STATE OF FLORIDA )
COUNTY OF ____________ )
Before me, the undersigned authority, personally appeared ___________________ who, being duly sworn, depose(s) and say(s):
Affiant(s) know(s) that no buildings, fences, driveways or other improvement have been constructed upon the land that are not shown on the aforesaid survey and that to the best of Affiant’s belief and knowledge, there has/have been no buildings, fences, driveways or other improvements constructed upon adjoining land since the date of the aforesaid survey;
1.
2.
And Stewart Title Guaranty Company to issue its policy or policies of title insurance covering the above-described premises.
Further Affiant(s) saith not.
______________________________________
(SIGNATURE)
_______________________________________________
(PRINTED NAME & ADDRESS)
_______________________________________________
(SIGNATURE)
_______________________________________________
(PRINTED NAME & ADDRESS)
The foregoing was sworn to and subscribed before me this _____ day of _________, 20___, by _____________________, who is/are personally known to me or who has/have produced ________________________ as identification and who did/did not take an oath.
(SEAL) ___________________________
(SIGNATURE & PRINTED NAME)
MY COMMISSION EXPIRES: NOTARY PUBLIC
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