CORPORATE OWNER'S OR MORTGAGOR'S AFFIDAVIT AND INDEMNITY
Title No. _________
COMMONWEALTH OF PENNSYLVANIA
AND NOW, This day of 20 , before the undersigned officer, personally appeared _________________________________________________________________________(“Deponent”) who holds the office of _____________________________________________________________, of the corporation known as ________________________________________(“Corporation”), and who as such officer, being duly sworn according to law, does depose and say that the Corporation is owner of the above captioned premises (“Premises”) by virtue of the following instrument:
That no alterations, additions or repairs, have been made to said Premises within the past six months immediately preceding the date of this settlement
That no notices have been served by any government authority for the removal or abating of nuisances, or for the repairing of walls, driveways, curbs or footway paving, or for the relaying, repaving or repairing of the curb, footway paving, streets, alleys and driveways, on which said Premises abut. That no sidewalks have been laid, nor has any curbing, street paving, sewer, water pipe or any other municipal work been done or ordered to be done for which municipal claims could be filed against the said Premises.
That the entire improvements, including fences, hedges and monuments, are erected within or on the title lines of the Premises and no part thereof encroaches upon lands of adjoining owners and there are no encroachments upon said Premises by the owners of adjoining lands.
That there has been no violation of any restrictions affecting the Premises and there are no disputes with any adjoining property owners as to the location of property lines or the encroachment of any improvements.
That there are no unrecorded leases or agreements affecting the Premises in question, other than an Agreement of Sale between the parties to this transaction.
That the present transaction is not made for the purpose of hindering, delaying or defrauding any creditors of said Corporation and does not come within the provisions of the Bankruptcy of Insolvency Acts (or any amendments thereof).
That all taxes, water and sewer rents or other municipal charges assessed against the said Premises have been paid.
That no fixtures, material or equipment have been placed on the Premises during the Corporation’s ownership which have not been paid for in full.
Deponent (s) do further aver(s) that they have not received any notice of any interim tax assessments nor bills for same.
That there are no unpaid corporate taxes due the Commonwealth of Pennsylvania by the Corporation, except those for the current taxing period which the Corporation will pay when due.
That the officers of the Corporation who are authorized to execute the papers are of full legal age and in every respect competent to convey or encumber the title to the Premises in question.
That the Corporation is duly incorporated by the State of ___________________________ and is currently in good standing and that conveyance of the within Premises is in accordance with the existing By-Laws of said Corporation and has been authorized by proper corporate action.
That the corporation has not conducted any business under any name other than the name set forth above.
That none of the improvements nor any part thereof erected on the Premises was ever a mobile home or trailer which was registered with the Bureau of Motor Vehicles of the Commonwealth of Pennsylvania, or any other state or subdivision of the United States.
That no part of this property is under a contract easement to obtain a favorable assessment of farmland and forestland with any county or municipality or any agency authorized by law to receive such easement.
That there are no easements, mortgages, notes, judgments, liens, pending suits, or bankruptcies adversely affecting the owner and the said premises other than those shown on the Title commitment under the above-referenced number except the following:
(If none, write NONE on blank line)
That all labor and materials used in the construction of improvements on the above-described property have been paid for and there are now no unpaid labor or material claims against the improvements or the property upon which same are situated, and I hereby declare that all sums of money due for the construction of improvements have been fully paid and satisfied, except the following: _____________________________________________________
(If NONE, write “NONE” on blank line)
That there are no leases, contracts to sell the land, or parties in possession other than Deponent except as follows:
(If NONE, write “NONE” on blank line)
To be filled in if a sale – “The Seller is not a non-resident alien, foreign corporation, foreign trust, foreign estate or other foreign entity (as defined in the Internal Revenue Code and Income Tax Regulations). Seller’s U.S. employer identification number (or Social Security Number) is:___________________________________________.
Seller’s address (office address, if Seller is an entity; home address if Seller is an individual) is:
This affidavit may be disclosed to the Internal Revenue Service and is furnished to Buyer to inform Buyer that withholding of tax is not required under Section 1445 of the Internal Revenue Code.
INDEMNITY: CORPORATION AGREES TO PAY ON DEMAND TO THE PURCHASERS AND/OR LENDER AND/OR TITLE COMPANIES (INCLUDING STEWART TITLE GUARANTY COMPANY) IN THIS TRANSACTION, THEIR SUCCESSORS AND ASSIGNS, ALL AMOUNTS SECURED BY ANY AND ALL LIENS, CLAIMS, OR RIGHTS NOT SHOWN ABOVE, TOGETHER WITH ALL COSTS, LOSS AND ATTORNEY’S FEES THAT SAID PARTIES MAY INCUR IN CONNECTION WITH SUCH UNMENTIONED LIENS, PROVIDED SAID LIENS, CLAIMS, OR RIGHTS EITHER CURRENTLY APPLY TO SUCH PROPERTY, OR A PART THEREOF, OR ARE SUBSEQUENTLY ESTABLISHED AGAINST SAID PROPERTY AND ARE CREATED BY IT, KNOWN BY IT, OR HAVE AN INCEPTION OR ATTACHMENT DATE PRIOR TO THE CLOSING OF THIS TRANSACTION AND RECORDING OF THE DEED AND MORTGAGE.
The Corporation realizes that the Purchaser and Lender and Stewart Title Guaranty Company are relying on the representations contained herein in purchasing same or lending money thereon and issuing title policies and would not purchase same or lend money or issue a title policy thereon unless said representations are made. The undersigned has authority to sign on behalf of the corporation.
Name of Corporation
Name and Title
SWORN AND SUBSCRIBED BEFORE ME This _________ day of _______________________ 20____.
My Commission expires: __________________________
*NOTE: This form is to be filled in and signed by Seller in case of sale. If no sale, it is to be filled in and signed by the Owner-Borrower. If Seller is a non-resident alien, foreign corporation, etc., call your manager or underwriting personnel.
No guidelines are available for this form at this time.