PA Purchaser's Affidavit 1
BE IT KNOWN, That on the day of , 200 , before me, a Notary Public personally appeared ________________________________________
Who, being duly sworn according to law, did depose and say
THAT deponent (s) have not entered into any unrecorded leases or agreements affecting premises
THAT the newly erected building (s) on the premise to be insured is/are completed.
THAT it is the intention of the deponent (s) to take title as follows:
Single ___ Tenants in Common ___ Joint Tenants with Rights of Survivorship ___ Tenants by the Entirety ___
THAT the deponent (s) is/are of full legal age and has (have) never been declared an incompetent..
THAT the deponent (s) have not borrowed any money or signed any judgment notes, mortgages, or other obligations excepting such obligation, if any executed herewith.
THAT deponent(s) is/are not separated and is/are not involved in divorce proceedings.
THAT there are no support arrearages or support judgments entered against deponent(s) in any jurisdiction.
This affidavit is made for the purpose of inducing Stewart Title Guaranty Company ("
Sworn to and subscribed before me
This _________ day of _______________A.D. 20 ____________________________________
Notary Public Address_____________________________
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