Multi State Mortgage Registration Fee Affidavit Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Multi State 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: Multi State Mortgage Registration Fee Affidavit, Kansas Local District Court, 10th Judicial District (Johnson County)
MULTI-STATE
MORTGAGE REGISTRATION
FEE AFFIDAVIT
K.S.A. 79-3106
State of
)
)
County of
SS:
)
I, _________________________________________ do state that I have personal
knowledge of the statements and representations set forth in this affidavit.
STATE
Total of Appraised or Market Values
TOTAL APPRAISED OR MARKET VALUE
(Remember to include KANSAS when listing states. List any additional information on
a separate page.)
TOTAL INDEBTEDNESS ON MORTGAGE TO BE RECORDED:
________________________________
Affiant’s Signature
SUBSCRIBED AND SWORN TO before me on __________________________(date)_
Expiration Date______________
________________________________
Notary Public Signature
h:\forms\affidavits\multistatemortgage.docx