DC Security Affidavit 1

SECURITY AFFIDAVIT – CLASS 1

Square _____ Suffix_____ Lot_____

I, (We)_________________________________________________ the owners(s) of the real property within certify, subject to criminal penalties for making false statements pursuant to Section 404 of the District of Columbia Theft and White Collar Crimes Act of 1982, effective December 1, 1982 (D.C. Law 4-164; D.C. Code 22-2405), that the real property described within is Class 1 Property, as that class of property is established pursuant to D.C. Official Code 47-813(C-4) with 5 or fewer units.

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Signature

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Signature

Subscribed and sworn to before me this _____ day of ___________, 20_____.

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Notary Public

My Commission Expires: ______________

(Notary Seal)