Mortgage Registration Fee Affidavit
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Mortgage Registration Fee Affidavit Form. This is a Kansas form and can be use in 10th Judicial District (Johnson County) Local District Court.
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Tags: Mortgage Registration Fee Affidavit, Kansas Local District Court, 10th Judicial District (Johnson County)
Rev. 05/192010
Johnson County, Kansas
MORTGAGE REGISTRATION FEE AFFIDAVIT
K.S.A. 79-3102(d)(3)
State of
)
)ss:
)
County of
I, ___________________________________________________ do aver that I have read the below
statements and to the best of my personal knowledge, the facts contained herein are true and accurate.
1. The mortgage, filed with this affidavit, contains principle indebtedness in the amount of
$__________________ that is covered or included, in part or in whole, in a previously recorded mortgage
or mortgages with the same lender, or its assigns, on which the mortgage registration fee has already been
paid. It is asserted that the amount of indebtedness for which the mortgage registration fee is owed is
$__________________.
2. The previous mortgage(s) are recorded at:
Lender
Book
Page
Indebtedness
Total
$
If additional space is needed, please attach a separate page.
Affiant’s Signature
Print Name
Subscribed and sworn to before me on this __________ day of _______________________ By__________________
Affiant’s Name
Seal
Notary Signature
My commission expires:
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