and current survey or assurances made herein by the undersigned affiant.

IN WITNESS WHEREOF, said affiant(s) has/have hereunto set my/our hand(s) and seal(s) this the ____________

day of __________, _____.

__________________________________________________________________

__________________________________________________________________

Sworn to and subscribed before me this ______day of ___, 2___.

_______________________________________

Notary Public

My Commission Expires: ________________________

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